Medical Error Tab Menu
State Comparison
Individual State
Performance Measure Tab Cardiac Registries Tab

Overview
Rationale
Statutes/Rules
Definitions
Facility Participation
Physician Participation
State Agency Roles
Operational Features
Provider-indentifed Info
Disclosure
Data Protections
Participant Protections
Sanctions / Punishments
Patient Safety Coalitions
Funding Issues
Other Factors
Performance Experience
Legislative Activity
All Topics Combined

 

New Jersey
Serious Preventable Adverse Events

Adapted from "Interim Mandatory Patient Safety Reporting Requirements For General Hospitals – Patient Safety Reporting Initiative" [PDF]
Event Type Description of Event
A. Care
Management
Events
1. Medication Error
Patient death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge, associated with a medication error (e.g., errors involving the wrong drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation, wrong route of administration, etc.)
2. ABO-Incompatible Blood or Blood Product
Patient death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge, associated with a hemolytic reaction due to the administration of ABO-incompatible blood or blood products
3. Maternal Labor or delivery
Maternal death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge associated with labor or delivery in a low- risk pregnancy while in a health care facility
4. Hypoglycemia
Patient death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge associated with hypoglycemia, the onset of which occurs while the patient is being cared for in the health care facility
5. Neonatal Hyperbilirubinemia
Death or kernicterus associated with failure to identify and treat hyperbilirubinemia in a neonate while the neonate is a patient in a health care facility
6. Hospital-acquired Decubitus Ulcers
Stage three or four pressure ulcers acquired after admission of the patient to a health care facility. Excludes progression from Stage two to Stage three if Stage two was recognized upon admission
7. Spinal Manipulative Therapy
Patient death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge, associated with spinal manipulative therapy provided in a health care facility
8. Other patient care management-related adverse preventable event
Other patient care management-related adverse preventable event resulting in patient death, loss of a body part, disability, or loss of bodily function lasting for more than seven days or still present at the time of discharge not included within the definitions above.
B. Environmental
Events
1. Electric shock
Patient death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge, associated with an electric shock while being cared for in a health care facility. Excludes events involving planned treatments, such as electric counter shock (heart stimulation)
2. Patient oxygen or gas line improperly designated
Any incident in which a line designated for oxygen or other gas to be delivered to a patient contains the wrong gas or is contaminated by toxic substances and results in patient death, loss of body part, disability or loss of bodily function lasting more than seven days or still present at discharge
3. Burn while receiving care
Patient death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge, associated with a burn incurred from any source while in a health care facility
4. Fall of patient associated with death
Patient death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge, associated with a fall while in a health care facility
5. Use or lack of restraints or bedrails
Patient death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge, associated with the use of restraints or bedrails while in a health care facility
6. Other environmentally-related adverse preventable events
Other environmentally-related adverse preventable events resulting in patient death, loss of a body part, disability, or loss of bodily function lasting for more than seven days or still present at the time of discharge not included within the definitions above
C. Product or
Device
Events
1. Contaminated Drugs, devices, or biologics
Patient death, loss of body part, disability, or loss of bodily function lasting more than seven days or still present at discharge, associated with use of generally detectable contaminated drugs, devices, or biologics provided by the health care facility, regardless of the source of contamination and/or product
2. Unintended use or function of device
Use or function of a device in patient care in which the device is used or functions other than as intended, including but not limited to catheters, drains, and other specialized tubes, infusion pumps, and ventilators
3. Intravascular Air Embolism
Intravascular air embolism that occurs while the patient is in the facility. However, this does not include deaths or disability associated with neurosurgical procedures known to present a high risk of intravascular air embolism
4. Other product or device-related adverse preventable event
Other product or device-related adverse preventable event resulting in patient death, loss of a body part, disability, or loss of bodily function lasting for more than seven days or still present at the time of discharge not included within the definitions above
D. Surgical
Events
1. Wrong Body Part
Surgery initiated (whether or not completed) on the wrong body part
2. Wrong Patient
A surgical procedure (whether or not completed) intended for a different patient of the facility, but initiated on this patient
3. Wrong Procedure
A wrong surgical procedure initiated (whether or not completed) on a patient
4. Retained Foreign Body
Retention of a foreign object in a patient after surgery, excluding objects intentionally implanted as part of a planned intervention and objects present prior to surgery that were intentionally retained
5. Death, coma, or serious preventable Adverse event of normal, healthy or same-day surgery patient
Inter-operative or post-operative (i.e. within twelve hours) coma, death or other serious preventable adverse event for any ASA Class I inpatient or any same day surgery patient (all ASA classes). Includes all patient deaths, comas or other serious preventable adverse events in situations where anesthesia was administered; the planned surgical procedure may or may not have been carried out. (ASA = American Society of Anesthesiology)
6. Other surgery-related adverse preventable event
Other surgery-related adverse preventable event resulting in patient death, loss of a body part, disability, or loss of bodily function lasting for more than seven days or still present at the time of discharge not included within the definitions above.
E. Patient
Protection
Events
1. Infant Discharge to Wrong Person
Discharge of an infant to the wrong person, excluding patient abductions
2. Patient Elopement
Any patient death, loss of body part, disability, or loss of bodily function lasting more than seven days associated with patient elopement
3. Patient suicide or attempted suicide
Patient suicide or attempted suicide while in a health care facility. However, this does not include deaths or disability resulting from self-inflicted injuries that were the reason for admission to the health care facility
4. Other patient protection-related adverse preventable event
Other patient protection-related adverse preventable event resulting in patient death, loss of a body part, disability, or loss of bodily function lasting for more than seven days or still present at the time of discharge not included within the definitions above.
- Previously
Mandated
NJ Events
1. Anesthsia-Related Deaths
Deaths of all ASA Class IV or Class V anesthesia patients.
2. Environmental Event - Disruption Physical Plant
An unscheduled interruption for three or more hours of physical plant and/or clinical services essential to the health and safety of patients and employees
3. Environmental Event - Fire
All fires . . . which result in serious injury or death of patients or employees, or in evacuation of patients out of the facility
4. Environmental Event - Disaster
All . . . disasters or accidents which result in serious injury or death of patients or employees, or in evacuation of patients out of the facility
5. Criminal Events
All alleged or suspected crimes which endanger the life or safety of patients or employees, which are also reportable to the police department, and which result in an immediate on-site investigation by the police.
Design support from Skysoft Consulting
©QuPS.org   Terms of Use
©QuPS.org   Privacy Policy