"A problem well-defined is a problem half-solved." - Anonymous
All staff should be trained to identify situations that are not compliant with an organization's operational processes and procedures. Upon discovering a situation, the staff person should document the information known about the occurrence. Documentation should:
- Ensure the description is clear, uses specific terms, and no conclusions or assumptions are drawn.
- Focus on information, not solutions.
- Include information per the 4W/2H/1C Formula
- What was affected?
- Where did it take place?
- When was it discovered?
- Who discovered it?
- How much was affected?
- How often has this occured?
- Consequences of the situation?
- Include any immediate actions taken to care for the patient or donor and control harm.
- Include any immediate actions take to prevent additional occurences.
Every event documented should be given a unique identifier that is recorded on a log for tracking purposes.