Product GIN

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Product Brief - Generic Incident Notification (GIN)

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Product Name

HL7 V3 GIN, R1 - HL7 Version 3 Standard: Generic Incident Notification, Release 1; March 2007

Standard Category

  • Health Information Exchange Standards

Integration Paradigm

  • Messaging

Type

DSTU

Releases

HL7 V3 GIN, R1 - Release 1; March 2007 expired March 2009

Summary

The Generic Incident Notification is a generalised, high level, yet encompassing report for the capture of information, in particular the circumstances surrounding an unplanned event or potential event that constitutes a Patient Safety Incident. These incidents can be reported by individuals involved in the process of care. The main purpose of using the GIN message is to gather snapshot information of the profile of a Patient Safety Incident (what, when, where, who) for the purpose of aggregation, analysis and learning, not specifically for the follow-up of individual reports.

Description

A patient safety incident is defined as any unintended, expected or unexpected incident(s) that could have or did lead to harm for one or more patients receiving health care services. [Note: staff incidents are currently not reportable via this model.] Reports can cover actual patient safety incidents, including those caused by acts of omission, and prevented patient safety incidents (near misses). The reported data is then aggregated and analysed by health care agencies to identify areas of concern that warrant further investigation. The Generic Incident Notification not intended to support a detailed investigation of an incident (this will be covered by a future R-MIM - Patient Safety: Root causes and Underlying factors) nor necessarily to comply with regulatory reporting requirements.

Examples of incidents that would be reportable via the Patient Safety Generic Incident Notification are delays in access to care, medication errors, device failures, slip/trip/fall, patient misidentification, verbal/racial/sexual abuse directed towards a patient.

The Generic Incident Notification is distinct from the Individual Case Safety Report as it captures high-level information on a wide variety of patient focused incidents, which can include incidents affecting a group of patients. In contrast, the Individual Case Safety Report is designed to support regulatory reporting of adverse incidents associated with product safety. These products relate primarily to blood, medicines, including vaccines and devices.

The Generic Incident Notification also differs from Case or Outbreak Management. Case or Outbreak Management topics are intended to cover public health cases of reportable conditions e.g. infectious diseases.


Business Case (Intended Use, Customers)

  • UK National Patient Safety Agency

Benefits

The GIN captures information about any unintended, expected or unexpected incident(s) that could have or did lead to harm for one or more patients receiving health care services. As well as the reporting of incidents which affect an individual and cause harm, this definition includes:

  1. Incidents that affect several patients
  2. Incidents that have the potential to cause harm, but which do not adversely affect a patient
  3. Incidents that are the result of "acts of omission"

Implementations/ Case Studies (Actual Users)

Resources

Work Groups

Patient Safety

Education

Presentations

Relationship to/ Dependencies on, other standards

  • ICSR

Links to current projects in development