INTRODUCTION

The importance of reporting, all accidents and as an integral part of its risk identification
and risk management strategy. The trust is committed to improving the quality of care to
patients, and the safety of staff and members of the public, through the consistent monitoring and
review of incidents that result, or had the potential to result injury, damage or other loss.
Research has shown that the more incidents that are reported the more information is available
about any problems and more action can be taken to make health care safer.

DEFINITION OF INCIDENT
An incident is defined as an untoward event which has happened to, or occurred with
patient, staff or visitor the result of which might be harmful or potentially harmful, or which does
cause or lead to injury/harm.

DEFINITION OF INCIDENT REPORT

In a health care facility such as hospital or nursing home an incident report is a form that
is filled out in order to record details of an unusual events that occurs at the health care facility
such as an injury to a patient.
Incident report is a written document describing inadvertent trauma to a patient, errors or
orisons in care or untoward events happening to staff or visitors.

PURPOSES OF INCIDENT REPORT

As most nurses are aware that health care facilities have long maintained risk
management programs that require nurses to complete incident reports, they have always played
an integral role in risk management programs, their utilization & importance has now been
realized in patient safety programs. Since nurses are usually the 'frontline' staff responsible for
incident report completion, this nursing activity is even more crucial to effective and safe patient
care. The purposes of the incident report are
 to document the exact details of the occurrence while they are fresh in the minds these
who witnessed the event
  to make it useful in the future when dealing with liability issues stemming from the
incident.
 to trigger a rapid response - An incident report in variables makes it way
 administrators who review it rapidly and act quickly to change any policy procedure that
appears to be a key contributing factor to the incident.
 to facilitate a decision about restitution - An incident report also provides vital
information the facility needs to decide where restitution should be made.
 it may be needed for legal purposes.
 It helps to avoid repetition of mistakes.

CHARACTERISTICS OF INCIDENT REPORT

1. Incidental report form must be filled out immediately when a problem in medical care
delivery has occurred by hospital member.
2. These reports are meant to be nonjudgmental, factual reports of the problem and its
consequences.
3. More importantly, it should be made clear that filling an incident report is not an
admission of negligence.
4. Incident reports are simply records of all events that are not part of routine medical care.
5. The hospital administration should promulgate lists of events whose occurrence
6. requires that filing of an incident report.

CONTENT OF INCIDENT REPORT

To serve the purpose which have been indicated, report must contain all the facts. The
exact hour, the day and the date are important as is the name of the patient, visitor, employee and
the name and position of the nurse who made the mistake or witnesses the incident Included also
are the name of the ward, place of
occurrence and unusual condition which held.
 INCIDENT REPORT FORM

Use this form to report accidents, injuries, medical situations, or student behaviors incidents.
(Incidents involving a crime or traffic incident should be reported directly to the Campus Public
Safety office.) If possible, the report should be completed within 24 hours of the event. Submit
completed forms to the Nursing Super Office.

INFORMATION ABOUT PERSON INVOLVED IN THE INCIDENT

FULL NAME:

ADDRESS:

STUDENT EMPLOYEE VENDOR VISITOR

Ph no.

INFORMATION ABOUT THE INCIDENT

Date of Incident: TIME: 12:30p.m AUTHORITY NOTIFIED: yes

23.05.22

Location of Incident: Curzon Ward, SSKM Hospital, Kolkata

Description of Incident (what happened, how it happened, factors leading to the event, etc.) Be
as specific as possible (attached additional sheets if necessary)

A student named X of Post Basic gave IV infusion of Normal Saline 540 ml to a patient named
Bipin Das, age 45 years with a diagnosis of Cholelithiasis and present complaint of pain and
vomiting. After 10 minutes of starting the fluid, the patient had rigor, student noticed that the
fluid bottle contains fungus in it & immediately she discarded that bottle and inform ward
sister.

Were there any witnesses to the incident?  Yes  No If yes

Name: Chitra Manna
 Designation: Staff Nurse
Ph no: 9434567343

Was anybody injured? If so, describe the injury (laceration, sprain, etc.), the part of body
injured, and any other information known about the resulting injury.
Patient had 100◦F temperature.

Was medical treatment provided? Yes

If yes, what treatment provided: Tab Paracetamol 500mg 1 tab was given.

REPORTER INFORMATION

Individual Submitting Report (print name):

Signature:

Date Report Completed -

FOR OFFICE USE ONLY:

DATE OF RECEIVE……24/05/22……………………………………

REPORT RECEIVED BY: ……………………………………………

● Document any follow-up action taken after receipt of the incident report.

DATE ACTION TAKEN BY WHOM

23/05/22 The student was asked to submit an explanation letter. Sister -in-charge
ROLE OF HEAD NURSE IN INCIDENT REPORT
All the manager, team leader and supervisor are responsible for:
● Ensuring that all staff within in their sphere of responsibility are familiar with the policy
and procedure for incident reporting and investigation.
● Ensuring that all incidents within their sphere of responsibility are reported.
● The receiver receives the report and makes no comment or notation.
● Monitoring information reported for accuracy and completeness and taking steps to
improve performance where omissions are identified.
● Sufficient post incident risk assessment is carried out to prevent a recurrence.
● The supervisor should send report to the nursing office. If a patient is involved, the report
may be returned to the ward in 15 to 30 days for a follow up not if it seems indicated. The
head nurse adds a note making sure that it is dated and signed.
● Report of mistakes in which student nurses are involved are also filed in the school of
nursing office.
● The head nurse ensure that the staff should not feel that the writing of a report is a
punitive measure. It is a device to help the administration to prevent similar incidents or it
is an instrument to help the nurse analyze her short comings with a view to overcoming
them.
● Following discussion with clinician & management team, ensuring that the patient and
family/career are aware of any incidents categorized as medium or high risk.
● Initiate support mechanism for staff involved in any incident.
● When a member of staff has been injured, help them for sick leave of 7 days or over
according to reporting of injuries as per diseases and dangerous occurrences regulations
1995.
● Ensuring that all staff concerned are debriefed after the incident.
● Ensuring that recommendations arising from the investigation are implemented and
monitored accordingly.
CONCLUSION

So, it is clear from the above discussion that incidental record plays an important role in
health care facilities. It is not important for the nurse only, but also the safety of the patient also
REFERENCES:

1. Sodhi Kaur Jaspreet, Comprehensive textbook of Nursing Education, 1st edition,2017, Jaypee
brothers, Medical Publishers P. Ltd. Page 126-127
2. https:/www.jotform.com
3. https:/www.incidentreport.net
4. https:/safetyculture.com
5. https://www.geekflare.com