Facilities must report any incident in which systems designed for oxygen or other gas to be delivered to a patient contain no gas, the wrong gas, or are contaminated by toxic substances. Intended to capture events in which the line is attached to a reservoir distant from the patient care unit or in a tank near the patient such as E-cylinders, anesthesia machines.
Facilities must report patient death or serious injury associated with the use of physical restraints or bedrails while being cared for in a healthcare setting. Intended to capture instances where physical restraints are implicated in the death, e.g., lead to strangulation/entrapment, etc.
Facilities must report patient or staff death or serious injury associated with an electric shock in the course of a patient care process in the healthcare setting, excluding events involving patients during planned treatments such as electric countershock/elective cardioversion. Intended to capture patient death or injury associated with unintended electric shock during the course of care or treatment; staff death or injury associated with unintended electric shock while carrying out duties directly associated with a patient care process, including preparing for care delivery. Not intended to capture patient death or injury associated with emergency defibrillation in ventricular fibrillation or with electroconvulsive therapies; or injury to staff who are not involved in patient care.
Facilities must report patient or staff death or serious injury associated with a burn incurred from any source in the course of a patient care process in a healthcare setting, including operating room flash fires (second-degree), hot water, sunburn in the patient with decreased ability to sense pain, and smoking in the patient care environment.