Hospital Action Incident Report

Hospital Action Incident Report

Date: May 15, 2055
Reported By: [YOUR NAME]
Report ID: INCIDENT-2055-123

I. Incident Details

  • Date and Time of Incident: May 14, 2055, 08:30 AM

  • Location: Emergency Department, Room 203

  • Description of Incident: While attempting to walk to the restroom unassisted, patient [PATIENT'S NAME] slipped and fell. The patient sustained a fractured hip as a result of the fall.

II. Involved Parties

Patient Information:

  • Name: [PATIENT'S NAME]

  • Age: 67

  • Medical Record Number: MRN2055-456

  • Diagnosis/Condition: Admitted with pneumonia, awaiting further evaluation.

Staff Involved:

  • Staff Member 1: [NURSE'S NAME]

  • Staff Member 2: [PHYSICIAN'S NAME]

III. Incident Assessment

  • Nature of Incident: Patient Fall

  • Severity Level: Moderate

  • Root Cause Analysis: Upon investigation, it was determined that the patient attempted to walk to the restroom unassisted due to a delayed response to the call light. Additionally, there was a lack of sufficient monitoring during patient ambulation.

IV. Actions Taken

Immediate Actions:

  • The patient was promptly assessed and transferred to radiology for X-rays to evaluate for any additional injuries.

  • The attending physician, [PHYSICIAN'S NAME], was immediately notified of the incident.

  • Family members were informed of the patient's fall and current condition.

Follow-Up Actions:

  • Implemented an hourly rounding protocol for patients at risk of falls to ensure timely assistance.

  • Scheduled a staff education session on fall prevention strategies and the importance of responding promptly to patient needs for next week.

V. Risk Management

  • Risk Assessment: Analysis revealed an increased risk of patient falls in high-traffic areas of the Emergency Department, particularly during peak hours.

  • Mitigation Strategies: To address this, plans are underway to install additional handrails and non-slip flooring in high-risk areas to provide better support and reduce the risk of falls.

VI. Recommendations

  • Conduct regular audits of fall prevention protocols to ensure adherence and effectiveness.

  • Explore the possibility of implementing patient monitoring devices to alert staff of patient movements and potential fall risks.

VII. Conclusion

  • Lessons Learned: This incident underscores the importance of proactive monitoring and the implementation of preventive measures to minimize patient falls, especially in high-traffic areas. Timely response to patient needs and continuous staff education are crucial in ensuring patient safety.

  • Closure Status: The incident report was closed following the implementation of corrective actions and preventive measures.

For further inquiries or additional information, please contact:

[YOUR NAME]
Chief Medical Officer

[YOUR COMPANY NAME]
Email: [YOUR COMPANY EMAIL]
Phone: [YOUR COMPANY NUMBER]
Address: [YOUR COMPANY ADDRESS]
Website: [YOUR COMPANY WEBSITE]


Report Templates @ Template.net