Incident report (4).pptx english ppt 2nd year

incidenr report english 2nd year

1. Incident report

2. Difference between incident and accident A bank robbery, a funny or controversial situation, an argument  between celebrities, etc. – all can be described as incidents. An  accident is a bad event caused by error or by chance. Accidents are always unintentional, and they usually result in some damage or injury. A car crash is one example of an accident.

3. What is an incident report In a health care facility, such as a hospital, nursing home, or assisted living, an incident report or accident report is a form that is filled out in order to record details of an unusual event that occurs at the facility, such as an injury to a patient.

4. Purpose of incident report   The purpose of the incident report is to  document  the exact details of the occurrence while they are fresh in the minds of those who witnessed the event. This information may be useful in the future when dealing with liability issues stemming from the incident.

5. A NEAR MISS This is where the incident did not result in harm, loss or damage, but could have, this is referred to as a ‘Near Miss ’. This may be clinical or non-clinical . Near miss reporting is just as important in highlighting weaknesses in systems, policies/procedures and practices. If near misses are reported and learnt from and any necessary corrective action taken, they can help to prevent actual incidents of harm , loss or damage from occurring. Near miss should be reported with in 24hrs of working days.

6. ADVERSE EVENTS Adverse Incident (Clinical) An event or circumstance arising during clinical care of a patient that could have or did lead to unintended or unexpected harm’. Adverse Incident (Non-Clinical) An event or circumstance that could have or did cause unexpected or unwanted harm, loss or damage to any individual involved (including patients but not related to clinical care, staff, visitors etc) or damage to/loss of property/ premises in the hospital . It should be reported with in 2 hrs

7. SENTINEL EVENTS An unexpected incident, related to system or process deficiencies, which leads to death or major loss of function for a recipient of healthcare services. It should be reported immediately.

8. INCIDENT REPORTING (STAFF) It is a requirement of all Hospital staff that they report any incident, accident or potential incident which has caused or has the potential to cause harm, loss or damage to any individual involved or loss or damage in respect of property premises for which the hospital is responsible.

9. HOW TO REPORT AN INCIDENT Obtain the proper forms from your institution. Each institution has a different protocol in place for dealing with an incident and filing a report. Start the report as soon as possible. Write it the same day as the incident, if possible, because if you wait a day or two your memory will start to get a little fuzzy. You should write down the basic facts you need to remember as soon as the incident occurs, and do your report write-up within the first 24 hours afterward.

10. Provide the basic facts. Your form may have blanks for you to fill out with information about the incident. If not, start the report with a sentence clearly starting the following basic information given in the Incidence form . Write a first person narrative telling what happened. For your report, write a detailed, chronological narrative of exactly what happened when you report to the scene. Use the full names of each person who is included in the report, and start a new paragraph to describe each person's actions separately.

11. Be thorough . Write as much as you can remember - the more details, the better. Don't leave room for people reading the report to interpret something the wrong way. Don't worry about your report being too long or wordy. The important thing is to report a complete picture of what occurred . Be accurate . Do not write something in the report that you aren't sure actually happened..

12. Be clear . Don't use flowery, confusing language to describe what occurred. Your writing should be clear and concise. Use short, to-the-point, fact-oriented sentences that don't leave room for interpretation

13. Be honest . Even if you're not proud of how you handled the situation, it's imperative that you write an honest account. If you write something untrue it may end up surfacing later, putting your job in jeopardy and causing problems for the people involved in the incident .

14. Submit incident report Submit your incident report. Find out the name of the person or department to whom your report must be sent. When possible, submit an incident report in person and make yourself available to answer further questions or provide clarification.

15. PERSON RESPONSIBLE FOR THE IMMEDIATE MANAGEMENT OF THE INCIDENT The person responsible for the immediate management of the incident (e.g. the nurse in charge of the ward at the time an incident occurs), should undertake an immediate assessment of the situation, in order to determine any immediate treatment and/or ongoing care needs of the affected person, and/or the extent of any loss/damage to property and any other immediate action required (e.g. removal and isolation of faulty equipment). The situation/scene should be made safe.

16. ROOT CAUSE ANALYSIS root cause analysis is a structured investigation process that aims to assist in the identification or the root or underlying cause of a particular event or problem by determining WHY the failure occurred and the actions necessary to prevent or minimize the risk of recurrence. . A ‘Root Cause’ is a failure in a process that, if eliminated, would prevent an adverse incident occurring. Training for the relevant staff on incident grading/investigation and root cause analysis will be provided as part of the risk management training program me.

17. FAIR BLAME CULTURE In an organization as large and complex as the Hospital, things will sometimes go wrong. The wrong assessment should not be one of blame but of learning , a drive to reduce risk for future patients and staff. Blame cannot, and should not, be attributed to individual health care professionals. Identifying and addressing is, therefore, the key to reduce the risk of harm for many patients and staff through incident form.

18. It is understood that fear of disciplinary action , may discourage the staff from reporting incidents, therefore , continues to be developed within a culture of ‘fair blame’. The Management approach following incidents will therefore focus on ‘what went wrong, and not who went wrong’.