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Beside that, when an event occurs that harms an individual, illustrates a potential
for harm, or evidences serious dissatisfaction by patients, visitors, or staff, then a risk-
management incident has taken place. Examples of such episodes could include the
following:
• A patient's family helps him out of bed despite directions to the contrary by staff
members. The patient falls and is injured.
• Excessive silver nitrate is put into the eyes of a newborn, impairing vision.
• The mother of the child complains about the care that has been given to her child
and informs a staff member that she is going to talk to her lawyer about what has
happened.
This information may be useful in the future when dealing with liability issues stemming
from the incident.
In a health care facility, such as a hospital, nursing home, or assisted living, an incident
report or accident report is a form that is filled out in order to record details of an unusual
event that occurs at the facility, such as an injury to a patient.
Generally, according to health care guidelines, the report must be filled out as soon as
possible following the incident (but after the situation has been stabilized). This way, the
details written in the report are as accurate as possible.
Most incident reports that are written involve accidents with patients, such as patient
falls. But most facilities will also document an incident in which a staff member or visitor
is injured.
In the event that an incident involves a patient, the patient will often be monitored for a
period of time following the incident, which may include taking vital signs regularly.
You can use incident report for a lot of incidents including theft, personal injuries, dispute
between employees, disputes between customer and employee, broken items, safety
issues because of faulty elevators or stairs and so on.
TIPS FOR WRITING AN INCIDENT REPORT
• The writer should constantly ask himself several questions, such as: "Is
this an assumption?" and "Is this an opinion?"
• An accident incident report should not avoid using language that invokes
sympathy, nor should the words pass judgment, even if the writer believes the
accident was a result of poor decision making.
• The report writer's only job is to organize the facts so that future readers
can assess the situation as needed from an unbiased source.
• All incident reports should be written within 24 hours, and the report
should never be pushed aside until after a weekend or holiday.
• Give details on if the hurt person was moved or medically treated in any way. If
paramedics arrive, collect their names to include in the report.
• Security incident reports should report names and badge numbers of any police
officers or security personnel involved.
• The writer might also want to ask for expert opinions from these professionals.
Quotes can be included in the report.
• All incident reports should list the names of people involved, even if their
involvement is minimal. This includes all observers and witnesses.
• Most businesses will benefit from having a set incident reporting system in place.
Employees might want to suggest creating a standard incident report form or
adding company-specific guidelines to the employee handbook.
• Implementing a permanent system will guide both new and old workers to supply
all the necessary information when writing a report.
• These programs will ensure that writers answer all the basic questions, and they
will keep all the reports organized, legible and easily accessible.
• Keep clear notes, and when possible use a recorder. Ask the person to
give verbal permission on the tape. Then, use this format to write the report:
• What caused the event? If you can't determine the cause, don’t
speculate. You can describe information that appears factual but is unproved.
• Analyze the incident. Weigh all the facts, circumstances, and any events
leading up to the incident to develop a conclusion. It is better not to speculate
than be wrong in your conclusion. It is okay to use statements like, “We are
unable to draw a conclusion at this time.”
INCIDENT REPORT
DATE OF INCIDENT: BRANCH OR
TIME OF INCIDENT: DEPARTMENT:
Brief description of the incident and action taken (if police were called,
note case number):
NAME: TELEPHONE:
ADDRESS:
DATE:
Please complete this form and submit to the supervisor immediately. Send
completed form to the head of administrative services or director within twenty-
four hours of the incident.