病人安全異常事件分析師-Incident Analysis Tool

Example

Identifying a medication error where a patient was given the wrong dosage of medication.

Scenario

Through the analysis of incident reports and patient data, the analyst categorizes the event, assesses the harm caused, and determines the level of response needed.

Example

Evaluating the severity of a fall incident that resulted in a patient's extended hospital stay due to a fracture.

Scenario

The analyst uses SAC guidelines to classify the incident's severity based on the actual or potential harm to the patient, aiding in prioritization and response strategies.

Example

Analyzing a surgical incident where the wrong patient was operated on to identify systemic flaws.

Scenario

Through a structured process, the analyst delves into the underlying factors contributing to the incident, such as communication failures or procedural lapses, and recommends corrective actions.

Example

Suggesting improvements in medication administration protocols to prevent future medication errors.

Scenario

Based on the analysis findings, the analyst proposes changes to practices, policies, or environments to enhance patient safety and prevent recurrence of similar incidents.