Recap and Reassess IR & RCA 2022

​RECAP AND REASESS

IR & RCA 2022

By Natalia Hanum

Multiple Choice

What is the definition of Patient Safety?

• Patient is safe from harm

• Medication error does not occur to a patient

• The absence of preventable harm to a patient during the process of health care

• Reporting of incident to ensure patient safety

When an incident occurs...report!

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Incident Reporting 2.0

Incident Reporting and the Learning System

• A system of reporting Patient Safety Incidents that occur in healthcare

• To investigate or review why incidents happen

• To learn from the incident

• To take appropriate actions to prevent recurrence

• Share with other​

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Multiple Choice

The Incident Reporting System can be summarized as...

• Report + Respond + Share

• Report + Investigate + Punish

• Report + Respond

• Report + Blame

Poll

What are the factors that ensure successful implementation of Incident Reporting?

• Leadership on patient safety is clearly seen by staff

• Reporting is "safe" for the inviduals who report the incident

• Resources and support are available to analyse the issue and implement meaningful action plan

• Incident reporting is a passive process of submitting reports and feedbacks

Multiple Choice

Who can report an incident using the IR 2.0 form?

• Head of Department

• Matron

• House Officer

• Anyone can report

Multiple Choice

What is the aim of a patient safety investigation?

• To find blame in an individual

• To find weakness in the system and find effective actions or solutions

• Focus on clinical management

Multiple Choice

In the selection of team members to investigate an incident...

• All team members should be from the same department

• The person involved in the incident should be part of the investigation team

• There should be a mixed skill set among members of the investigation team

Multiple Choice

ORGANIZATIONAL FACTORS, TEAM FACTORS, TASK & TECHNOLOGY FACTOR ARE PART OF WHAT PROTOCOL THAT IS USED TO CATAGORIZE CONTRIBUTING FACTORS OF AN INCIDENT?

• PARIS

• KUALA LUMPUR

• LONDON

• TORONTO