Get Medical Incident Reporting Form - Rescue Fire Company 37

Incident reporting in healthcare refers to collecting healthcare incident data with the goal to improve patient safety and care quality. Done well, it identifies safety hazards and guides the development of interventions to mitigate risks, thereby reducing harm.

Generally, you should complete an incident report whenever an unexpected occurrence causes property damage or personal injury.

An incident report is not part of the patient's chart, but it may be used later in litigation. A report has two functions: It informs the administration of the incident so management can prevent similar incidents in the future.

Three Incident Report Samples Type of incident (injury, near miss, property damage, or theft) Location (Address) Date/time of incident. Name. Name of supervisor. Description of the incident, including specific job site location, the sequence of events, and the results of the event. Whether or not proper PPE was being used.

Incident reports should be completed immediately after a near miss, unexpected, awareness, or adverse events have occurred. This ensures that the involved individuals or witnesses can recall the details of the occurrence with clarity to fill the report form accurately.

The incident report is not a part of the patient's medical record. In most courts, the incident report is protected from discovery by the opposing attorneys. If you document the incident report in the patient's medical record, you've lost that protection.

Fire department incident report template requirements Incident information. Reporting unit/station information: Involved parties' information: Incident description and timeline. Response and actions taken. Casualties and damages. Investigation findings (if applicable) Photos and diagrams (if applicable)

Protect yourself and your patients by filing incident reports anytime unexpected events occur. If you're the one who discovers the incident, or you have been involved in the situation leading up to it and know more about it than your colleagues, filling out an incident report is your responsibility.