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.
See Blood Transfusion in Hospital HealthPathways for specific precautions and complications relating to blood transfusion.
Topic Code: 10807