Events.healthcaresafetyzone.com



Submitting Events in Quality ZoneQuality Zone has five main forms. Each of these forms contains sub-forms within. These five main forms include:Patient EventComplaint/ConcernPrivacy/SecurityReward/RecognitionEmployee/Volunteer/VisitorThe patient event sub-forms include:Clinical Management EventAdverse ReactionIncluding but not limited to: drug reaction, latex reaction, food/supplement/feeding, etc.Injury of unknown originTo capture injury of unknown origin found on patient.Other To capture any other patient event that does not fall within other patient event sub-forms.Equipment Failure or MalfunctionTo capture equipment failure and/or malfunction. Fall ReportTo capture near falls or fall.Medication EventIncluding but not limited to: possible medication diversion, medication reconciliation, facility MARs, equipment, etc. Patient Communicable DiseaseTo capture patient communicable diseases.Clinical ConsultTo capture clinical consults for patients who may be ineligible for services (including admissions, re-certifications, etc.).The complaint/concern sub-forms include:General Including but not limited to: communication, courtesy and respect, emotional/spiritual/grief support, medication concerns and questions, or any general issue that needs follow up.Patient-relatedIncluding but not limited to: pain and symptom management, continuity of staff, communication, education on how to care for the patient, timeliness and responsiveness of care, medication concerns and questions, emotional/spiritual/grief support, or any issue raised by a partner regarding an Agrace patient.Team ConsultIncluding but not limited to: identified need to “team” on challenging/difficult situations that may arise. The privacy/security form does not contain any sub-forms.To capture: unauthorized access, disclosure, misdirected PHI, malicious software, etc.The reward/recognition sub-form includes:ACE awardTo recognize peers committed to service excellence.The employee/volunteer/visitor sub-forms include:Employee EventTo capture employee related events including but not limited to: potential theft, fall, exposure to disease, car accident, etc. Volunteer EventTo capture volunteer related events including but not limited to: potential theft, fall, exposure to disease, car accident, etc.Visitor EventTo capture visitor related events including but not limited to: potential theft, fall, exposure to disease, car accident, etc.Employee Tuberculin (TB) Screening QuestionnaireThis annual questionnaire is required of all staff to complete each fall to determine if a skin test or chest x-ray is necessary.Employee Annual Respiratory Medical QuestionnaireThis questionnaire is required by OSHA to determine if an individual can be fitted for a respirator.?Supervisors will direct which employees need to be fit tested.Employee Health Latex Screening Form (coming soon)To survey employees who have, or are at high risk, for natural rubber latex.Workplace Accommodation FormThis form is used by employees to apply for an accommodation under the Americans with Disabilities Act, while supporting document medical needs related to the accommodation. ................
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