Patient safety incident report Flashcards

1
Q

What is incidence reporting?

A

collecting and analyizing information about any events that could have harmed or did harm anyone

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2
Q

The adverse event iceberg

what is reported and what is unreported?

A

Reported: errors that could cause harm, serious errors

Unreported: errors considered insignificant, near misses and unnoticed errors

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3
Q

What are the types of incidence?

A

Clinical, patient, security and information governance incidents

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4
Q

What is the risk matrix?

A

Used to measure risk by multiplying the consequence score by the likelihood score

Based on actual harm from incident nor potential harm

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5
Q

What happens in an incident investigation?

A
Make incident scene safe
select level of investigation
investigate and record results in a report 
action Plan to address root causes
monitor to ensure that its working
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6
Q

National reporting and learning?

A

report incidents to NRLs -set up in 2004

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