Transcription of UPMC Staff Education Initial Incident Reporting
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upmc Staff Education Initial Incident ReportingJanuary 2017 Diana Caffro Quality Nurse upmc JamesonUPMC Staff Education Initial Incident /Event ReportingHow We Improve the Health and Safety of Our PatientsMedical Care Availability andReduction of Error Act3 Pennsylvania Act 13 established May 2002 Known as the McareAct Established the Patient Safety Authority Reduction and elimination of medical errors Created role of Patient Safety Officer Requires hospitals to have a Patient Safety Plan Established guidelines for event reportingBenefits of Event Reporting4 Problem solving begins Tracking and trending can occur Enhanced communication Process improvement opportunities Clinical practice habits for patient safety Meet regulatory requirementsEveryone Has Accountability5 A nurse who questions the type of diet ordered for a patient, An administrator who plans for services, A housekeeper who cleans up a spill in a patient room, A physician who prescribes medication, A therapist who informs the team of a change in a patient s status Every Staff member does many things each daythat helps to keep our patients safe.
Reportable Events –Infrastructure Failures 10 Infrastructure Failure: an undesirable or unintended event, occurrence or situation involving the infrastructure of a medical facility or the discontinuation or significant disruption of a service
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