There are four levels of classification according to the severity of the event: warning events, adverse events, events without consequences, and hidden events.?
I. Adverse Event Classification
Adverse nursing events are categorized into three levels based on whether or not an adverse event occurs and the harm it causes in the patient or healthcare worker after it occurs.
Adverse event of the first level: refers to the events that have occurred, resulting in the death of the patient, disability, tissue and organ damage leading to dysfunction, exacerbation of the condition, delayed recovery, or one of the following circumstances, that is, the care of faulty behavior triggered by the valid complaints or disputes; outbreaks of hospital-acquired infections; surgical identity site identification error; left in the body of the surgical instrument; the patient's death due to an unforeseen event.
Second-degree nursing adverse events: events that have occurred and increased the patient's suffering, but have no effect on the patient's condition and treatment outcome, and the degree of harm to the patient from the event is categorized as no harm, mild harm, moderate harm and severe harm. In addition to the above 10 categories of situations in addition to 8 and 9 categories of situations, other situations that have occurred and involved patients but have not yet reached the first level of nursing adverse events are included in the scope of this level.
Third-level nursing adverse events: refers to hidden events, is due to inadvertent or real-time intervention, the adverse event did not really occur or the event did not involve the patient, or non-nursing behavior caused by the event (such as public **** facilities events, medical equipment and devices events)
Two, the classification of adverse events
1 class, adverse treatment: including errors in the administration of drugs, blood transfusion errors, medical infection outbreaks, surgical identity site identification errors, surgical instruments left in the body, transfusion reactions;
2 categories, accidental events: including falls, falling out of bed, lost, scalds, burns, self-inflicted injuries, suicides, fires, thefts, biting through the thermometer, poor restraints;
3 categories, doctor-patient communication events: including doctor-patient altercations, physical assaults, fights, acts of violence and so on;
4 categories, dietary, skin care adverse events: including aspiration / choking, swallowing foreign objects, hospital pressure ulcers, medical skin injury;
5 categories, adverse auxiliary diagnostic, patient transfer events: including identification errors, specimen loss, examination or transport during or after the condition of the sudden change or accident;
6 categories, pipeline care adverse events: including pipeline slippage, the patient pulled out of their own;
7, occupational exposure: including needle-stick injuries, cuts;
8, public **** facilities incident: including hospital building damage, ward facilities failure, vandalism, hazardous substances leaking;
9, medical equipment device incident: including medical material failure, instrument failure, device does not meet the requirements of aseptic;
10, the supply room bad Events: including sterilization items not meeting the requirements, positive heat source test, operation found in the instrument package instrument items do not match.