Adverse event is defined as an unplanned, unanticipated, or usually unwanted event that occurs during the course of clinical diagnosis, treatment, and care. Or in any factors and events that may affect the outcome of the patient's diagnosis and treatment, increase the patient's pain and burden and may lead to medical and nursing disputes or accidents and affect the normal operation of medical and nursing care and the safety of medical and nursing staff.?
Clinical nursing common adverse events classification:
1, medication events: medication errors, omission of the implementation of the doctor's orders, in the absence of the doctor's orders to give drugs, do not do the skin test to give medication, the implementation of the doctor's orders have been discontinued, violation of contraindications of drug compounding, etc., improper preservation of medicines or lost, and other.
2. Pressure ulcers: pressure injuries acquired in the hospital?
3, falls, falling bed: hospital falls, falling bed?
4, unplanned extubation: endotracheal intubation, gastric tube, nasoenteric nutritional tube, urinary catheter, deep venous catheter, closed chest drain, abdominal drain, ventricular drain, various fistulae, hemodialysis or filtration tubes, biliary drainage, arterial conduits, other.
5, specimen category: specimen collection object error, specimen collection time error, specimen collection after the failure to send for inspection, specimen bar code labeling error, specimen loss, broken, specimen leakage, laboratory test items missed, specimen type error, the wrong department to send for inspection, the choice of the test tube error, other.
6, transfusion, blood transfusion category: transfusion object error, transfusion (dosage, dose, type) error, bag damage, liquid or blood products are contaminated, transfusion, transfusion of adverse reactions, drug extravasation, oozing, phlebitis (level II and above), venous pipeline clogging, broken, broken, ectopic, other?
7, accidental events: burns (scalds), restraint accidents, self-inflicted injuries, suicide, wandering, biting through the thermometer, accidental inhalation / asphyxiation, occupational exposure (needlestick injuries, sharps injuries), aseptic items, instruments do not meet the standards of asepticity, medical equipment, instrumentation failures, infusion pumps / micropumps improperly operated, loss of nursing documents, tubing misconnections, and other .
8. Surgical events: surgical items/instruments left behind in the body, incorrect counting of surgical items/instruments, electric (knife) burns, delayed surgery due to inadequate preoperative preparation, and others.
9. Communication: poor communication between patients and nurses resulting in complaints, physical assault, other.
Expanded:
Types of Adverse Events
1. Patient falls, medication errors, wandering, aspiration or choking, burns, and other patient safety-related care accidents during hospitalization;
2. Diagnostic or therapeutic errors that result in serious complications, unnatural deaths, serious dysfunctions, extended hospitalization Medical events such as prolongation of hospitalization time or increase in hospitalization cost;
3. Serious adverse drug reactions or adverse reactions to blood transfusion;
4. Damages caused to patients or medical staff due to medical equipment or medical devices;
5. Damages caused to patients due to laborers or escorts;
6. Serious nosocomial infections;
< p>7, outpatient emergency, defense, information and other related adverse events.Anhui Provincial Hospital-guidance for standardizing the management of nursing adverse event classification and reporting
Baidu Encyclopedia-Nursing Adverse Events