Complete Guide to IRIS Incident Reporting Information System

IRIS Incident Reporting Information System

Objective At the conclusion of this module, the viewer will be able to: Become familiar with the Incident Reporting Information System (IRIS) Incident Reporting Information System (IRIS) Guidelines and Management policy (418.00) Discuss the purpose for reporting an incident report, adverse event or near miss Define two ways to enter an incident report Describe alignment with purpose of incident reporting and the organization's mission to advance a Just Culture Physician Orientation - IRIS /

What should be reported in IRIS? Any occurrence, event, or happening that: Is inconsistent with the routine care of a patient Is inconsistent with normal hospital or clinic operations Adversely affects patients, physicians, employees, contract personnel, volunteers or visitors That could have or did cause harm or undesirable impact (including near misses) Urgent reporting concerns: Events with high severity or urgency, or events with the potential to cause harm to other patients Contact a site-based Risk Manager to report the incident AND complete an IRIS report! / Physician Orientation - IRIS 3

Why complete an IRIS report? Identify trends and opportunities for growth Improve performance Enhance a culture of safety for patients, staff and visitors Promote quality of care To ensure a highly reliable organization To put Safety First! Every incident, regardless of the outcome, is read and investigated. / Physician Orientation - IRIS 4

When should an IRIS be completed? Complete an IRIS report As soon as possible! On the same shift in which the event or incident occurs and No later than 24 hours following the event IRIS report completion is neither documented nor referred to in the medical record! This includes any documentation of the facts, any follow- up treatment required, communication with the patient or their representative, and communication of any hand off that occurs as a result of the event. Document as usual, without any mention of an incident report being completed. / Physician Orientation - IRIS 5

How is an IRIS report submitted? From the CHI FH home intranet right side of the page: Under My Links > Quick Links: Click on IRIS 2.0 for CHI-FH (Hospitals) or for FMG (Clinics), as appropriate Click the link to: Report a PATIENT incident Report a VISITOR/SECURITY/WORKPLACE VIOLENCE incident Report an EMPLOYEE injury or exposure Follow the directions to enter event details Physician Orientation - IRIS / 6

Where to find the link to report an IRIS / Presentation Title 7

Another Way to Submit an IRIS For Providers without access to a computer: Leave a voice mail on the Patient Safety Hotline: Patient Safety Hotline: 253-426-6289 (or X127-6289) Provide complete details of the incident Be sure to include your contact number so you can be reached to verify information The Patient Safety Hotline is CONDIFENTIAL and is checked each business day OR, contact a Risk Manager directly to assist with incident report entry / Physician Orientation - IRIS 8

IRIS is a Patient Safety Work Product Privilege An IRIS Report: Is a protected, Quality Assurance document, when embedded within the IRIS system Is a confidential report, which may contain protected health information Is not a public record and shall be used only for purposes as provided by law REMEMBER! Do not print, copy or otherwise distribute this report other than as provided for in your facility s policies and procedures. Physician Orientation - IRIS / 9

for doing your part to improve quality and safety at CHI Franciscan Health If you have additional questions, please contact a manager or the Risk Management Department Developed and recorded by Risk Management / Physician Orientation IRIS 10