Policy Facts
Equipment and Device Incidents
Confidentiality & Legal
Create and Incident Report or Not
Management Responsibilities
100

This timeframe is the maximum allowed before an employee must file an incident report after recognizing an event.

What is as soon as possible, but no later than 24 hours

100

After a device-related incident, staff must do this to ensure the device is not used again.

What is remove the device from an area where it can be retrieved, tag it, and place a ticket

100

Name of the risk management module where we place incident reports

What is MIDAS

100

A patient was being assisted to the bathroom using a gait belt. The patient was becoming unsteady and was having trouble walking. The nurse lowered the patient to the floor safely. 

What is write an incident report because it is a fall

100

Leaders must review incident reports within this timeframe after receiving the nightly MIDAS+ email.

What is within 24 hours

200
There are two types of incident reports

What is patient and non-patient

200

Packaging materials and related items from a malfunctioning device must be handled this way.

What is save them and do not discard

200

Incident reports are protected under this privilege and cannot be released to patients or others.

What is attorney‑client privilege

200

Patient is receiving 1 unit of PRBC and they develop a fever. The transfusion is stopped and is reported to the doctor. 

What is write an incident report because it is a reaction to blood transfusion

200

All incident reports must be investigated thoroughly, documented, and completed within how many days.

What is 10 calendar days

300

When an incident happens, who should be filling out the incident report

What is the one who discovered the incident or who was involved in the incident

300

Under the Safe Medical Devices Act, mandatory reports must be filed within this number of business days.

What is 10 business days

300

Staff are instructed never to do this with a patient's chart after completing an incident report

What is make a note in the chart stating an incident report has been completed

300

A patients family member becomes lightheaded when the IV is being placed and faints onto the floor.

What is write an incident report because it is an unusual incident or behavior involving an individual who is neither patient nor a PH employee while on hospital property

300

If the incident results in harm or injury to the patient, who must be notified immediately

What is risk management

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