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    CPAR

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    MFQ.RN
    The document summarizes concerns from a mental health facility regarding accidents and incidents of aggression among patients in October 2016. It notes that 3 accident reports and 3 incident reports related to aggression were filed, representing 9% of the patient census. An immediate meeting was held with staff to review medications, therapies, and increase vigilance for unusual patient behaviors. A root cause analysis found that some incidents involved self-harm or punching, and the involved patients were mostly older with a few new admissions. Proposed actions include proper medication administration, monitoring patient behavior, addressing unusual behaviors promptly, keeping patients engaged in activities, and reviewing patients not improving within 2-3 weeks of treatment.

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    CPAR

    Uploaded by

    MFQ.RN
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    The document summarizes concerns from a mental health facility regarding accidents and incidents of aggression among patients in October 2016. It notes that 3 accident reports and 3 incident reports related to aggression were filed, representing 9% of the patient census. An immediate meeting was held with staff to review medications, therapies, and increase vigilance for unusual patient behaviors. A root cause analysis found that some incidents involved self-harm or punching, and the involved patients were mostly older with a few new admissions. Proposed actions include proper medication administration, monitoring patient behavior, addressing unusual behaviors promptly, keeping patients engaged in activities, and reviewing patients not improving within 2-3 weeks of treatment.

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    CPAR

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    The document summarizes concerns from a mental health facility regarding accidents and incidents of aggression among patients in October 2016. It notes that 3 accident reports and 3 incident reports related to aggression were filed, representing 9% of the patient census. An immediate meeting was held with staff to review medications, therapies, and increase vigilance for unusual patient behaviors. A root cause analysis found that some incidents involved self-harm or punching, and the involved patients were mostly older with a few new admissions. Proposed actions include proper medication administration, monitoring patient behavior, addressing unusual behaviors promptly, keeping patients engaged in activities, and reviewing patients not improving within 2-3 weeks of treatment.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    45 views2 pages

    CPAR

    Uploaded by

    MFQ.RN
    The document summarizes concerns from a mental health facility regarding accidents and incidents of aggression among patients in October 2016. It notes that 3 accident reports and 3 incident reports related to aggression were filed, representing 9% of the patient census. An immediate meeting was held with staff to review medications, therapies, and increase vigilance for unusual patient behaviors. A root cause analysis found that some incidents involved self-harm or punching, and the involved patients were mostly older with a few new admissions. Proposed actions include proper medication administration, monitoring patient behavior, addressing unusual behaviors promptly, keeping patients engaged in activities, and reviewing patients not improving within 2-3 weeks of treatment.

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    of 2

    II.

    DETAILS OF CONCERN REQUIRING CORRECTIVE OR PREVENTIVE ACTION:

    3 (Number of Accident reports) / 33(Census for the month of October) x


    100= 9%
    3 (Number of Incident reports related to Aggression) / 33(Census for
    the month of October) x100= 9%
    there were a total of 3 Accident reported and 3 reported incidence of
    injury due to aggression because of patients disturbed behavior.
    Attached herewith are the scanned report from the Nurses Report
    Book.

    III. IMMEDIATE ACTION TAKEN

    Circle meeting regarding the data being collected for the month of October
    2016 related to injuries accident and incident due to Aggression.

    Immediately informed the HOP, Consultants and Physician-in-Charge the


    result of the KPI so that they can review of the medications and therapies
    given.

    Informing the staff regarding the result of the KPI so that they are going to be
    more vigilant and aggressive when it comes to unusual patients behavior.

    IV. ROOT CASE ANALYSIS

    Some of the incident and accident documented includes self-inflicted injuries


    and punching.
    Injuries are minor that are managed with first aid treatment and were
    referred to Physician-in-Charge, some incidents are being referred to Pavilion
    7 Medical-Surgical Infirmary for further evaluation and management but
    some did not require further interventions. Close observation was done to
    check injuries as per doctors order.
    Patient that are involved are mostly old patients. Some are newly admitted
    patients.

    V. PROPOSED ACTION:

    Proper medication administration and implementation of therapeutic


    activities as ordered by the psychiatrist.
    Monitoring of patients behavior with the help of Nurses and Nursing
    Attendants on duty. Immediate referral of unusual behavior should be
    addressed properly that can result harm to self or to other patients.
    Personnel should be vigilant at all times. We should always prioritize patient
    safety. Frequent irregular rounds should be done and daily activities should be

    implemented to divert patients attention into more productive activities.


    Activities also help patients bond with each other and promote social
    interactions.
    In the event that there is no change in patients behavior within 2-3 weeks of
    treatment, immediate referral to PIC should be done to be able to review
    medications appropriate for the patients behavior.
    Circle meeting is necessary to determine any lapses between patients and to
    have a picture on what has happened within 24hours.
    Incident Report should be accomplished accordingly, injuries sustained should
    be properly documented and referred to the Physician on Duty.

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