Local analgesia

On Sunday morning, Mrs. Catherin Edward had attended your clinic due to Dental Pain. Her Blood Pressure was normal and RBS was 6.8 mmol/l. You have diagnosed the patient as dental carries that needs immediate extraction. You requested .5 ml local analgesia from your assistance to be prepared. Your second assistant asked you about the second case management and you responded. You turned to the patient and gave the local analgesia and started the extraction process. The patient fainted while the extraction process and became non-responsive. Blood pressure became 70/45 mmHg and patient became sweaty. The team did the necessary measures to recover the patient. Changed the position, Insert IV line with Normal Saline 500 ml. Patient slowly started to communicate. You called Ambulance to transfer the patient to secondary care. The nurse had told me that I have pushed 5 ml of local analgesia to the patient.

Write down a Formal Report that includes the following:

1. Identify & explain what happened in your own words.
2. Describe how you can notify such a medical error and to whom.
3. Define in detail the steps to document a patient safety incident.
4. Describe the technique you will use to disclose such events to the patients and their family.
5. Outline a policy that you can use to report this kind of medical errors to the hospital management & authorities.
6. Show a process that you can use to investigate the root cause of the error, and who should be included in the investigation team.
7. Layout a detailed step-by-step plan to change and improve the process in which the medical error occurred.
8. Identify some indicators that you will use to monitor improvements or failures in the process.