Frequently Asked Questions |
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1. Anesthesia events: The interim system replaces the old anesthesia reporting system. Report using the criteria listed in the Interim Mandatory Patient Safety Reporting Requirements for General Hospitals, Types of Preventable Events, Surgery-related Events (Chapter II, Section 5. D) [pdf 323k] 2. Interruption of services, environmental events, communicable and infectious diseases: Continue to report those based on the existing procedures:
Do not report these events to the Patient Safety Reporting Initiative. 3. Criminal activity: Notify the Department of alleged criminal events which endanger the life or safety of patients or employees, which are also reportable to the police department, and that result in an immediate onsite investigation by the police. Do not report to the Patient Safety Reporting Initiative. Instead, contact the Department’s Acute Care Survey Unit at 1-800-792-9770. 4. Falls: Report every fall that meets the criteria in Interim Mandatory Patient Safety Reporting Requirements for General Hospitals, Types of Preventable Events (Chapter II, Section 5. B4) [pdf 323k] . This includes, but is not limited to, all falls that result in fractures, sprains or dislocations that require splinting, casting, pinning or surgical intervention. 5. Attempted suicides: Report all attempted suicides. 6. Definition of surgery: A surgery related-event (Chapter II, Section 5. [pdf 323k]) includes any invasive manual or operative diagnostic or therapeutic procedures, including endoscopies, colonoscopies, cardiac catheterizations, and other invasive procedures. 7. Events that occur in Same-Day-Surgery: Report all events that meet the criteria in the Types of Serious Preventable Events, Surgery-related Events (Chapter II, Section 5. D [pdf 323k]). 8. Retained foreign objects: If a hospital discovers a retained object as a result of a surgical procedure that occurred at its facility, then the hospital must report the event within 5 days and is responsible for performing the RCA. If a hospital discovers a retained object as a result of a surgical procedure at another facility, then the discovering hospital must report the event within 5 days. If the identity of the original hospital is ascertainable, then the discovering hospital must inform DHSS where the prior surgery occurred. The discovering hospital is not responsible for performing an RCA. 9. Uncertain whether an event impact meets the 7 day criteria for loss of bodily function: If the 5 day reporting deadline is approaching and you're not sure if the disability will resolve before 7 days, use your best judgment and report the event. If the issue resolves within 7 days, submit a revised report. 10. Near misses or less serious preventable adverse events: Facilities should not report near misses and less serious events. Once the Department establishes the voluntary, anonymous reporting system required by the law, reports of less serious events and near misses will be accepted from any source. 1. Time frame: All events are reportable within 5 business days of the discovery of the event, or from when the event should have been discovered by the hospital. 2. Reporting forms: Event and RCA forms are found in Interim Mandatory Patient Safety Reporting Requirements for General Hospitals[pdf 323k] . Forms may also be downloaded from the Patient Safety Website: www.nj.gov/health/ps/report.shtml and the event information entered and printed. 3. “When the event was discovered?” (Section 2 of report form) We are asking for when the hospital staff became aware of the event and responded to it, not when risk management was notified. 4. “How was the event discovered?” (Section 3 of report form) We are asking for who, or how, the hospital was alerted to the event's occurrence, not how the event was reported to the risk manager. 5. Patient Information (Section 4 of report form): Complete both race and ethnicity items based on separate determinations using the following categories:
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