WRONG SURGERY( DONE ON WRONG PATIENT/ SITE / SIDE )PROBLEM• SAFE SURGERY SAVES LIVES PROGRAM • SSSL CHECKLISTIMPROVEMENTEXAMPLE 1
BCG VACCINE MISTAKENLY INJECTED TWICE TO BABY IN NICUPROBLEMUSAGE OF STICKER TO INDICATE BABIES THAT HAD RECEIVED THEIR VACCINATIONIMPROVEMENTEXAMPLE 2
GERIATRIC PATIENT FALLING FROM NORMAL HOSPITAL BEDPROBLEM• USAGE OF ULTRALOW HOSPITAL BEDS FOR GERIATRIC PATIENT• PATIENT FALL PRECAUTIONSIMPROVEMENTEXAMPLE 3
1. We need to take action to improve and prevent similarincident from happening again2. Incident reporting is not just about “paper work”, the aim is toimprove our system and as a healthcare worker, we play animportant role in improving our system.