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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.

§483.13(c)(2): The facility must ensure that all alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source, and misappropriation of resident property are reported immediately (emphasis added) to the administrator of the facility and to other officials in accordance with State ...

Write objectively. Describe exactly what you saw. ... Incorporate patient and witness accounts of the event into the report. ... Don't assign blame. ... Avoid hearsay and assumptions. ... Forward the report to the person designated by your facility's policy.

Nursing homes must report falls and other injuries, but they do not always comply with this requirement. The licensing and governing authorities need to know which nursing homes are experiencing fall injuries.

Some broad areas that reportable incidents encompass include: Medication errors and omissions such as inappropriate drug, inappropriate dose, inappropriate rate, inappropriate route, or failure to medicate at all. ... Inappropriate use of a medication or device that results in serious injury to the patient.

Date, time and location of the incident. Name and address of the facility where the incident occurred. Names of the patient and any other affected individuals. Names and roles of witnesses. Incident type and details, written in a chronological format.

§483.13(c)(2): The facility must ensure that all alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source, and misappropriation of resident property are reported immediately (emphasis added) to the administrator of the facility and to other officials in accordance with State ...

Reportable Incidents (RI) An RI is an event or situation involving a risk or threat to a person's health or safety that includes, but is not limited to: 1. Emergency relocation: The need to relocate an individual to an alternate location, other than his/her primary residence, for 24 hours or more.

Always use a consistent format: Make a point of starting each record with patient identification information. ... Keep notes timely: Write your notes within 24 hours after supervising the patient's care. ... Use standard abbreviations: Write out complete terms whenever possible.

Date, time, and facility location. Where the incident occurred. Incident type. Name of the person(s) affected by the incident. Witnesses or names and titles of other involved persons. Written summary of what happened, which can include: