02 — Capability · BC-1850.20
Patient Safety Events
Capture every event that harmed or could have harmed a patient, investigate serious ones to their causes, tell patients and authorities what the law requires, and share what was learned so it does not recur. Staff injuries are health and safety.
- Patient Safety Reporting
- Adverse Event Management
- Serious Incident Management
In scope
- Event and near-miss reporting by any staff member
- Harm classification and investigation of serious events
- Disclosure to patients and families and mandatory event reporting
- Safety actions, alerts and shared learning, and potential quality issue reviews for health plan members
Out of scope
- Employee injuries and workplace incidents (see BC-810.20)
- Malpractice claims and litigation (see BC-150.40)
- Corrective action for product nonconformance (see BC-550.40)
Realized by · 0
- No product in the catalog yet.
Used in · 1
Build it · 0
- Nothing in the library points here yet.
Decomposes into · 5
- BC-1850.20.10Patient Safety Event ReportingLet any staff member report an event or near miss quickly and without blame, with enough detail to triage it.
- BC-1850.20.20Event Harm GradingClassify each event's type and the harm it caused, assign reviewers, and decide which events need a full investigation.
- BC-1850.20.30Serious Event InvestigationInvestigate serious events to their system causes with the teams involved, and agree actions that make a repeat less likely.
- BC-1850.20.40Harm Disclosure & NotificationTell patients and families openly when care caused harm, and report serious and never events to regulators and safety organizations within their deadlines.
- BC-1850.20.50Safety Learning & AlertsTurn findings into actions with owners and dates, track them to closure, and spread lessons and safety alerts to every site.