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North Carolina Department of Health & Human Services Division of Mental Health/Developmental Disabilities/Substance Abuse Services CONFIDENTIAL DHHS Incident and Death Report Provider Agency Name.

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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 rule of thumb is that as soon as an incident occurs, an incident report should be completed. Minor injuries should be reported and taken as equally important as major injuries are. These injuries may get worse and lead to more serious injuries or health issues.

When should an incident be reported and to whom? Immediately and to a supervisor. List two reasons it is important to report an incident: To identify patterns and future risks and identify learning opportunities.

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.

The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone—patient, staff member, or visitor—is injured or involved in a situation with the potential for injury, an incident report is required.

They provide a reminder of possible hazards. Reporting them provides a way to monitor potential problems and root causes as they recur. The documentation of these problems and root causes increases the likelihood that repeating failures will be noticed and corrected before they develop into more serious incidents.

The 4 main incident reports that should be on your list are: Near Miss Reports. Near misses are events where no one was injured, but given a slight change in timing or action, someone could have been. ... Injury and Lost Time Incident Report. ... Exposure Incident Report. ... Sentinel Event Report.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232