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Related Concept Videos

Types of Reports II: Incident or Occurrence Report01:21

Types of Reports II: Incident or Occurrence Report

An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Data Reporting and Recording01:24

Data Reporting and Recording

Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...

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Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
15:18

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

The Children's Hospital Boston non-routine event reporting program.

Gregory S Matte1, Daniel Riley, Robert LaPierre

  • 1Children's Hospital Boston, Department of Cardiovascular Surgery, 300 Longwood Avenue, FA-144, Boston, MA 02115, USA. Gregory.matte@cardio.chboston.org

The Journal of Extra-Corporeal Technology
|July 23, 2010
PubMed
Summary

This study introduces non-routine events (NREs) to track perfusion-related incidents in cardiac surgery. Most NREs occurred during bypass and were equipment-related, highlighting areas for practice improvement and enhanced patient safety.

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Area of Science:

  • Cardiovascular Surgery
  • Perfusion Technology
  • Patient Safety

Background:

  • Lack of standard definitions for perfusion accidents and reporting thresholds.
  • Existing methods for tracking perfusion events do not uniformly define minor incidents.
  • Need for a standardized approach to identify and manage perfusion-related events.

Purpose of the Study:

  • To propose and define "non-routine events" (NREs) as a standardized term for perfusion incidents.
  • To establish a working definition and reporting threshold for NREs.
  • To describe a program for tracking NREs within a pediatric cardiovascular program.

Main Methods:

  • Developed a program to track perfusion NREs in a pediatric cardiovascular program.
  • Categorized NREs by type (technique, equipment, patient-related) and bypass period.
  • Classified NRE outcomes based on multidisciplinary review and impact on practice.

Main Results:

  • Over 44 months, 42% of reported NREs occurred during the bypass period and were equipment-related.
  • A decreasing incidence of NREs requiring changes in perfusion practice or protocols was observed.
  • Multidisciplinary meetings to discuss NREs increased team awareness and improved patient safety.

Conclusions:

  • Focusing on equipment-related issues during bypass can improve perfusion practices.
  • Regular multidisciplinary review of NREs enhances awareness and contributes to improved patient safety.
  • The proposed NRE framework provides a standardized method for tracking and managing perfusion events.