The Incident report form allows information to be recorded and preserved for quality and risk management purposes. The form should be sent through pre-determined channels to the appropriate administrative personnel. Never make copies of an incident report form. Remember the report is a confidential document. It should not be made part of the patient record (if applicable).
Documentation – The fact that an incident report has been completed should not be documented in the patient record; however, those events which have a direct medical effect on an individual should be recorded in their record. The chart should be complete and accurate, reflecting the individual’s response to the event for at least the next 24- 48 hours.
For more information, logon to www.InsureAnonprofit.com & visit the Research Center.