Summary: WHAT IS AN EVENT?
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 identification issues.
GENERAL EVENT TYPES
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 request, slow/no response to call bell,
timeliness of response to order, visitor policy issue.
Diagnosis/Assessment/Treatment - Event related to the diagnosis, assessment and/or treatment of a patient. Examples: