Delay/Lack of Response to Patient Condition Property Damage/Vandalism Dietary Foreign Body in Food Property Lost – Dietary Incorrect Diet Safety Policy Violation – Dietary NPO Patient Given Food Smoking – Dietary Theft/Suspected Theft – Dietary Patient Allergy to Diet Threat of Violence – Discharge Issue Unauthorized Access/Trespassing Disruptive Behavior Unauthorized Drugs ED Discrepancy Betw ED Unauthorized Equipment – Interpretation of Xray or EKG and Unauthorized Person Final Reading Weapons on Premises ED Unplanned Return in 48 Hrs – Skin/Tissue Requiring Admission Electric Shock to Patient Abrasion Failure to Follow Order Blister Failure to Obtain Appropriate Assistance Bruise Failure to Respond to Request for Burn Service Burn Chemical – Handoff Issue Burn Electrical – Inappropriate Discharge Burn Thermal – Infant/Child Abduction Dehiscence/Evisceration Infant/Child Discharged to Wrong Diabetic Ulcers Person Diaper Dermatitis Onset of Hypoglycemia During Care Friction/Shear Other Laceration Patient (Unexpected) Other Referral Delay in Scheduling – Pressure Injury Referral Delay in Service – Puncture Referral – Rash/Hives Referral Report Unavailable or – Skin Tear/Cut Delayed Stasis Ulcers Timeliness of Response to Order TOC Post Discharge Surgery/Procedure Unanticipated Transfer to Higher Break in Sterile Technique Level of Care Cardiac Arrest During Procedure Safety and Security Cardiac or Circulatory Event Central Nervous System Event Abandonment Complications of Anesthesia Abduction Complications of Surgery/Procedure Accidental Injury of Unknown Origin Consent Issue Auto Accident Contamination Chemical Spill Count Discrepancy Instrument – Disorderly Person Count Discrepancy Needle – Domestic Quarrel Count Discrepancy Other – Drug Diversion Actual – Discrepancy Sponge – Drug Diversion - Potential Count Incomplete/Not Performed Entrapment Foreign Object Retained Post Equipment Malfunction Procedure Evidence/Contraband Collection (for ID Missing/Incorrect chain of custody) Implant Not Available – Fire/Fire Alarm Laceration/Puncture Hospital in Divert Status Omission of Procedure Law Enforcement Assist Operating Room Fire Lost Health Record/Chart Other Missing/Wandering Patient/Resident Patient Incorrect
Delay/Lack of Response to Patient Condition Dietary – Foreign Body in Food Dietary – Incorrect Diet Dietary – NPO Patient Given Food Dietary – Dietary – Patient Allergy to Diet Discharge Issue Disruptive Behavior ED – Discrepancy Betw ED Interpretation of Xray or EKG and Final Reading ED – Unplanned Return in 48 Hrs Requiring Admission Electric Shock to Patient Failure to Follow Order Failure to Obtain Appropriate Assistance Failure to Respond to Request for Service Handoff Issue Inappropriate Discharge Infant/Child Abduction Infant/Child Discharged to Wrong Person Onset of Hypoglycemia During Care Other Patient (Unexpected) Referral – Delay in Scheduling Referral – Delay in Service Referral – Referral – Report Unavailable or Delayed Timeliness of Response to Order TOC Post Discharge Unanticipated Transfer to Higher Level of Care Safety and Security Abandonment Abduction Accidental Injury of Unknown Origin Auto Accident Chemical Spill Disorderly Person Domestic Quarrel Drug Diversion – Actual Drug Diversion - Potential Entrapment Equipment Malfunction Evidence/Contraband Collection (for chain of custody) Fire/Fire Alarm Hospital in Divert Status Law Enforcement Assist Lost Health Record/Chart Missing/Wandering Patient/Resident Property Damage/Vandalism Property Lost Safety Policy Violation Smoking Theft/Suspected Theft Threat of Violence Unauthorized Access/Trespassing Unauthorized Drugs Unauthorized Equipment Unauthorized Person Weapons on Premises Skin/Tissue Abrasion Blister Bruise Burn Burn – Chemical Burn – Electrical Burn – Thermal Dehiscence/Evisceration Diabetic Ulcers Diaper Dermatitis Friction/Shear Laceration Other Pressure Injury Puncture Rash/Hives Skin Tear/Cut Stasis Ulcers Surgery/Procedure Break in Sterile Technique Cardiac Arrest During Procedure Cardiac or Circulatory Event Central Nervous System Event Complications of Anesthesia Complications of Surgery/Procedure Consent Issue Contamination Count Discrepancy – Instrument Count Discrepancy – Needle Count Discrepancy – Other Discrepancy – Sponge Count Incomplete/Not Performed Foreign Object Retained Post Procedure ID Missing/Incorrect Implant – Not Available Laceration/Puncture Omission of Procedure Operating Room Fire Other Patient Incorrect