serious reportable event

serious reportable event

Patient care A health care event resulting in death, serious injury or other significant harm Types Surgical; product/
device-related; Pt protection; Pt care; environmental; criminal Examples Surgery on wrong body part, on wrong Pt, wrong procedure, retention of foreign object in Pt post surgery or other procedure. See Medical error.
References in periodicals archive ?
Situation: Jeanette Erickson, the Nurse Leader of a "highly visible hospital" shared how she led this organization through a serious reportable event. A monitored patient died as a result of a non-detected lethal arrhythmia.
Many states now require that hospitals report adverse events, which the National Quality Forum calls serious reportable events. Pennsylvania and Minnesota publish serious reportable event summaries for each hospital within their respective borders, and more states can be expected to follow suit.
With leadership and action from our nurses, we decreased patient falls with serious injury by 80 percent with no patient sustaining a serious reportable event from a fall in 2010.
In its 2007 Quality and Safety Survey, the group offered hospitals public recognition if they agreed to take four actions following a serious reportable event: offer an apology to the patient or family, report the event to a recognized reporting agency, perform a root-cause analysis, and waive all costs directly related to the event.
In its 2007 Quality and Safety Survey, the group offered hospitals public recognition if they were to agree to take four actions following a serious reportable event: offer an apology to the patient or family, report the event to a recognized reporting agency, perform a root-cause analysis, and waive all costs directly related to the event.
The review of the radiology scans came about after what has been vaguely described as three serious reportable events.
to that end this tender is about publishing an open request to tender for a desk top review of international experience and expertise around serious reportable events (sre~s) and clinical audit standard setting.
The National quality Forum (NQF) published in 2002 a report defining 27 "serious reportable events" in healthcare, with one additional event added in 2006, completing a total of 28 "never events", which are events that should not occur or are highly preventable.
Serious reportable events (SREs): Transparency, accountability critical to reducing medical errors and harm.
HHS's Partnership for Patients sweeps in everyone, and the National Quality Forum's proposed expansions to its serious reportable events list for the first time included office practices, ambulatory-surgery centers and skilled-nursing facilities as well as hospitals.
Internationally, there is substantial evidence to consider grade 3 and 4 pressure ulcers as serious reportable events. (11) This is also supported in New Zealand in the guidelines for reportable events published by the Ministry of Health: "events that resulted in harm to consumers, visitors and employees and that are discovered upon entry of the service or occur during service provision." (12)
Schyva, M.D., co-chair of the NQF National Voluntary Consensus Standards Maintenance Committee on Serious Reportable Events, says that it is not always possible to determine if an event was caused by error.
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