Healthcare Incident Report

The Healthcare field is becoming more aware of how important it is to change the way that organizational culture is becoming in order to help improve patient safety. Even though patient safety plays a very important part of our health care system which helps explain the importance quality of health care. However, when trying to keep patients safe, it can be a demanding challenge because of human errors and mistakes that are made. According to World Health Organization, patient safety is the absence of preventable harm to a patient while in the process of health care (who.int/patientsafety). Being in the position of a clinical content manager, the first step in reporting problems is to make sure that when reporting a problem, it need to be done at the earliest stage to show the importance to the company. The approach that I would take as a Clinical content manager is to identify the problem, have regular shift meetings to address any issues, flag any errors that occurred, have regular safety meeting, give feedback to staff on any errors that were found, try to figure out the best solution not only for the patients, but staff also, and although being a team leader, I would give the staff the opportunity to address any concerns that they may have.

1) quality and safety: this is the core value of the organization I work for.

In the article, Introducing incident reporting in primary care: a translation from safety science into medical practice, the authors speak of how most reported incidents were ones that caused little or no injury to the patient. They found those providing care were able to deal with these incidents more

This assignment will look at incidents and emergencies that can happen in a health and social care setting. Within my assignment I will be explaining possible priorities and responses when dealing with two incidents or emergencies in a health and social care setting. I will be discussing health, safety or security concerns that may arise from the incident or emergency. Then I will be discussing how I would respond to them.

Incident reports, less commonly known as Image Trend reports, are filled out for every call. Required within those reports are certain sections regarding pertinent medical information for proper patient care. The most well-known and hardest part of an Image Trend report is the patient

Langley Medical Health is one of the largest public healthcare organization 's in Nevada. Located in North Reno, LMH provides healthcare for seven unique and diverse communities. Since it’s founding in 1937, LMH has expanded to include, a 327 bed tertiary hospital, and level II trauma center, a 107 bed community hospital, two skilled nursing facilities, a home care division, an ambulatory surgery center, and an outpatient behavioral health center.

The presented case for this unit discussed the challenges that Leman Healthcare has been met with in getting their employees to utilize a costly incident-reporting system. The new system, which was deployed across the entire Leman system, allowed physicians, frontline and management staff to more effectively and efficiently access patient records as well as document and report adverse events to senior members of the management team, risk managers and the Quality Improvement (QI) Department (Burns, Bradley & Weiner, 2011). Following the deployment of the new system however, Leman Healthcare staff noticed that overall even with the introduction of the new incident-reporting system, QI practices throughout the system as a whole had not changed.

In a perfect world, these defenses would be impenetrable and patients would always be safe.20-22 But that isn’t the case. These defenses, like slices of Swiss cheese, have holes—latent and active failures—that do not always prevent the human error from reaching the patient. Each piece of cheese (barrier) has holes, and when these holes line up, an error occurs. When defenses fail in health care, a patient or staff member is endangered or harmed. While leaders can and should support defenses and interventions to reduce risk, this is not enough; a culture of safety must also be established.30 In order to make progress in reducing harm and barriers to incident reporting, for further improving quality in healthcare, the most essential change needed is cultural, and in particular from a blame culture to a safety

When you collect data, if you do not analyze it or use it, it is useless (Sipma, 2018). This evidence can improve the perceptions of employees to understand the need for intervention (Burns et al., 2012). Employees are often times pulled out of patient care settings to fill out these incident reports, so, in turn, they want to see the results of their work. When adverse events happen, the sooner a root cause analysis can be performed the better. So, management should have protocols in place to evaluate the incidents reported. This should be done a quick as possible, and after the analysis of the event was done, management should sit down with the employees involved to provide feedback and a plan to prevent it for occurring again. If the employees see lack of feedback or results, they will be less likely to continue to use the system (Benn et al., 2009). It could also change the way they view the system. Leaders must turn the incident reports into results, not only to show the data is beneficial, but to improve quality. This analysis is a great way to learn from the failure, promote safety awareness, increase future reporting, and improve clinical

Overcoming barriers with implementing the incident reporting system is to first start by meeting with all the QI staff and explain the importance of using the new system. Understandable some people are reluctant to change but sometimes change is necessary in order to have a productive work environment. In health care quailty improvement is critical in order to be successful. Simplifing the process were all staff involved understand how to use the system. Having a Q & A session and hands on training will also assist in the roll out of the new system. "A key foundation of any QI effort is the ability to accurately measure quality and use those measures to identify problems, monitor progress, and formulate strategies to improve quality of care"

The article is called “ Improving Patient Safety Through Enhanced Communication Between Emergency Department Clinicians and Medical Staff”

The article stresses that in order to maintain a culture of safety, nurses and caregivers must be encouraged to report medical errors, near misses or adverse events without fear of retaliation.

Introduction. Health care entities across the U.S. manage their own medical mandates, each varying from state to state. States organize a set of mandates to ensure proper incident reporting. Health care organizations abide by such mandates in order to detect patient safety events and improve overall quality. The ensuing paper researches incident reporting systems from two separate states.

In response to the Institute of Medicine (IOM) recommendation that healthcare facilities use patient safety reporting system to evaluate why patients are harmed by medical care (Provonost, et al., 2008), the University Hospital has adapted Safety Intelligence as its patient safety reporting system. Safety Intelligence or SI is a web-based patient safety reporting system that makes reporting of a patient event easy and simple. The staff can use SI with minimal training and is readily accessible electronically through the hospital portal, e.g., my.uhnj.org.

Business Analyst with over 10 years of experience in multiple domains including healthcare, financial services, and government agencies. Highly skilled in defining the business problem and solutions; knowing the audience; and attention to details & processes. Business requirements have been gathered at client locations and also remotely through web-ex and telephone interviews. Created scores of use cases, use case models, storyboards, flow diagrams/process models, screen mockups/wireframes, and requirements documents. Experience includes helping the development teams test and deliver the product as it has been defined in the business requirements phase, ensuring the client gets what they requested. Experienced in managing the requirements,