SUMMARY OF OR EVENTS REPORTED Data Range: TOTAL CASESST - ORNT - OR TOTAL COMPLICATIONS Dental Damage / Lip Lac. N / V Recall Regional Complication Ischemia / AMI Cardiac Arrest / Green Button Hypotension Hypoxia Re – intubation within 48 hrs Other (Define) Deaths PRIVILEGED DOCUMENT: Pursuant F.S , , , , and/or F.S this document is privileged and confidential. It is not subject to discovery. DO NOT copy, print, forward, or release.
Morbidity Report Morbidity Report DatePt. NameMR #ComplicationAttendingResident PRIVILEGED DOCUMENT: Pursuant F.S , , , , and/or F.S this document is privileged and confidential. It is not subject to discovery. DO NOT copy, print, forward, or release.
DatePatient NameMR #Cause of DeathAttendingResident Mortality Report
Case for Discussion
Characterize the incident No adverse outcome Near miss (no adverse outcome) Major adverse outcome Catastrophic adverse outcome (grim prognosis) Sentinel event (death)
Classification/Competencies The issue occurred as a problem related to (check all that apply): Medical knowledge Patient care provided/not provided Communication/Interpersonal skills Professionalism Practice-based learning and improvement Systems-based practice
What I would do differently in same/similar case
1.Insert point #1 here and describe……. 2.Insert point #2 here and describe……. Division of Pediatric Anesthesiology
References: