Cause of Device-Related Incident
*Not stated

Clinical Specialty or Hospital Department
Anesthesia; Cardiology / Cardiac Catheterization; Cardiopulmonary Perfusion; Cardiothoracic Surgery; CCU / ICU / NICU; Clinical/Biomedical Engineering; Continuing Care; Dermatology; Dialysis; Emergency Medicine; Neurological Surgery; Nursing; Obstetrics and Gynecology; Oncology; Ophthalmology; OR / Surgery; Orthopedics; Otolaryngology; Pharmacy / IV therapy; Pulmonary / Respiratory Therapy; Radiology / Ultrasound / Nuclear Med.

Device Factors
*Not stated

Document Type
Posters

External Factors
*Not stated

Mechanism of Injury or Death
*Not stated

Support System Failures
*Not stated

Tampering and/or Sabotage
*Not stated

User Errors
*Not stated

Accidents Happen--An Immediate Action Plan



Poster

Immediately after every significant incident:

  • Take emergency measures to minimize and care for injury to, discomfort of, and threat to life of patients or personnel (e.g., thermal burns, electric shock, contusions, lacerations, fractures, cardiac arrhythmias, interruption of normal respiration, loss of consciousness).
  • Take appropriate action to minimize damage to equipment and the environment.
  • Notify the attending clinician who has legal responsibility for the patient.
  • Impound all equipment attached or contiguous to the injured party in the same room or areas. Do not disconnect or change the relative physical positions of equipment or connecting cables, except as absolutely necessary to avoid further injury or damage. Retain and preserve any disposable products that may have been involved (e.g., drapes, electrodes), as well as their packaging materials.
  • Follow ECRI’s Action Plan for Handling Medical Device Hazards, Recalls, and Internal Incidents.
  • Call ECRI, +1 (610) 825-6000, for telephone assistance or on-site investigation, if needed.


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