There are four levels according to the severity of the event: warning events, adverse events, events with no consequences, and hidden events
I. Adverse event grading
Adverse events are classified according to whether or not the event occurs, as well as the harm that occurs and is inflicted on the patient or healthcare provider. Nursing adverse events are categorized into 3 levels.
Adverse events of the first level: those that have occurred, causing patient death, disability, tissue and organ damage leading to dysfunction, exacerbation of the condition, delayed recovery, or one of the following situations, i.e., valid complaints or disputes arising from nursing faulty behavior; outbreaks of hospital-acquired infections; incorrect identification of surgical identity sites; surgical instruments left in the body; and death of the patient 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.
Three levels of 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 is non-nursing behavior caused by the event (such as public **** facilities events, medical equipment and devices events)
Two, the classification of adverse events
1 category. Adverse treatment: including medication administration errors, blood transfusion errors, medical infection outbreaks, surgical identity site identification errors, surgical instruments left in the body, transfusion transfusion reactions;
2 categories, accidental events: including falls, falling out of bed, wandering, scalded, burned, self-inflicted injuries, suicides, fires, thefts, biting through the thermometer, poor restraints;
3 categories, doctor-patient communication events: including doctor-patient quarrels, Physical assault, fighting, violent behavior, etc.;
4, dietary, skin care adverse events: including aspiration / choking, swallowing foreign objects, hospital pressure ulcers, medically induced skin injuries;
5, adverse auxiliary diagnostic examination, patient transfer events: including identification errors, specimen loss, examination or transport or after the condition of the sudden changes in the accident;
6, pipeline Nursing adverse events: including pipeline slippage, patient self-extraction;
7, occupational exposure: including needle-stick injuries, cuts;
8, public **** facilities incident: including hospital building damage, ward facilities failure, vandalism, hazardous substances leakage;
9, medical equipment and devices incident: including medical material failure, instrument failure, device does not meet the asepsis requirements ;
10 categories, supply room adverse events: including disinfection of items did not meet the requirements, heat source test positive, operation found in the instrument package instrument items do not match.