Incident Reporting, Serious Event Notices to the Department, and Investigations

Requires staff to report every incident at once, sets out how the Agency investigates and learns from incidents, and makes sure the Agency gives the Department of Health the notices Pennsylvania requires: immediate written notice of any event that could seriously compromise quality assurance or patient safety, including the events listed in 28 Pa. Code §51.3(g) such as deaths in unusual circumstances, medication error injuries, transfers to a hospital after an accident, and complaints of patient abuse whether or not confirmed, and an immediate telephone report with written follow-up of a catastrophic incident or interruption of services (§601.13(c)).