Adverse nursing events are injuries that are not caused by pre-existing conditions, but are due to health care behaviors that result in death, prolonged hospitalization, or discharge from the hospital with some degree of incapacity, and are classified as preventable and non-preventable adverse events.
Adverse Nursing Events
1. Adverse Nursing Events are generally categorized as accidents, errors (general errors, serious errors), and defects in care.
(1) medical (nursing) accident: in medical activities in violation of health care management laws and regulations, administrative regulations, departmental regulations and diagnosis and treatment norms, routine, negligence caused by the patient's personal injury accident.
(2) Nursing general error: is not affected by the patient's person, or the patient has a mild impact, did not produce adverse consequences.
(3) serious errors: due to the nursing staff negligent behavior or technical negligence, causing some pain to the patient, prolonging the treatment time.
(4) Nursing defects: in the clinical nursing work, a certain part of the error, but was found to be timely corrected, did not occur in the patient adverse consequences.
2. According to the severity of the incident is divided into four levels (China Hospital Association classification): warning events, adverse events, events without consequences and hidden events.
(1) Warning event: unanticipated death or permanent loss of function not due to the natural progression of the disease.
(2) Adverse event: the patient's physical and functional damage caused by the diagnostic and treatment activities in the course of medical treatment of the disease rather than the disease itself.
(3) Non-consequential event: an error of fact that occurred but did not cause any damage to the patient's body and function.
(4) Hidden event: the fact that the error was detected in time and did not become a fact.
Types of adverse nursing events?
Types of adverse nursing events include the following:
1. Patient falls, medication errors, wandering, aspiration or choking, burns, and other nursing accidents related to patient safety during hospitalization.
2. Diagnostic or therapeutic errors that result in serious complications, wrongful death, serious functional impairment, prolonged hospitalization, or increased hospital costs.
3. Serious adverse drug or blood transfusion reactions.
4. Damage to patients or medical staff caused by medical devices or equipment.
5. Damage to the patient caused by a medical staff member or companion.
6. Hospital-acquired infections.
7. Outpatient emergency, security, information and other related adverse events.