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Incident Reporting Checklist

By Heather Brown
December 23, 2014

Incident Reporting: Sample Checklist

To makes sure that incidents get reported accordingly, use the following checklist to see if you have the following:

  • There is a written incident reporting policy/procedure.
  • The procedure includes a clear definition of what is reportable.
  • The procedure defines responsibility for reporting incidents and emphasizes participation of all staff in all departments.
  • The procedure clearly identifies reporting channels.
  • The procedure requires reporting and routing of all incident reports in a timely fashion.
  • There is a non-punitive approach to incident reporting.
  • Each individual report is reviewed by a designated individual in the organization to evaluate for causative factors and if the event was preventable.
  • Reports are trended and analyzed on a monthly basis.
  • Incident reports and trends are reported to appropriate Committees or Board. Staff receives feedback on the result of an investigation and problem resolution.

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