b'Patient Safety Serious Safety Event Identification, Management, and Reporting Nicklaus Childrens Hospital expects that all healthcareA serious safety event (SSE) is an unexpected occurrence providers prioritize patient safety goals and principles,involving death or serious physical or psychological injury, promote a culture of patient safety, and ensure a safeor the risk thereof. Serious injury specifically includes healthcare experience for patients, families, and staff. loss of limb or function. The phrase or the risk thereof includes any process variation for which a recurrence would carry a significant chance of a serious adverse The Patient Safety Program supports the hospitalsoutcome. Such events are called serious because they strategic plan to deliver exceptional high-quality care,signal the need for immediate investigation and response. remarkable family-centric experiences, and customerOrganizations must complete a root cause analysis (RCA), service with a focus on transforming our quality andor in-depth investigation, to determine why the event safety programs. The program fosters a culture ofoccurred.safety within the healthcare system by promoting open communication, encouraging reporting of adverse events, and implementing evidence-based practices to preventTypes of events reviewed may include:errors and enhance patient outcomes. This includes executive leader rounds in patient care areas to identifyMedication administration errors - wrong medication, patient safety information, improve a culture of safety,wrong dosage, wrong patient, etc.and engage senior leadership with front-line staff aroundSurgical errors - wrong patient, wrong site, retained patient safety issues. instrument, etc.Safety Huddles Equipment failuredefibrillator without working batteries, IV pump that results in inadvertent dosing, Safety huddles are brief, daily gatheringsalarms not working properly, etc.where teams focus on discussing safety concerns and any changes in workflow.Infection control errorspoor aseptic technique, They help keep safety top of mind,incorrect processing of sterile instruments and encourage open communication aboutequipment, incorrect isolation practices, lack of potential hazards, and prevent accidentsstandard precautions, etc.by addressing concerns promptly. Regular huddles areBlood transfusion-related errorswrong patient, wrong essential for maintaining a safe and vigilant workplace. blood product administered, etc. The Safety for AllDiagnostic errorsmisdiagnoses leading to incorrect initiative is NCHSschoice of therapy, failure to use an indicated diagnostic comprehensive approachtest, misinterpretation of test results, failure to act to ensuring a safe andproperly on abnormal results.secure environment for everyonepatients, staff, and visitors alike. This initiative encompasses a wide range of practices and protocols designed to uphold the highest standards of safety and quality care. By integrating the efforts of numerous departments and teams, we strive to continuously improve our safety measures and respond effectively to any challenges, ensuring that safety remains a top priority in all aspects of our operations. 2025 Survey Readiness Guide 11'