broward health how do you report an error or near-miss that may have injured a patient?

by Dr. Lonnie Trantow 9 min read

Detected Offenses and Corrective Actions | Broward Health

30 hours ago Detected Offenses and Developing Corrective Action Initiatives. 1. Prevention and Detection. Broward Health is committed to advancing the prevention of fraud, waste, and abuse while at the same time furthering the fundamental mission of providing enhanced patient care to our patients for the betterment of the community. >> Go To The Portal


What happened to Broward Health medical information?

Broward Health has stated that on October 15, 2021, a hacker gained unauthorized access to the Broward Health network. The personal medical information accessed may have included the following: Medical information (medical history, condition, treatment and diagnosis, medical record number)

Are you investigating North Broward Health data breach cases?

The Lyon Firm is investigating North Broward health data breach cases on behalf of plaintiffs in Florida and nationwide. Patient data should be protected by healthcare entities, and when that personal trust is breached by negligent security, legal action may be necessary.

What is the nurse's responsibility for near misses and medication errors?

Nurses have a responsibility to immediately report all near misses and medication errors regardless of whether a patient has been harmed. Timely reporting allows clinicians and managers to examine current processes related to medication administration and identify areas for improvement.

Do you know when to report medical incidents in hospitals?

There are many reasons for unreported medical incidents, but not knowing when to report is one of the most common ones. Unfortunately, many patients and hospital employees do not have a clear idea about which incidents to report. Knowing when to report in hospitals can boost safety standards to a great extent. Let’s consider three situations: 1.

How do I contact Broward Health?

Important Numbers954-355-4400.Broward Health North. 954-941-8300.Broward Health Imperial Point. 954-776-8500.Broward Health Coral Springs. 954-344-3000.Salah Foundation Children's Hospital at Broward Health. 954-355-4400.

What are the steps if you find a strange or suspicious package Broward Health?

If you think you have been exposed to unknown or suspicious powder, liquid or gas, remember what your actions are in the event of an incident, use the acronym R-A-I-N - Recognize-Avoid-Isolate-Notify. Remember: protect yourself, communicate the hazard, and don't contaminate others!

How do I get my medical records from Broward Health?

For Medical Records Requests, Please Click Here. Public Records Request. A request for public record can be emailed to PublicRecordsRequest@browardhealth.org or by calling (954) 473-7303 directly. In addition, you may submit your request via this form, online.

What are the steps that should be undertaken in the event that a suspicious object is found the premises of the hotel?

Make sure that persons assemble in a well-ventilated area, where they are not exposed to further risk. Provide your name, location, object location, and suspicious details. Write down any information you have about the object. You can give this to Emergency Personnel when they arrive before you forget.

What is the correct procedure for the reporting of suspicious items?

Suspicious Packages or Objects If you receive or discover a suspicious package or foreign device, do not touch it, tamper with it, or move it. Dial 911 on campus or 9-911 if you are off campus, immediately and report it. Move people away from the suspicious object.

Who owns Broward Health?

Broward Health is a public, non-profit hospital system governed by the North Broward Hospital District Board of Commissioners, a seven-member district board appointed by the Governor.

What is Broward Health's Bill of Rights?

Broward Health has a standard Patient’s Bill of Rights and Responsibilities. This is formatted for your convenience into a pamphlet to promote ease in reading and understanding.

What information do you need to make treatment decisions?

Information: You have the right to obtain, from the practitioners responsible for coordinating your care, complete and current information concerning diagnosis, planned course of treatment, alternatives, risks, and prognosis necessary to enable you to make treatment decisions.

What is the right to expect reasonable safety?

Personal Safety: You have the right to expect reasonable safety, insofar as the facility practices and environment are concerned. Communication: You have the right to access people outside the facility by means of visitors, and by verbal and written communication. Consultation:

What happens after discharge?

After discharge, you have the right to review or obtain a copy of your medical and billing records. You have the right to access, request amendment to, and obtain information on disclosures of your health information, in accordance with law regulation. Decisions Regarding Care:

What is the right of a patient?

You have the responsibility to provide, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to your health.

Can you appoint a surrogate to make health care decisions?

You have the right to formulate an advance directive and appoint a surrogate to make health care decisions on your behalf to the extent permitted by law. The organization has in place a mechanism to ascertain the existence of, and assist in the development of, an advance directive at the time of your admission.

Does Broward Health have advance directives?

The provision of care is not conditioned on the existence of an advance directive. A copy of any advance directive provided to Broward Health will be placed in your medical record and is reviewed periodically with you or your surrogate decision maker.

Why do people report near misses?

One of the issues with getting employees to report near misses is that they can sometimes worry about being punished for holding up jobs or dropping a colleague in trouble. In addition, if their actions led to near miss accidents at work, they might prefer to keep quiet, rather than admit their role in the hazard.

What is a near miss accident?

If a worker trips over something because they couldn’t see properly, but is uninjured, that is a near miss accident. If they trip and twist their ankle, that is a safety incident . The concept behind the near miss report is that it flags the hazard, which the QHSE team can then remedy before it leads to an incident.

What percentage of workplace accidents follow at least one near miss?

The 18 Near Miss Reporting Examples You Need To Know. The National Safety Council (NSC) reports that 75 percent of workplace accidents follow at least one near miss event. This stark fact shows exactly how important it is to report a close call and to follow up that report with a hazard resolution. However, sometimes, even seasoned QHSE ...

What is a near miss?

A good rule of thumb is that the unsafe equipment or act is the hazard or “safety concern”, and the incident it causes is the near miss. If there is an injury, illness or damage as a result of the hazard, that is an incident and should be reported as such. For example…. If no one changes a burned out lightbulb leading to dimly lit conditions in an ...

Should near miss reporting be encouraged?

It should be encouraged at every opportunity and be shown to be the norm rather than something to be concerned about. Allowing workers to file near miss safety reports anonymously is one option for encouraging them ...

Do you need a near miss reporting system for OSHA?

Technically, you do not need a near miss reporting system for OSHA compliance. “OSHA strongly encourages employers to investigate all incidents in which a worker was hurt, as well as close calls (sometimes called “near misses”)”. It’s the employer’s responsibility, though, to,

How to report near misses?

How to Get Employees to Report Near Misses 1 Simplify the reporting procedure so it’s quick and easy to understand. 2 Make the reports anonymous so employees don’t have to worry about recriminations from co-workers or management. 3 Keep employees involved by encouraging communication between staff and management with bulletin boards, safety programs, and memos.

Why is reporting near misses important?

Reporting near misses reduces the chances of the incident happening again. It also ensures that the potential hazard is eliminated once it’s addressed by a corresponding workplace injury prevention program.

What should be included in a safety protocol?

Communicate to Safety Officers. Part of your safety protocols should include managers and/or employees that are responsible for eliminating workplace hazards. Your safety officers should be made aware of any near misses and ready to receive the incident report.

What does it mean when you see a near miss?

A near miss event often indicates that there are potential safety hazards in the workplace. To ensure safety at your company, and avoid OSHA-related penalties, all near misses need to be reported.

What happens when two employees are rough-playing?

Two employees are rough-playing and bump into a third, non-involved party. A worker’s loose clothing is caught in a machine, but tears before an employee is injured. Tools and other items are not secured when stored at heights, fall off, and narrowly miss nearby employees.

What is a near miss in OSHA?

OSHA defines a near miss as an incident that did not result in property damage or employee injury or sickness. However, the event had the potential to have disastrous consequences. When a near miss occurs, it’s the result of unsafe working conditions or employee actions.

Is an incident a non-preventable event?

An accident is often viewed as non-preventable, while incidents are events that happen when proper safety protocols aren’t in place.

What is the term for a patient who is exposed to a hazardous situation but does not experience harm?

A patient is exposed to a hazardous situation, but does not experience harm either through luck or early detection. Error: a broader term referring to any act of commission (doing something wrong) or omission (failing to do the right thing) that exposes patients to a potentially hazardous situation.

What did the physicians who reviewed his medical record judge?

The physicians who reviewed his medical record judged that proper diagnostic management might have discovered the cancer when it was still curable. They attributed the advanced disease to substandard medical care. The event was considered adverse and due to negligence.".

What was the first study to quantify the incidence of iatrogenic harm?

One of the first studies that sought to quantify the incidence of iatrogenic harm was the Medical Insurance Feasibility Study , funded by the California Medical Association and the California Hospital Association. This study, published in 1978, served as the model for the subsequent landmark Harvard Medical Practice Study.

What happens when a nurse gives medication to another patient?

A nurse comes to administer his medications, but inadvertently gives his pills to the other patient in the room. The other patient recognizes that these are not his medications, does not take them, and alerts the nurse so that the medications can be given to the correct patient.

What are the different types of adverse events?

In summary, adverse events refer to harm from medical care rather than an underlying disease. Important subcategories of adverse events include: 1 Preventable adverse events: those that occurred due to error or failure to apply an accepted strategy for prevention; 2 Ameliorable adverse events: events that, while not preventable, could have been less harmful if care had been different; 3 Adverse events due to negligence: those that occurred due to care that falls below the standards expected of clinicians in the community.

How many medical errors remain unreported?

When an event results in an injury to a person or damage to property, incident reporting becomes a must. Unfortunately, for every medical error, almost 100 errors remain unreported. There are many reasons for unreported medical incidents, but not knowing when to report is one of the most common ones. Unfortunately, many patients and hospital ...

What are near miss incidents?

#2 Near Miss Incidents 1 A nurse notices the bedrail is not up when the patient is asleep and fixes it 2 A checklist call caught an incorrect medicine dispensation before administration. 3 A patient attempts to leave the facility before discharge, but the security guard stopped him and brought him back to the ward.

What is an incident in healthcare?

An incident is an unfavourable event that affects patient or staff safety. The typical healthcare incidents are related to physical injuries, medical errors, equipment failure, administration, patient care, or others. In short, anything that endangers a patient’s or staff’s safety is called an incident in the medical system.

Why is incident reporting important?

Improving patient safety is the ultimate goal of incident reporting. From enhancing safety standards to reducing medical errors, incident reporting helps create a sustainable environment for your patients. Eventually, when your hospital offers high-quality patient care, it will build a brand of goodwill.

Why is reporting important in healthcare?

Reporting can also make healthcare operations more economically effective. By gathering and analyzing incident data daily, hospitals’ can keep themselves out of legal troubles. A comprehensive medical error study compared 17 Southeastern Asian countries’ medical and examined how poor reporting increases the financial burden on healthcare facilities.

What is clinical risk management?

Clinical risk management, a subset of healthcare risk management, uses incident reports as essential data points. Risk management aims to ensure the hospital administrators know their institution performance and identify addressable issues that increase their exposure.

How much of healthcare is wasted?

Even the World Health Organisation (WHO) has estimated that 20-40% of global healthcare spending goes waste due to poor quality of care. This poor healthcare quality leads to the death of more than 138 million patients every year. Patient safety in hospitals is in danger due to human errors and unsafe procedures.

What are near miss errors?

FOUR NEAR-MISS medication errors occurring within 40 minutes was unnerving even for me, an ED nurse with 22 years of experience. On a typically busy Monday afternoon, stretchers lined the hallways while healthcare providers hurried to evaluate, treat, and discharge patients. Then, this happened: 1 A medication was prescribed that didn't make sense for the patient's condition. When a nurse questioned the order, she learned it had been prescribed for the wrong patient. 2 A patient with diabetic ketoacidosis was receiving a continuous insulin infusion through a peripheral venous access, but the status of her implanted insulin pump hadn't been addressed. When questioned, the prescribing physician stated he wasn't aware that the patient had an insulin pump. 3 A medication was prescribed for a patient with a known allergy to it. The allergy had been documented in the electronic medical record (EMR). When the prescription was questioned, it was cancelled. 4 The ED pharmacist hand-delivered insulin for a patient who didn't have diabetes and whose lab values were normal. The medication had been prescribed for the wrong patient.

What is the responsibility of a nurse to report a near miss?

Nurses have a responsibility to immediately report all near misses and medication errors regardless of whether a patient has been harmed. Timely reporting allows clinicians and managers to examine current processes related to medication administration and identify areas for improvement.

What is the American Nurses Association's goal in preventing medication errors?

The American Nurses Association (ANA) is working to quantify and describe nurses' interventions related to medication error prevention by capturing information about near misses. 8 Its survey encouraged nurse respondents to inform their colleagues, hospitals, and others of strategies to make patients safer through the medication process. Based on the results of its survey, the ANA's recommendations for avoiding errors include the following:

What were the organizational ramifications of the four near misses in a mere 40 minutes?

What were the organizational ramifications of the four near-misses in a mere 40 minutes? After the events were entered into the electronic incident reporting system, the quality department initiated an investigation of the events. While current practices continue to be examined, an agenda is in progress to further pair the CPOE with clinical decision support systems. This would prevent a medication from being released from the drug dispenser if a patient's allergy to it is documented in the EMR. Although technology can be helpful, minimizing interruptions also allows providers to safely enter and administer medications. A multifactorial approach to medication error reduction is essential.

What happens when a prescription is questioned?

The allergy had been documented in the electronic medical record (EMR). When the prescription was questioned, it was cancelled.

How much money was given to the Health Information Technology Act of 2009?

With the Health Information Technology for Economic and Clinical Health (HITECH) Act provision, the American Recovery and Reinvestment Act of 2009 authorized $20 billion in funding to assist in the development of a robust health information technology infrastructure to improve healthcare safety and quality. 9.

Can a nurse administer a drug if they don't know what it's for?

Medication safety is the responsibility of everyone on this continuum. Nurses should never administer a drug if they don't know what it's for, aren't able to explain it to the patient, don't understand the outcome of its administration, or can't recognize potential adverse reactions. 7 A multiprofessional, evidence-based approach to medication management is essential.

Investigating Broward health data breach claims

The Lyon Firm is investigating North Broward health data breach cases on behalf of plaintiffs in Florida and nationwide. Patient data should be protected by healthcare entities, and when that personal trust is breached by negligent security, legal action may be necessary.

Protect Yourself After the Broward Health Data Breach

After your data is stolen, you may always be at risk for future identity theft and fraud. But, you can protect yourself with identity theft coverage and subscribing to an ID Theft Recovery service.

Healthcare Security Breach

The rise of healthcare hacks have left millions of patients vulnerable to stolen medical records and identity theft.

Can I Join the Broward Health Class Action?

An experienced class action attorney can determine if you are eligible to file a data breach lawsuit or join a class of plaintiffs. A lawyer can assist in determining the following:

Why are Data Breach Cases important?

Without data breach class actions, large corporate defendants would be able to cause small amounts of harm over a large group of individuals without any risk of monetary penalty.

Questions About Data Breach Lawsuits

Get confirmation of the data breach and collect as many details about the incident as possible.

What should you do following a data breach?

Have you received a data breach notification letter indicating your personal information may have been compromised? Following a data breach incident, victims should consider talking to a legal expert, and move quickly to take the following steps to help prevent identity theft and fraud:

Why do we use resolved patient incident reports?

Using resolved patient incident reports to train new staff helps prepare them for real situations that could occur in the facility. Similarly, current staff can review old reports to learn from their own or others’ mistakes and keep more incidents from occurring. Legal evidence.

How many hospital incidents go unreported?

According to a study by the US Department of Health and Human Services, 86 per cent of hospital incidents go unreported. Even more staggering, though, is the reason behind this. Staff did not consider 62 per cent of incidents as reportable, due to unclear incident reporting requirements.

Why is it important to review patient incidents?

Reviewing incidents helps administrators know what risk factors need to be corrected within their facilities , reducing the chance of similar incidents in the future.

Why is it important to know that an incident has occurred?

Knowing that an incident has occurred can push administrators to correct factors that contributed to the incident. This reduces the risk of similar incidents in the future. Quality control. Medical facilities want to provide the best care and customer service possible.

Why choose a platform that is web-enabled for quick reporting?

You’ll never miss important details of a patient incident because you can file your report right at the scene. A platform with HIPAA-compliant forms built in makes your workflow more efficient and productive, ensuring patient incidents are dealt with properly.

What to include in an incident report?

Every facility has different needs, but your incident report form could include: 1 Date, time and location of the incident 2 Name and address of the facility where the incident occurred 3 Names of the patient and any other affected individuals 4 Names and roles of witnesses 5 Incident type and details, written in a chronological format 6 Details and total cost of injury and/or damage 7 Name of doctor who was notified 8 Suggestions for corrective action

How long does it take to file a patient incident report?

Patient incident reports should be completed no more than 24 to 48 hours after the incident occurred.