Incident Reporting.pptx
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An incident is an event that results in unintended harm or loss. Types of incidents include falls, exposure to bodily fluids, burns, lacerations, and being pinched in equipment. Sentinel events are unexpected occurrences leading to major loss of function or death, such as surgery on the wrong patient or retained surgical instruments. Specific sentinel events include surgical, device/product, patient protection, care management, and criminal events like abduction or assault within a healthcare facility.
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- 1. What is Incident? An incident is an event or circumstance which could have, or did result in unintended or unnecessary harm to a person & or any loss to a person. An Event Or Occurrence.
- 2. TYPES OF INCIDENTS Type of fall Fall from Bed/Chair Uneven Surface Fall while Ambulating Rehabilitation Activity Wet/Liquid Surface Other
- 3. Exposure to Blood or Body Fluid Needle stick Blood exposure Saliva/Spitting Urine/Faeces Open Wound Others Burn Lacerations/Cuts Pinched or Caught in lift /doors (If any of the above incidents if leads to disability or death will be considered as sentinel event)
- 4. SENTINAL EVENTS An unexpected event, related to system or process deficiencies, which leads to death or major and enduring loss of function for the recipient of healthcare services
- 5. 1. SURGICAL EVENTS Surgery performed on the wrong body part. Surgery performed on wrong patient. Wrong surgical procedure performed on the wrong patient. Retained instruments in patient discovered after surgery. Patient death during or immediately post surgical procedure anesthesia related event.
- 6. 2. DEVICE & PRODUCT EVENTS Patient death or serious disability associated with:- The use of contaminated drugs, devices, products, supplied by the organization The use or function of a device in a manner other than the device’s intended use The failure or breakdown of a device or medical equipment Intravascular air embolism
- 7. 3. PATIENT PROTECTION EVENTS Discharge of an infant to the wrong person. Patient death or serious disability associated with elopement from the healthcare facility. Patient suicide ,attempted suicide or deliberate self harm resulting in serious disability. Intentional injury to a patient by a staff member, another patient, visitor or other. Any incident in which a line designated for oxygen or other came to be delivered to a patient and contains the wrong gas or is contaminated by toxic substances. Nosocomial infection or disease causing patient death or serious disability.
- 8. 4. Care Management Events Patient death or serious disability associated with hemolytic reaction due to the administration of ABO incompatible blood or blood products. Maternal death or serious disability associated with labor or delivery in a low risk pregnancy
- 9. Medication error leading to patient death or serious disability: Omission error Dosage error Dose-preparation error Wrong time error Wrong rate of administration error Wrong administrative technique error Wrong patient error Patient death or serious disability associated with an avoidable delay in treatment or response to abnormal tests results
- 10. 5. Criminal Events Any instance of care ordered by or provided by an individual impersonating an criminal member of staff Abduction of a patient Sexual assault on a patient within or on grounds of the healthcare facility Death or significant injury of a patient or staff member from physical assault or other crime that occurs within or on grounds of that healthcare facility.