Collect documents relevant to the adverse event

Standard protocols (SOP), training records, meetings etc

Wheelchair management (hospital accreditation)
• Makes wheelchairs available for borrowing for patients to move around
• There are sufficient numbers of wheelchairs for patients to borrow, the wheelchairs undergo regular maintenance, and a sound management system is in place.

Other relevant documents to collect in relation to the sample incident (fall from wheelchair), or if non-existent, point out the need for designing and implementing them.

  • Management and recording of inpatients who leave the ward
  • Management of areas adjacent to the hospital (such as near the hospital walls, footpaths, motorbike carparks)
  • Policy on smoking and management of designated areas
  • Process of renovating/constructing wards or new areas (beautification, safety, standards, management)
  • Management of inpatient clothing (including slippers) {clean, repair, log usage)
  • Policy on personnel accompanying inpatient leaving ward
  • Management of equipment awaiting maintenance/repairs (designated areas, pickup protocols, timing, log)

Take wheelchair management as an example, the information that the hospital should provide:

  • Statistics on the number of wheelchairs in the hospital
  • Cleaning, testing, maintenance mechanism
  • Who cleans? Who monitors and detects? Who repairs? Frequency?
  • What products are used to clean?
  • Is there provision for a wheelchair maintenance management method P & P (SOP)?
  • Which department is responsible for P & P (SOP)?
  • Is the wheelchair management consistent across outpatient, emergency, and inpatient ward areas?
  • Are all employees consistent in what they say-write-do?
Patient fell from wheelchair