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:
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]
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