uhc / datix event reporting: front line reporter march, 2015
TRANSCRIPT
UHC / Datix Event Reporting:Front Line Reporter
March, 2015
UHC / Datix Safety Intelligence
As part of our ongoing commitment to advancing health care quality and improving patient safety, GHS uses the UHC / Datix Safety Intelligence (SI) system for events and complaints.
System Basics
UHC / Datix Safety Intelligence
Safety Intelligence was developed by the University HealthSystem Consortium (UHC), which is an organization dedicated to helping academic medical centers attain national leadership in health care by achieving excellence in quality, safety, and cost-effectiveness.
SI is a reporting tool that will assist to:Capture information about safety-related incidents or
concernsImprove both communication and collaboration among
patient safety team members
UHC / Datix Safety Intelligence
Using a standard taxonomy, SI captures information involving patients and visitors regarding:
Adverse eventsNear misses or good catchesUnsafe conditionsPatient, family, and visitor complaints
The use of this taxonomy allows events to be categorized and analyzed to identify trends and make improvements.
Staff events will not be reported in this system. Those type of events will continue to be reported on SREO forms.
Event Types• Significant dissatisfaction
(even if no basis in fact).• Adverse reaction• Anesthesia event• Behavioral event• Care coordination and
communication• Complications of surgery or
anesthesia• Complications of care
(unanticipated, nonsurgical)• Equipment/devices• Fall
• Health care-associated infection (HAI)
• Laboratory test• Maternal• Medication related• Neonatal• Omission/errors in
assessment, diagnosis, monitoring
• Radiology/imaging• Respiratory care• Unsafe conditions• Visitor events
6
Entering a Report
Use of Event System
• No Password is required to Submit an Event Report.
• Anyone with access to a GHS computer may report an event (patient or visitor).
• Data about trends – used for improvement in quality and patient safety.
AccessYou can access the system on the Plexus GHSNet Home Page by clicking on “Apps & References” at the top of the page and then “Event Reporting”.
Link to report is on GHSNet HomePage
UHC / Datix SI
First, the front-line reporter will determine if the information pertains to: A complaint; OR An event.
Then, the front-line reporter will determine if the information pertains to:
A patientA visitor Or is a concern about an unsafe condition
Concerns about an unsafe condition are not linked to a specific patient or visitor.
11
Once you click into the Event System:
•Type information into space provided.•Only fields with a red asterisk ( * ) are required fields.•Site = facility•Location = unit/dept
UHC / Datix SI
Some event types have detailed questions. The following pages show the detailed questions for commonly used event types. A response is not required for every detail question.
Questions identified with a red asterisk (*) require a response. Collecting details improve trending and analysis of events and safety concerns.
Use of Drop Down
Event Reporting
14
Type in a description of the situation.
Type in your email if you would like an acknowledgement of the report.
Last step: Click on “Submit”.
System Generated Email – Acknowledgement
Email to Front Line Reporter
From: [email protected] Sent: Thursday, August 28, 2014To: {Name of Front Line Reporter}Subject: Acknowledgment of event report submission You reported an event on 08/28/2014 using the UHC Safety Intelligence event report form. The event
has been given number SI-12345. We would like to thank you for taking the time to report this event. The UHC Safety Intelligence On-site administrators.
15
Suggestions
• Writing– Stick to the facts– Be objective – No finger pointing– Be concise– Get to the point
• Be mindful that the objective is improvement of patient care and quality
Resources
Reminders• Report; Report; Report.
If unsure; contact Risk Management. • Work continues to enhance GHS Event Reporting.
Feedback / suggestions welcomed.• Improving Patient Safety and Quality of Care is
everyone’s responsibility.• You have the opportunity to make a difference!• Contact Risk Management staff:
– [email protected]– 455-7125; or– A Risk Manager is on-call 24/7 at 430-1692
19