Policy #C: CHAP CII.7I

 To define the reporting, follow-up, and feedback process for incidents involving patients and Ambercare personnel

 Ambercare will maintain a process for generating incident reports and follow-up corrective action, if applicable.  To facilitate early detection of problems or compensable events  To establish a foundation for early investigation of all potentially serious events  To develop a database for long-range problem detection analysis and correction  To enable cross-reference with other risk detection systems  To investigate and respond to serious adverse events, in accordance with accrediting bodies standards

 Provision of care errors  Unusual occurrences  Vehicular crashes  Others types of accidents and injury  Safety hazards Serious Adverse events include:  Unexpected death not resulting from the client’s medical condition  Loss of body part  Permanent or partial loss of body function  Blindness

 Evidence that Ambercare monitors and reports information related to adverse events  Reports document data on adverse events that predispose the organization to real or potential liability.  A system is in place for monitoring and reporting information related to adverse events that endanger the health and safety of clients and/or employees.

 Data must be collected within 30 days of event  Data is analyzed within 60 days of the event to determine underlying factors leading to the adverse event  Performance Improvement processes, as applicable, include evidence of organizational changes subsequent to an adverse event

 Immediate notification of supervisor  Follow-up with the patient and family/caregiver, and/or patient’s physician, if indicated by your supervisor or designee  Maintaining confidentiality of the information. The report is for INTERNAL use ONLY and is NOT available to physician or other agents outside Ambercare  Completion of incident report within 24 hours of incident.