Reported to Type of adverse event Examples Reported by Time frame Funding and planning agency Near miss incident Media have knowledge of the CEO/Manager/Director Within 48 hours or (for example: DHB, MSD) near miss incident next working day. and Cause of the near miss incident Quarterly reports. name of service Board/Director was misconduct or neglect of any service provider involved in service users’ service delivery. Any incident or situation that puts Service user has left facility (only services that include at risk (or potentially could put at without staff knowledge where accommodation). risk) the health or safety of the cognitive impairment/medical people for whom the service is condition causes a safety risk to being provided. the resident. A police investigation has started because late night revellers causing noise/damage or there has been an abusive visitor. The near-miss incident is of Health Quality and Safety Within 70 days of national interest in terms of Commission - . the incident. learning. SAC 4
Reported to Type of adverse event Examples Reported by Time frame Funding and planning agency (for example: DHB, MSD) and name of service Board/Director Near miss incident Any incident or situation that puts at risk (or potentially could put at risk) the health or safety of the people for whom the service is being provided. Media have knowledge of the near miss incident CEO/Manager/Director Within 48 hours or next working day. Quarterly reports. Cause of the near miss incident was misconduct or neglect of any service provider involved in service users’ service delivery. (only services that include accommodation). Service user has left facility without staff knowledge where cognitive impairment/medical condition causes a safety risk to the resident. A police investigation has started because late night revellers causing noise/damage or there has been an abusive visitor. Health Quality and Safety Commission - . The near-miss incident is of national interest in terms of learning. SAC 4 Within 70 days of the incident.
Adverse%20Event%20Management.docx