Incident and Significant Incident Reporting

Section 2060.385  Incident and Significant Incident Reporting a)         An incident is any action that led to, or is likely to lead to, an adverse effect on client/patient/resident services because it is a deviation from established procedures.  These incidents shall be documented in writing immediately, reported to supervisory staff, as applicable, and available for review by DHS/SUPR staff as necessary or during inspection. b)         A significant incident is any occurrence which, regardless of the type of service the client/patient/resident may be receiving: 1)         Requires the services of the coroner; 2)         Renders the facility inoperable; 3)         Involves the alleged sexual or physical abuse or assault of staff or a client/patient/resident; 4)         Involves any alleged act that requires mandatory reporting to the professional staff licensing or credentialing body; or 5)         Involves any sanction imposed against the licenses or certification of any professional staff member. c)         DHS/SUPR shall be notified verbally in person or over the phone of any significant incident within 24 hours after its occurrence. d)         A written report of any significant incident shall be submitted to DHS/SUPR within ten calendar days after the occurrence and, if applicable, a copy of the coroner's report shall be submitted within five calendar days of receipt by the organization or as part of submission of the written report.