JCAHO Essential Education Information on Risk Management - A Risk Management Guide to Avoid Getting "Stung" - Management of serious Occurrences

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Oh No! What to do when things go wrong? Use this checklist to make sure you have documented and done everything you should

 

Name, age, diagnosis and prognosis (if available) of the patient
Basic description of what happened
Names of caregivers involved (Risk Management may want to talk with them before they leave their shift).
Specific outcome/injury and whether it was a direct result of the occurrence
Is the attending physician present? Been notified? Who has the best rapport/relationship with the patient or family
What family members are present? Are more anticipated? (Sometimes it is best to wait until all are present before anyone talks to the family or to designate a contact person so that information is consistent controlled.)
Has anyone talked with the patient or family? If so, what were they told?
Have you received consultation from Risk Management regarding communication with the patient and family?
Was any equipment, device or products involved? (If so, they should be sequestered and referred to Biomedical Engineering for inspection.)
Was this a medication error or adverse drug event? (Syringes and containers should be saved for analysis.)
Has the Occurrence Report been completed?
Have you documented a description of the event in the Medical

     Obtain consultation from Risk Management regarding documentation

      Documentation should be factual, clear and concise

      Do NOT document that an occurrence report was filed or that Risk Management was notified

 

 

 

     
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