Treatment No Order For Preventative Maintenance – Treatment Wrong Patient Inadequate/Not Performed – Unexpected Cardiac and/or Respiratory Sterilization/Cleanliness Arrest Requiring ACLS Intervention Facilities Diagnostic Imaging Air Quality Contrast Allergic Reaction Boarding patient more than six – Contrast Event (BHU patient) – Contrast Extravasation Boarding patient more than six hours – Equipment Failure/Malfunction (Non-BHU patient) – Equipment Maintenance Issue Cleanliness of Facility – Communications Down Exposure Overexposure – Exposure Unanticipated Radiation Elevator Malfunction – Exposure Equipment Issue Other Film Unavailable or Inadequate Image Incorrect Patients receiving care in area not – Infiltration Event designated for care MRI Safety Issue Spill Radiation – Temperature of Facility Other Patient Incorrect Use of unlicensed beds for patient care Process Deviation from Standard Water Leak/Flood – Operating Procedure Fall Requisition Incorrect – Results Delayed – From Bed Lying in Bed – Results Incorrect Reading – From Bed Sitting on the Side – Results Posted to Wrong Patient – From Chair Test Cancelled – From Exam Stool Test Delayed – From Exam/Operating Table Test Inappropriate – From Stretcher Test Incomplete – From Toilet/Commode Test Incorrect – From Wheelchair Test Incorrectly Performed – In Hallway Test Not Ordered – On Grounds of Facility Test Ordered, Not Performed – Other Test Scheduled Delay – on Floor Test Wrong Procedure – While Ambulating Test Wrong Side (L vs R) – Test Wrong Site – Infection Equipment/Medical Device Hand Hygiene Compliance Issue Isolation Breach – Bed Malfunction Isolation Failure to Follow Protocol – Broken Item Other Disconnected Patient Exposure Blood/Body Fluid – Electrical Patient Exposure Communicable – Equipment Damaged/Faulty/Worn – Disease Equipment Malfunction – Patient Exposure Contaminated – Equipment Misuse – Material Equipment Not Available – Patient Exposure Sharps Issue – Equipment Other Issue – Single-Use Item Submitted for Equipment Wrong or Inadequate – Reprocessing Failed Test of Standard Procedures Sterilization/Disinfection Issue Inadequate Supplies Suspected Infection Medical Device Issue Other Outdated Item
Treatment – No Order For Treatment – Wrong Patient Unexpected Cardiac and/or Respiratory Arrest Requiring ACLS Intervention Diagnostic Imaging Contrast – Allergic Reaction Contrast – Event Contrast – Extravasation Equipment – Failure/Malfunction Equipment – Maintenance Issue Exposure – Overexposure Exposure – Unanticipated Radiation Exposure Film Unavailable or Inadequate Image – Incorrect Infiltration Event MRI Safety Issue Other Patient Incorrect Process – Deviation from Standard Operating Procedure Requisition – Incorrect Results – Delayed Results – Incorrect Reading Results – Posted to Wrong Patient Test – Cancelled Test – Delayed Test – Inappropriate Test – Incomplete Test – Incorrect Test – Incorrectly Performed Test – Not Ordered Test – Ordered, Not Performed Test – Scheduled Delay Test – Wrong Procedure Test – Wrong Side (L vs R) Test – Wrong Site Equipment/Medical Device Bed Malfunction Broken Item Disconnected Electrical Equipment – Damaged/Faulty/Worn Equipment – Malfunction Equipment – Misuse Equipment – Not Available Equipment – Other Issue Equipment – Wrong or Inadequate Failed Test of Standard Procedures Inadequate Supplies Medical Device Issue Other Outdated Item Preventative Maintenance Inadequate/Not Performed Sterilization/Cleanliness Facilities Air Quality Boarding patient more than six (BHU patient) Boarding patient more than six hours (Non-BHU patient) Cleanliness of Facility Communications Down Elevator Malfunction Equipment Issue Other Patients receiving care in area not designated for care Spill – Radiation Temperature of Facility Use of unlicensed beds for patient care Water Leak/Flood Fall From Bed – Lying in Bed From Bed – Sitting on the Side From Chair From Exam Stool From Exam/Operating Table From Stretcher From Toilet/Commode From Wheelchair In Hallway On Grounds of Facility Other on Floor While Ambulating Infection Hand Hygiene Compliance Issue Isolation – Breach Isolation – Failure to Follow Protocol Other Patient Exposure – Blood/Body Fluid Patient Exposure – Communicable Disease Patient Exposure – Contaminated Material Patient Exposure – Sharps Issue Single-Use Item Submitted for Reprocessing Sterilization/Disinfection Issue Suspected Infection
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