HTML Preview Quality Assurance Incident Report page number 1.
April 2006
QUALITY ASSURANCE & CRITICAL INCIDENT REPORTING
PRINCE OF WALES HOSPITAL INTENSIVE CARE UNIT
Introduction
The aims of critical incident reporting include:-
1. To prevent recurrence of incidents and decrease possible morbidity and
mortality
2. To document frequency of events
3. Identify causes of incidents and develop preventative strategies
4. Improve equipment and work environment as indicated.
Staff are encouraged to report incidents as it is through a safety culture that we
can make the ICU a safer place for our patients.
There are 2 systems for critical incident reporting in the PWH Intensive Care
Unit.
1. The Hospital Authority Advanced Incident Reporting System (AIRS)
2. The PWH ICU internal confidential critical incident reporting system
(CIRS)
AIRS
• This is a web-based electronic reporting system serving as a tool to
support risk management by facilitating the reporting, classification,
analysis and management of incidents
• It is the HA risk management policy that frontline staff have an
obligation
to report incidents
• Reporting is non-anonymous
• Categories for reportable incidents include
o Patient safety related incidents
o Incidents of specific medicolegal implications
o Incidents that require immediate management intervention
• The above criteria is not exhaustive
• How to report?
o You need a HA computer portal
o Follow prompts on display on the screen
• The hospital risk management team will screen the reports and those
incidents that require attention/action will be reported to relevant parties
including the COS and Director, or where appropriate the Department
Operations Manager of the department involved
• After collecting appropriate written documentation, the investigation
process examines the following:
o System faults