revised june 18, 2019 residents and fellows reporting ... · safety: 832-824-2277 patient safety:...
TRANSCRIPT
Revised June 18, 2019
Residents and Fellows
Texas Children’s Hospital Harris Health & Ben Taub Michael E DeBakey VAMC Baylor St. Luke’s Medical Center
Medical error, concern or ADE: http://connect2.texaschildrens.
org/Pages/Event-Reporting.asp TCH intranet homepage, on right
side under Employee Resources, select “Event Reporting”.
You will be taken to an outside site, RL6. Enter TCH network username and password (can still be anonymous later).
Select “new file”, then click on appropriate icon for the event.
When finished, click green “submit” button at the bottom.
Questions? Katherine Basta, Patient Safety
Specialist: 832-824-1362 Dr. Joan Shook, Chief of Patient
Safety: 832-824-2277 Patient Safety: 832-824-1362 Risk Management: 832-824-1220
Medical error, concern or ADE: HCHD Intranet home page At bottom on the left side, click
“E- Incident Reporting”. Click “Report an Incident”, login
with HCHD Network User ID (not “p number”) and password.
Under “General Incident Quick Submission,” select “New Incident” and click “Go”.
Complete all red fields, press “Submit Incident,” click “OK,” and log out.
Questions? “E-Incident Reporting” training
modules and guide http://vbtspext01:17594/default.aspx
Administrative Director of Risk & Patient Safety 713-566-4572
Risk Management: 713-873-3154
Medical error or concern: Click the “JPSR” icon on the
computer desktop Enter your PIV number Click the icon for the event
location (Dept. of VA) Fill out all fields with a * on the
JPSR Event Reporting Form Click “Submit”
Adverse Drug Event (ADE): From CPRS Cover Sheet, right
click in box “Allergy/ Adverse Reactions” and choose “Enter new allergy”
Search for the drug and enter details of the event
Questions? Patient Safety Manager: 713-
791-1414 Ext 26084
Medical error or ADE: Log in using your BSLMC internet
login and password From “The Source”, find “Quick
Tools” and click “IRIS Reporter” Enter the IRIS according to the
appropriate incident type for immediate follow up
Complete the form including required fields marked with * and describe the incident under “Event Detail”
Questions? Contact Patient Safety Quality
Specialist Cheryl Johnson 832-355-8999
What types of events should I report?
Events/errors that resulted in patient injury
Errors that did not result in patient injury (“near miss”)
Unexpected bad outcomes, even if you don’t know of an error
Tests or treatments that were delayed, incorrect or inappropriate For support with the process, please contact:
Assistant Dean, GME: Nana Coleman, MD EdM Phone: 832-826-6230 or Email:
VA Chief Residents for Quality and Safety: Dr. Nathan Nowalk or Dr. June
Kampangkaew
The Patient Safety personnel listed for the institution
The goal is to change systems that lead to errors, not to punish people
Tips for effective incident reporting:
Have the patient name, MRN, DOB, & date of incident ready.
Complete the report as soon as possible after the event.
Include as much information about the event as possible.
The report does not have to include names of people involved.
If you are unsure whether to report an event, REPORT IT.
Remember: incident reports are protected by US law and should not be copied, reproduced, or written about in the patient’s chart.
Do not report non-safety concerns related to interpersonal conflict as a means of retaliation.
For professionalism concerns, file a report on Ethics Point at www.bcm.ethicspoint.com or call BCM Integrity Hotline 1-855-764-7292
Reporting Patient Safety Incidents at BCM Affiliated Institutions