Incident Reporting, Investigation, and Adverse Events
Sets out what staff report as an incident, what they do in the first minutes and hours, how the clinical manager investigates and analyzes causes, how abuse, neglect, misappropriation and injuries of unknown source are reported at once to the Department, and how incidents feed the QAPI program, under 42 CFR §484.65(a)(2) and (c)(2) and §484.50(e) as adopted by 19 CSR 30-26.010(1)(A) and RSMo §192.2405.
About this policy
- Policy number
- MO-HH-QA-02
- Version
- 1.0
- Main rule
- 42 CFR §484.65(c)(2) (adopted by 19 CSR 30-26.010(1)(A))
- Library
- Missouri home health · 57 policies
- Category
- Quality
- Sections
- 17
In short
- Make the patient safe first. Call 911 in an emergency.
- Suspected abuse, neglect or an unexplained injury: report to the Department at 1-800-392-0210 right away.
- Call the clinical manager or on-call clinician before you leave the home.
- Complete the incident report before the end of your shift. Write facts only.
- Do not mention the incident report in the clinical record.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §484.65(a)(2), (c)(2); §484.50(e))
- 5. What Staff Do at Once
- 6. What Must Be Reported
- 7. Investigation
- 8. Reports Outside the Agency
- 9. Tracking and Learning
- 10. Responsibilities
- 11. Records and Compliance Monitoring
- 12. Staff Training
- 13. References
- 14. Related Policies and Forms
- 15. Approval
- 16. Revision History
An inspector may ask
- Show me your incident log for the last six months. What trends have you found?
- A patient was found on the floor with a bruise nobody can explain. What do your staff do?
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