Incident Reporting, Investigation, and Adverse Events

Sets out how staff report incidents and adverse events (falls, medication errors, injuries, lost records, exposures, threats, missed visits that cause harm), what they do first to protect the patient, who is told, the reports to outside agencies that the law requires (abuse, breach of medical information, records defaced or destroyed early, reportable diseases and outbreaks, workplace violence), how incidents are investigated, and how they feed the QAPI program’s tracking of adverse events (42 CFR §484.65(c)(2)). It notes that California’s adverse event reporting statute for hospitals does not apply to home health agencies.