how to report a patient safety event

by Prof. Reyna O'Keefe III 3 min read

Videos of How to Report A Patient Safety Event

34 hours ago Online: Submit a NEW patient safety event or concern. Online: Submit an UPDATE or ASK a Question about your incident (You must have your incident number) We do not accept faxed or emailed submissions. Mail to: Office of Quality and Patient Safety The Joint Commission One Renaissance Boulevard Oakbrook Terrace, Illinois 60181 >> Go To The Portal


Online: www.jointcommission.org; Click on tab at bottom of page to “Report a Safety Event” Mail: Provide a brief (please limit to two pages) summary of your safety concern and the complete name and address for the location where care was received. Please be as specific as possible.

3. Reporting- when a patient safety event has been identified, the event should be immediately reported. The preferred method of reporting is through the safety online system. At a minimum the event should be reported to the manager or immediate supervisor.

Full Answer

What is patient safety data reporting?

Reporting patient safety events is the main way we identify and address patient safety issues We can’t fix what we don’t know about Reporting helps us to learn about safety problems so that we can fix them

What is a patient safety reporting program?

The Patient Safety Reporting System (PSRS) is a non-punitive, confidential, and voluntary program which collects and analyzes safety reports submitted by healthcare personnel. Staff can report close calls, suggestions, and incident / event related information and data to improve patient safety.

What is a patient safety event?

We don’t understand well enough the preconditions and root causes of adverse events, making it difficult to prevent ... each with a fraction of the responsibility for patient and health care worker safety, did not serve us well during this pandemic ...

What is a patient safety report?

Patient safety; Report a patient safety incident; Report a patient safety incident. Patient safety incidents are any unintended or unexpected incident which could have, or did, lead to harm for one or more patients receiving healthcare. Reporting them supports the NHS to learn from mistakes and to take action to keep patients safe.

image

How do you report a patient event or a safety hazard in the environment?

Dial the Hotline (310) 825-9797 Follow the instructions by the voice operator and choose from the menu. A manager on call will respond based on the type of incident.

How do you write an incident report on a patient?

What to Include In a Patient Incident ReportDate, time and location of the incident.Name and address of the facility where the incident occurred.Names of the patient and any other affected individuals.Names and roles of witnesses.Incident type and details, written in a chronological format.More items...•

What is patient safety reporting?

Patient Safety Reporting (PSR) gives military treatment facility personnel the ability to anonymously report medical events that impact the safety of patients.

Which types of events should be reported in a safety report?

Events that affect staff safety should be reported as well. Staff can also report “near miss” or potential events, things that were caught before patients or family members were impacted but that could have been a problem if the staff had not noticed in time.

How do I report an incident in the workplace?

How Do I Report an Accident at Work?Step 1: Check there is no immediate risk of danger. ... Step 2: Ensure that the colleague receives the appropriate medical assistance as necessary. ... Step 3: Report to a manager or supervisor. ... Step 4: Record the incident in the company's log. ... Step 5: Report the incident under RIDDOR.More items...•

What are the 4 types of incident reports?

Common Types of Incident ReportsWorkplace. Workplace incident reports detail physical events that happen at work and affect an employee's productivity. ... Accident or First Aid. ... Safety and Security. ... Exposure Incident Report.

What is an example of a patient safety event?

Contracting an infection (think for example, of COVID-19) Fall incident, eg because the patient falls out of bed or is not mobile enough for a toilet visit. Wrong diagnosis and/or incorrect treatment plan.

Who can be a reporter of a patient safety event?

Doctors, nurses and others involved in medical and healthcare settings through prior arrangement with their organization and NASA may submit reports to the PSRS when they are involved in, or observe, an incident or situation in which patient safety may have been compromised. All submissions are voluntary.

What are the 4 elements you should try to get when reporting an adverse event to patient safety?

The minimum dataset required to consider information as a reportable AE is indeed minimal, namely (1) an identifiable patient, (2) an identifiable reporter, (3) product exposure, and (4) an event.

What is the first thing you do if you are involved in a patient safety event?

1. Ensure patient safety- after the event has occurred or hazardous condition has been identified, first and foremost staff should ensure the safety of the patient and notify physician as appropriate.

What is considered a safety event?

A Safety Event is a situation where best or expected practice does not occur. If this is followed by serious harm to a patient, then we call it a “Serious Safety Event (SSE)”.

What is the most common type of incident reporting event?

medication incidentsThe most common types were medication incidents (29%), falls (14%), operative incidents (15%) and miscellaneous incidents (16%); 59% seemed preventable and preventability was not clear for 32%. Among the potentially preventable incidents, 43% involved nurses, 16% physicians and 19% other types of providers.

Characteristics of Incident Reporting Systems

  • An effective event reporting system should have four key attributes: While traditional event reporting systems have been paper based, technological enhancements have allowed the development of Web-based systems and systems that can receive information from electronic medical records. Specialized systems have also been deve…
See more on psnet.ahrq.gov

Limitations of Event Reporting

  • The limitations of voluntary event reporting systems have been well documented. Event reports are subject to selection bias due to their voluntary nature. Compared with medical record review and direct observation, event reports capture only a fraction of events and may not reliably identify serious events. The spectrum of reported events is limited, in part due to the fact that physiciansgenerally do not utilize voluntary event reporting systems…
See more on psnet.ahrq.gov

Using Event Reports to Improve Safety

  • A 2016 article contrasted event reporting in health care with event reporting in other high-risk industries (such as aviation), pointing out that event reporting systems in health care have placed too much emphasis on collecting reports instead of learning from the events that have been reported. Event reporting systems are best used as a way of identifying issues that require further, more detailed investigation. While event reporting utilization can b…
See more on psnet.ahrq.gov

Current Context

  • At the national level, regulations implementing the Patient Safety and Quality Improvement Act became effective on January 19, 2009. The legislation provides confidentiality and privilege protections for patient safety information when health care providers work with new expert entities known as Patient Safety Organizations (PSOs). Health care providers may choose to work with a PSO and specify the scope and volume of patient safet…
See more on psnet.ahrq.gov