...01-96, 02-97, 10-98, 11-99, 08-00, 06-01, 06-02, 1-03, 5-03 I. Purpose To assure that all incidents not consistent with the routine operations of the hospital or the routine care of a particular patient are reported to the quality management department so that immediate attention and responses can be given to individual occurrences. Statistics can then be derived from the collective number of incidents reported and will serve as a basis for adverse patient trends, patient safety issues, or other risks and hazards to be identified, and risk reduction programs implemented. In order to promote a culture that promotes patient safety, the hospital’s Incident Reporting Policy is based upon a foundation of nonpunitive approach to incident/occurrence reporting. The hospital leadership will encourage open and honest reporting of injuries and hazards to patients, visitors and staff, this process will be nonpunitive in nature for all persons reporting incidents throughout the organization. Incidence/occurrence investigations will be viewed as an opportunity for education/process improvement, and will focus on processes and systems, rather than human error. Disciplinary action will be limited to only those employees who engage in willful or malicious misconduct, or those occurrences in which the employee failed to report an incident or hazard to patients in a timely manner. II. Responsibility A. All hospital employees...
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...MEMORANDUM To: All Managers From: Brandi , Retail Market Trainer Date: April 12, 2015 Subject: Ladder Accident Incident Report- April 2, 2015 INCIDENT On April 2, 2015 at 9:21 AM, Nancy Smith was working the truck shipment shift putting the new shipment of product away alone in the backroom before store opening hours. While Nancy was on top of a ladder putting shipment away on one of the higher stock shelves, she had slipped off the ladder, falling 12 feet to the ground, and sprained her right ankle. CAUSE Nancy was alone in the backroom putting shipment away on top of a 12 foot ladder during her shift at work while a co-worker Gina Stevens was putting product away on the sales floor. Music was playing in the backroom and Nancy was on top of the ladder, dancing to the music. While holding product in her left hand and the ladder in her right hand while dancing, Nancy let go of the ladder to reach up to put the product on a higher shelf. This caused Nancy to lose her balance and fall off the ladder, spraining her right ankle. RESULT Gina who had been putting product away on the sales floor heard a cry from the back room. When she went in back to investigate the noise, she found Nancy sitting on the ground, holding her right ankle. Gina called for an ambulance at 9:23AM which then arrived at 9:28 AM, taking Nancy to Sherman Hospital in Elgin, IL. EVALUATION EFFECTIVE IMMEDIATELY: All employees who stand on 12 foot ladder or taller must...
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...Police Report On February 20, 2004 in the City of Portsmouth, Virginia Officer X and Officer Y received an all-points bulletin that a male suspect known as “Chubs” was driving on a suspended Virginia Driver’s license. Officer X was familiar with “Chubs” as a known drug dealer and had several confrontations with him in the past. Officer Y approached the car as identified by dispatch, driving South bound on Highway 95, at Boulder Highway; Officer X recognized the car as being that of David Lee Moore also known as “Chubs. Officer Y turned on the siren and initiated a traffic stop on David Lee Moore’s vehicle. David Lee Moore stopped, pulled into the Red Roof Inn at 222 S. Pecos Drive, Room 122 at the corner of Main Street. At this time David Lee Moore exited his parked car and proceeded to enter room 36B. Officer X recognized David Lee Moore, AKA “Chubs”. Officer X exited the police vehicle and ordered Mr. Moore out of the room. Officer X requested identification, registration and proof of insurance from Mr. Moore. The identification provided by Mr. Moore confirmed he was David Lee Moore. Dispatch was able to confirm that Moore’s license was suspended based upon the ID number provided, and that he was illegally operating a vehicle, which is a misdemeanor. Moore was informed that he was under arrest for driving on a suspended license and that his vehicle was going to be impounded. Officer Y cuffed and advised Moore of Miranda Rights. Officer X radioed to dispatch for a tow truck...
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...Petronas' venture into the liquefied natural gas (LNG) industry more than three decades ago marked Malaysia's entry into the modern gas era. When substantial gas reserves were discovered in Sarawak's Central Luconia basin in the 1970's, it was hoped that monetising this resource would bring revenue and foreign exchange needed to spearhead Malaysia's socio economic development and nation building. It was also realised then that Malaysia's proximity to industrialised Japan, opened the opportunity for PETRONAS to tap into an important energy market in need of a cost effective, efficient and cleaner energy resource. PETRONAS,Shell BV and Mitsubishi held talks which resulted in the birth of a partnership to undertake Malaysia's first LNG project, realised through the incorporation of Malaysia LNG Sdn Bhd or MLNG on 14 June 1978. The MLNG project was Malaysia's largest and most ambitious industrial undertaking at the time and the Malaysian Government established a special LNG task force to see to its successful completion. The MLNG project at that time was also the nation's single largest investment in manufacturing and required what was considered a quantum leap in technology and knowledge acquisition. Beyond the construction of the plant, the MLNG project also involved the construction of a jetty, the acquisition of LNG carriers, the establishment of infrastructure and amenities and the training of human resource. Through hard work and perseverance, the partners in the initial...
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...MECHANICAL GROUP 3 (PTP-1) JULY INTAKE 2012 RESISTANCE WELDING REPORT NAME | TRAINEE ID | JACK LAI KAR HAO | 323265 | ALLEN LAW CHI SEAN | 323359 | L.F NAME : MOHD. FADZIL BIN MUSA CONTENTS m/s Overview and introduction 3 Variables in welding process 4 How is resistance welding work 5 Types of resistance welding 6 Advantages and disadvantages of resistance welding 10 Application of resistance welding 11 Conclusion 12 Overview of Resistance Welding Introduction In simplest terms, welding is a process by which two or more pieces of metal are joined by applying heat and pressure. Back in the good old days, blacksmiths and other crafty people would heat metals in a furnace and then weld them by hammering the red-hot metals together. By hammering the metals as they cooled, the weld would be made stronger. This heating-and-hammering method is known as forge welding. While forge welding worked quite well for most of the welding done back then...
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...had problems parking in the contractor pro loading zone at the front of the store. He told me, he was yelling at the male standing next to him. He then told me the male yelling also hit the front wall of the store outside in the loading zone with his vehicle. I walked outside, and observed a older model GMC Jimmy, SUV, blue in color, Arizona license, was up against the wall. I walked back to my office, called the Peoria Police Department, and advised them of what happened. I then walked back out of my office to the pro loading door, and stayed with the other male at the front of the store to make sure there was no further incidents between the two males. The Peoria Police Department arrived on scene approximately four to five minutes after I called the police. I advised them what happened, after he and other officers investigated the incident, the male was cited for Disorderly conduct, and was trespassed from the...
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...Critical Incident Report Bachelor of Commerce (Marketing & Management) Author: Goh Bing Chong Basil (5269131) * Executive Summary This critical report took place at Mischief’s restaurant during September 2015, during the interview it was revealed that an unfortunate case of the dissatisfying experience was involved. Both management and staffs level of customer service provided was a disappointment to customers. After the analysis of the critical incident report, a customers and provider gap is discovered. The analysis demonstrates the lack of reliability & empathy, which directed to customer gap. The lack of knowledge gap about management using the wrong digital platform for reservation needs which led to failing to reserve a seat for a customer. Additionally, a policy and delivery gap was discovered, because there was an absence of employee protocol and absence of a proper training program. The report concludes by suggesting three recommendations for closing the provider gaps. Which is using the right digital platform for reservation booking, a structure work protocol when unexpected crisis arises and finally proper training program for employees. This report offers a valuable resource for Mischief to improve their service quality in the future. Table of Contents Executive Summary 2 1. Critical Incident Description 4 1.1 Circumstances leading up to the incident 4 1.2 What Occurred During the Incident 4 1.3 What Made the Incident Dissatisfying...
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...Security Incident Report Incident Report #: IR-783 Reported Date and Time: January 12, 2014 Technician: Max Smith Site Location: Sales Department laptop belonging to Howard Telmik. Windows 7 OS. Identification (Type and how detected): Howard in sales called the IT help desk complaining that his system is really slow. He also stated his laptop is behaving weird. Some of his internal reports have been modified and emails from last week have shown up as read. He knows he it wasn't him because he was on vacation last week and left his laptop at home. Virus scan detected BackOrafice and NetBus. Triage (Impact): Fortunately it only affected the user's laptop and did not spread to the company network. Containment (Steps taken): 1) Disabled wireless on the laptop to disconnect it from the company network. 2) Ran a manual virus scan which identified the malware and placed it in quarantine. Investigation (Cause): Howard feels that the Anti-Virus (AV) makes his system slow. So he turned it off. Several weeks ago he received an email from a good and trusted friend that contains some vacation pictures. Shortly thereafter he received an offer to try a new and improved AV software and installed it. Recovery and Repair (Resolution): Used Antivirus software to quarantine and eradicate the malware. Implemented scanning of corporate email for malware and spam. Lessons Learned (Debriefing and Feedback): Antivirus software on systems should be configured to scan all hard drives...
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...Dear Sir I refer to the incident that occurred on the 18th February 2014 with Bankosi when i unfortunately lost my temper. The sequence of events are as follows: * I had called for Bankosi to remove the scrap bricks from the yard. * Bankosi shows me his fists in an intimidating manner and proceeds to talk in his language to his peers when they all laughed at me. * I called him to resolve the matter maturely but Bankosi proceeded to “entertain” his friends at my expense where at this point they were even more amused. * I became quite frustrated and unfortunately lost my temper and punched him which I deeply regretted afterwards hence i went to apologise to him which he accepted. We talked about it and i apologised and we were cool. When the maintenance foreman instructed him to do his job, he refused and he was given a yellow card for not following instructions. That is when he decided to come and report me after 6 days. As a matter of fact, this hearing is void. One more thing he said that i must give him a R100 for punching him and when i came back the next day he demanded more money from me and i refused as we sorted our difference out. This is a business and we cant afford to have customers complaining about bad quality products. Our main priority in this industry is the best of quality. This is a business where only the best product must be sold to customers. We are running double shift at the moment and whatever product i make during my shift...
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...service, beginning from its staff to quality of machinery and equipment. There are established approaches to quality. These approaches include PSDA cycle, the six sigma; which identifies the needs and causes for variations in meeting these needs, structured methodology that define, analyze and control (DMAIC). The critical human factors espouse the team performance, understanding of effects, tasks, equipment, organization on human behavior and abilities, workspace and culture. These should guiding principles for those who work within the practice. During my rounds in Sabah Hospital in Kuwait country, I observed quite a number of malpractices, or rather ineptness by practitioners in the medical facility. An example that I state in my report is striking to me, how a simple situation could turn tragic out of negligence or ignorance. I witnessed a patient suffering from gastrointestinal bleeding after taking large amounts of cranberry juice after being discharged. The patient had been discharged contrary to my medical opinion. I realized that when taking...
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...A) There are several issues in the case of Mr. J that need to be examined. Using nurse sensitive indicators “reflect patient outcomes that are determined to be nursingsensitive because they depend on the quality or quantity of nursing care” (American Sentinel University, 2011). Mr. J. was not receiving acceptable care, because his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. This skin condition is the first stage of a developing pressure ulcer. a. Nurses should be aware that a patient with limited mobility is at risk for skin breakdown, and pressure ulcers. Anyone with limited mobility should be assisted to change positions by the care providers on a regular schedule to help circulation and prevent skin breakdown. b. Providers should also consider that the patient is 72, and has fragile skin due to aging skin. This also places the patient at further risk for pressure ulcers. c. The patient is also on restraints, which limits mobility even further. While restraints can help confused patients from falling, they can also cause skin damage. Care providers should continually access the need for using restraints, and remove them as soon as possible. B) Using hospital data on nursing sensitive indicators could advance quality care throughout the hospital. In this case, the hospital should examine the incidence of pressure ulcers, the use of restraints, and dietary requests. a. When examining the pressure...
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...I'd like to bring your attention to an incident that occurred a couple months ago involving my brother. He was out celebrating the New Year and within the course of a few minutes, was incapacitated and sent to hospital by what's known as a 'king hit' or a 'one-hit punch'. The pain and grief that comes from losing a loved one, especially by something so foolish is distressing and I'm sure that some of you have been in the same position as me. Now what comes to mind when the phrase 'king hit' is mentioned? Is it perhaps a memory? A story you've heard about? Or maybe a news program you recall watching detailing the tragedy of yet another young person's death. For those of you who are still unaware of what I am talking about, these incidents occur mainly well into the night where predominantly young men will get into groups and form some sort of disagreement, generally fuelled by alcohol, then one of the men will be punched, usually in the head and fall to the ground. Unfortunately, in some of these cases people have died and the issue has definitely become a bit of an epidemic particularly over the holiday season. Since bars and their booze-serving times are directly related to these incidents, this brings to my perspective, a concept that bars should have a restriction on the time alcohol can be served. This restriction would undoubtedly decrease the number of alcohol-fuelled scuffles in general and would lessen the chance of an incident such as a king hit from occurring as these...
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...In this report I am going to analyse the importance of inter-agency emergency planning for major incidents It is very important that public services work together and plan how to deal with major incidents, because it makes their job more efficient. They can get the job done quicker, because they know their roles and responsibilities, so not messing around, but doing their duties and run smoothly at the scene. Planning gives them opportunity to get more training so they will know their roles even better so it makes their job easier and safer as they will get some experience in some kind of situations. They will have knowledge how it could look in real major incident, so they would not get stressed so much if they are newly employed. Also it saves some money when dealing with major incidents as they will be better in their roles, because of training through planning. Another benefit is that because of planning, they would know what equipment they are responsible for and they will bring it to the scene so when it will be needed, they will have it. The first responding agency is always Police and they are responsible for sending other agencies to the scene, protecting the scene – setting cordons around. Inner cordon - operational command – officers that deals with the incident at the scene. Outer cordon - tactical command - creates tactics for operational command how to deal with the incident. Lack of organisations means that they would not be sure what their roles are, they would...
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...“wail of sirens” to set the tone of the story to evoke emotions from viewers at home. Broadcast stations, like CBS, use visuals and interviews to give a clearer understanding of what happened and how it happened. However, some stations, like FOX tend to give viewers a goofy and simply non-serious report on events and incidents that occur in the nation. Then there are stations, like ABC, who simply deliver the news clearly and directly to viewers at home. News stations around the nation have different methods of delivering their news, although some of them are less beneficial than others. During NBC’s Nightly News, with Brian Williams, the Pentagon correspondant, Jim Miklaszewski, emphasizes the implications the Navy yard shooting had in the four mile radius of the incident. He states, “... nearby schools were locked down, highways shut down, the Capital closed and the Nationals game postponed.” The emphasis of these implications the shooting had on the public shows the intense and immediate fear that struck throughout Washington D.C. The emphasis constantly hits the reader with the consequences of the shooting and it allows the viewer to realize the seriousness and the gravity the incident has had on people close to the capital and national security as well. However, other news stations lack the ability to convey the seriousness of a news story to the public. FOX, for example, lacks that ability. The anchors and reporters tend to deviate from the topic, even if it’s serious, and...
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...From the school East pennsboro Middle school we as a eighth grade orange team went to the Conodoguinet Creek to find if the creek is polluted or it’s not polluted. We were trying to find what kind of quality of water is there in Conodoguinet Creek. One of the station was that the groups went in the water with bamboo pole, bobber, and a timer. The groups were supposed to find depth of water (cm). The distance of string (cm). Also the time(sec) it takes the bobber to get to the bamboo pole. We also had to velocity of surface water and we also had to to find what everyone else got their results. In the Conodoguinet Creek There was also another station, station two that was that the student had to count Critter for each group like group one, group two, and group three of the insects. Group one which was pollution sensitive insects was there the most that me and my group found. We also found some of the insects from group two which was somewhat pollution sensitive. We also found very small amount of insects from group three. Since there was more insects that we found and the insects was pollution sensitive, I think that the Conodoguinet Creek isn’t polluted. The third station was that we had to water sample and we had to do that because to find the presence of eutrophication, and to check the acidity level. We tested and found the phosphate, Nitrate, Dissolved oxygen, pH meter, pH paper, alkalinity test. rocks collected, rocks neutralizing acid, and rocks that is not neutralizing...
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