Adverse Event Reporting
Category: legal
The mandatory process of documenting and investigating any unintended medical errors, patient injuries, or safety near-misses.
Adverse event reporting is a pillar of "no-blame" safety culture. It captures incidents—like wrong-site surgery, medication dosage slips, or patient falls—allowing the quality committee to perform root-cause analysis (RCA) and implement system-wide changes to prevent future recurrence.
Common Examples
- The nurse filed an adverse event reporting form after noticing a conflict between the IV infusion pump settings and the physician orders.
- A culture of transparent adverse event reporting is the single most effective tool for preventing medical errors before they reach a critical stage.