Canterbury DHB

Context

Incident Reporting

An Incident is defined as any event that has resulted in, or could have under different circumstances resulted in unintended and/or unnecessary harm or death not related to the natural course of the patient’s illness or underlying condition. Clinical Incidents are defined as Adverse Events or Near Misses.

A formal report must be filed for ALL adverse events and near misses.

The CDHB promotes a no-blame culture.

The reporting of incidents (near misses and adverse events) is to:

The overall aim of this is to improve on quality systems and procedures which will improve on patient outcomes.

Formal reporting of incidents is done electronically, via Safety1st. Access Safety1st via the following link: CDHB Clinical Incident Management procedure.

Protocol for Investigation of Adverse Reaction to Intravenous Infusion or Medicines

  1. Do not throw anything away.
  2. Collect all needles, drip tubing, bottles, and contents, etc. and place them in a plastic bag.
  3. Label with the date and time, patient name, and list of contents.
  4. Call the Microbiologist, Infectious Diseases Physician, or other relevant specialist for advice on the procedure to be followed.
  5. Complete a Quality Improvement Event Reporting form.

See Blood and Blood Components Transfusion in Hospital HealthPathways for specific precautions and complications relating to blood transfusion.

About this Canterbury DHB document (10807):

Document Owner:

Resident Doctors Support Team (see Who's Who)

Issue Date:

August 2013

Next Review:

April 2015

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document. Disclaimer

Topic Code: 10807