FAQ
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A good starting point is to check in the Administrative Rules, below:
- Rule R429-1. Patient Safety Surveillance and Improvement Program. opens in a new tab
- Rule R429-2. Health Care Facility Patient Safety Program. opens in a new tab
If you are still unsure, please feel free to contact us. opens in a new tab
Patient safety events include:
(a) reportable events required to be reported through the reporting portal and with the outcome level assessed by a harm
scale:
(i) surgery or procedures requiring consent performed on the wrong body part;
(ii) surgery or procedures requiring consent performed on the wrong patient;
(iii) incorrect surgery or procedures requiring consent performed on a patient;
(iv) unintended retention of a foreign object in a patient after surgery or other procedures requiring consent;
(v) infant discharged to the wrong person;
(vi) neonatal hyperbilirubinemia, where bilirubin is greater than 25 milligrams per deciliter;
(vii) stage 3 or 4 pressure ulcers acquired after admission to the facility, except for pressure ulcers that progress from
Stage 2 to Stage 3, if the Stage 2 ulcer was documented upon admission;
(viii) any incident when a line designated for oxygen or other gas to be delivered to a patient contains the wrong gas or
is contaminated by a toxic substance;
(ix) unexpected flame or unanticipated smoke during an episode of care;
(x) any care ordered or provided by someone impersonating a physician, nurse, pharmacist, or other licensed or certified
health care provider;
(xi) abduction of a patient of any age;
(xii) non-consensual sexual contact on a patient, staff member, or visitor by another patient, staff member, or unknown
perpetrator while on the premises of the facility; or
(xiii) elopement or disappearance of a patient with cognitive impairment for more than 4 hours; and
(b) reportable events resulting in permanent patient harm, intervention to sustain life, or patient death required to be
reported to the reporting portal;
(i) arising from Intraoperative or immediate post-operative death of a patient who the facility classified prior to surgery
as Anesthesia Surgical Assessment Class I or discharged home from an ambulatory surgical center;
(ii) arising from the use of contaminated drugs, devices, or biologics provided by the facility;
(iii) arising from the use or function of a device in patient care when the device is used for an off-label use, except when
the off-label use is pursuant to informed consent;
(iv) arising from intravascular air embolism that occurs while being cared for in the facility, except for intravascular air
emboli associated with neurosurgical procedures;
(v) arising from patient suicide or unsuccessful attempt while in the facility or ER within 72 hours of discharge;
(vi) arising from a medication error;
(vii) arising from a hemolytic reaction due to the administration of ABO or HLA incompatible blood or blood products;
(viii) arising from the onset of hypoglycemia that occurs while the patient is being cared for in the facility;
(ix) arising from the irretrievable loss of an irreplaceable biological specimen;
(x) arising from failure to follow up or communicate laboratory, pathology, or imaging test results;
(xi) arising from an unintended electric shock while being cared for at a health care facility, excluding emergency
defibrillation in ventricular fibrillation and electroconvulsive therapies;
(xii) arising from a burn incurred from any source while being cared for in a facility;
(xiii) arising from the use of restraints or bedrails while being cared for in a facility;
(xiv) arising from a fall while being cared for in a health care facility;
(xv) arising from a criminal assault or battery that occurs on the premises of the health care facility;
(xvi) arising from the introduction of a metallic object into the MRI area;
(xvii) arising from labor or delivery while being cared for in a facility; or
(xviii) of an infant born at gestation equal to or greater than 32 weeks excluding congenital causes; and
(c) reportable events required by other reporting rules; and
(d) reportable events governed by other existing laws or rule and are not required to be reported to the reporting portal:
(i) prolonged fluoroscopy with a cumulative dose greater than 1500 rads to a single field, R313-30-5;
(ii) radiology to the wrong body region, R313-30-5;
(iii) radiotherapy greater than 25% above the prescribed radiotherapy dose, R313-30-5;
(iv) death or permanent loss of function related to a healthcare-acquired infection, R386-705; and
(v) provider preventable conditions, R414-1-28.