Summary: QR TRACK
General Event Types
An EVENT is any incident that is not consistent with the ordinary course or expected outcomes of
Medical Center operations and clinical activities. An injury does not have to occur. Events include, but
are not limited to: physical harm to patients or third parties such as visitors; equipment malfunctions or
supply problems, with or without injury to patient or employee; potentially unsafe situations; and patient
Adverse Drug Reaction Any noxious, untoward or unintended response to a drug that occurs at doses
used for prophylaxis, diagnosis, or treatment, excluding therapeutic failures and intentional overdoses.
Includes drugs used for anesthesia or sedation purposes.
Airway Ventilation Management - Event related to airway, gas or ventilation management.
Examples: accidental extubation, airway or oxygen equipment failure, delayed intubation, difficult
intubation, failed intubation, gas error/failure, obstructed airway, self-extubation, ventilator failure.
Blood/Blood Product - Event related to the ordering, processing, dispensing or administration of blood
or blood products. Examples: ABO blood complication, contaminated blood product, delay in blood
product availability, expired product, improper/incomplete labeling of product, reagent issue,
transmittal request error, wrong blood product transfused.
Communication/Service Coordination - Event related to the communication or coordination of processes
between individuals or departments that is not a contributing factor to another event type. Examples:
bed flow issue, delay in response to service request, failure to follow order, failure to respond to service