Electronic Event Reporting (EER)

BEHAVIOR | COMMUNICATION

Behavior communication event
(e.g.) Demeanor or actions that are inappropriate, unprofessional communication, patient agitated, family upset, service not responding to page, left unit to smoke

CHANGE IN PATIENT CONDITION

Unplanned admission / return to surgery
(e.g.) Code blue concerns, unplanned admission, return to OR within 24 hours, unplanned death, moved to critical care unit, significant change in vitals, prolonged recovery time

CODE LAVENDER  (Peer Support)

(e.g.) An EER for Code Lavender activates peer support after an adverse or traumatic event. Support is provided by a trained Peer Support team member. Additional Care for the Caregiver resources/referrals are provided when needed.

DIET | NUTRITION

(e.g.) NPO patient ate, wrong diet or formula, food delivered late

DOCUMENTATION

(e.g.) LLEAP concerns, incomplete orders, incorrect entry on medical record, issues with consents

EQUIPMENT | MEDICAL DEVICE | SUPPLIES

Equipment / medical device / supplies related event
(e.g.) Defective, broken, unavailable

EXCELLENCE IN QUALITY AND SAFETY EVENT

(e.g.) Action, suggestion and/or projects of an employee that enhances and/or promotes excellence in quality and safety.

This event type does not replace the Loma Linda Values Care Card but establishes a manner to affirm the actions of our teams and individuals in our organization related to patient safety and quality. Examples of events submitted under this bucket could include employee interventions that solve e-consent connectivity issues or staff identification of near miss. Please submit any event that you identify that promotes/encourages excellence in quality and safety.

FALL

Patient fall
(e.g.) Observed fall, unobserved and found on floor

LABORATORY | BLOOD PRODUCTS

Lab test / specimen related product
(e.g.) Blood test delay, lost, drawn incorrectly, mislabeled, specimen related incident, problem with blood infusion, blood bank concerns

LDA LINES | DRAINS | AIRWAYS

Tubing / catheter event
(e.g.) IV infiltrations, delay in line placement, LDA pulled out, extubations

LEFT AGAINST MEDICAL ADVICE | ELOPED

(e.g.) Patient left without discharge, no instructions given, walked off unit

MEDICATIONS

Medication related event
(e.g.) Allergy, gave wrong medication, expired, missed dose, 5 rights errors, delay in receiving medication, medication labeling error

OTHER

(e.g.) Delay in admitting procedure, delay in discharge, fire, employee needle stick, injuries

PRESSURE ULCER | ABNORMAL SKIN

(e.g.) New or worsening pressure ulcer, skin abrasions or tears, lacerations, rashes, burns

PROPERTY

Property missing / damages
(e.g.) Missing or lost money, valuables, cell phones, dentures, glasses etc.

SUGGESTIONS

Suggestion for improvement
(e.g.) Any idea to make a process better for organization

TREATMENT | PROCEDURE

Treatment / procedure event
(e.g.) Policy and procedure not followed, break in sterile technique, incorrect count, orders placed but not done, surgery/procedures cancelled or delayed

WORKPLACE VIOLENCE

(e.g.) Any act of violence

Violence is defined as physical or emotional harm, actual threat or perceived threat of violence. Any act of violence or threat of violence that occurs at the work site. The term violence shall not include lawful acts of self-defense of others. Workplace violence includes the following: the threat or use of physical force against an employee that results in or has a high likelihood of result in injury, psychological trauma, or stress, regardless of whether the employee sustains an injury; an incident involving the threat of use of a firearm or other dangerous weapon, including the use of common objects as weapons, regardless of whether the employee sustains an injury.