R434-150-2. Definitions

  (1) "Adverse event" means a reportable event that includes:

  (a) the administration of sedation or anesthesia;

  (b) in an outpatient, non-emergency room setting;

  (c) that results in escalation of care, harm to, or rescue of the patient; and

  (d) while under the direct care of the provider at the facility or within 24 hours of discharge.

  (2) "Department" means the Utah Department of Health.

  (3) "Escalation of care or rescue of a patient" means rescuing a patient from levels of sedation deeper than intended in order to prevent harm or death to a patient. This may include but is not limited to the use of:

  (a) a rescue or reversal agent;

  (b) aborting a procedure secondary to complications of sedation or anaesthesia;

  (c) unplanned assisted airway management;

  (d) 911 call for Emergency Medical Services;

  (e) transfer to a higher level of care; or

  (f) any other intervention.

  (4) "Harm scale" means a systematic method of designating a patient's level of harm that includes:

  (a) unsafe conditions;

  (b) near miss;

  (c) no harm;

  (d) additional monitoring or treatment to prevent harm;

  (e) temporary harm requiring intervention;

  (f) temporary harm requiring hospitalization;

  (g) permanent patient harm;

  (h) intervention to sustain life; or

  (i) patient death.

  (5) "Healthcare Providers" means any healthcare provider who uses sedation or anaesthesia and is located in any outpatient location (e.g., office, urgent care, dentists, podiatrist, etc.) who is not currently required to report under Rule R380-200.

  (6) "Levels of sedation" means physiologic states that are induced through the administration of medication by any route. Standards associated with differing levels of sedation are defined in the Centers for Medicare and Medicaid Conditions of Participation Interpretive Guidelines 482.51(b)(5) Interpretive Guidelines (https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_a_hospitals.pdf. These interpretive guidelines are the expected standards of practice, unless otherwise specified by the individual practitioner's scope of practice as defined in the Utah Licensure Practice Act and Title 58 of the Utah Code.

  (7) "Near miss" means stopping or aborting a procedure for the safety of the patient due to the administration of anaesthesia or sedation.

  (8) "Unprofessional Conduct" is defined in statute for each Utah Department of Professional licensure category. See Utah Code Sctions 58-5a-502, 58-31b-502.5, 58-67-502.5, 58-68-502.5, and 58-69-502.5.