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ID serious event |
Incident Reporting System |
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Determine if it is a sentinel event |
Risk Manager, Director of QI, Medical Director, Director of Nursing |
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Schedule meeting of the Serious Incident Investigation Team/RCA Team |
Risk Manager |
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ID all witnesses |
Supervisor of area where event occurred |
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Notify patient/family |
Attending physician or medical director |
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Notify Department of Health |
State Incident Reporting System designee |
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File State Incident Reporting System Event |
State Incident Reporting System designee |
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File to other agencies (eg. Joint Commission, Office of Mental Health), if applicable |
Risk Manager |
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Secure chart, make working copies |
Head, Medical Records |
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Impound equipment |
Biomedical Engineering |
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Notify FDA, if necessary |
Risk Manager |
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Notify manufacturer, if necessary |
Risk Manager |
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Notify Hospital Board of Directors |
Medical Director |
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Notify Hospital Attorney |
Risk Manager |
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Final State Incident Reporting System report |
State Incident Reporting System designee |
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Make sure all dictations complete |
Head, Medical Records |
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Support for caregivers involved |
Organization designee or program |
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