Incident reports

Write up a fall or a medication error, link it to the people and the visit, follow it up and resolve it.

3 parts · 2 minClinicalFor the office

The lesson plays on a sample agency, so nothing you do in it changes anything. Open any item in the lesson's panel to read about it, and press See how to watch it done.

What this lesson covers

Everything the lesson says, part by part.

  1. 1

    On the way: Incidents are in the sidebar.

    This is your incident list

    Every incident your team reported, how serious it was, and whether it is resolved.

    In the sidebar under Incidents. Caregivers can also report one from the visit on their phone.

    On this page

    Report an incidentWhat happened, who, and how serious

    Create Incident Report writes one up from the office. Caregivers use Report an Incident on the visit, and theirs land here too.

    See how jumps ahead to part 2: Write up an incident.

    Read the guide
    Follow one upNotes, changes and resolving it

    Press an incident to see everything about it, add what was done, and mark it resolved.

    See how jumps ahead to part 3: One incident.

    Read the guide
    Find the ones you needBy caregiver, client, severity, category

    The filters narrow the list to one caregiver or client, a severity, a category, or only the unresolved ones.

    See how shows:

    1. Filters The counts above follow them.
    See the trendIncidents month by month

    The chart shows how many incidents there were each month, so you can see if things are getting better.

    See how shows:

    1. Incidents Over Time The arrows move between months.
    Print or export the listFor a survey or a meeting

    Print and Export CSV take the list as it is filtered.

    See how shows:

    1. Export CSV Print sits beside it.
  2. 2

    On the way: Create Incident Report opens the form.

    Write up an incident

    What happened, who was involved, and what the regulations ask you to record.

    Create Incident Report, at the top of the Incidents page.

    On this page

    What happenedA title, the severity, the category, the time

    Name it, describe what happened, set the severity from Low to Critical, pick a category such as a fall or a medication error, and say when it happened.

    See how shows:

    1. Incident Information These five are required.
    Who and which visitOptional, but it links the records

    Link the client, the caregiver and the visit, so the incident shows on their records too.

    See how shows:

    1. Involved Parties Search for each one.
    What regulators ask forWitnesses, 911, who was told

    Regulatory Compliance & Additional Details holds the witnesses, whether 911 was called, a trip to the hospital, when the doctor and family were told, and whether a state report is required.

    See how shows:

    1. Regulatory Compliance Press it to open the fields.
    Mark it for follow-upSo it is not forgotten

    Follow-up required records what still has to happen, with notes.

    See how shows:

    1. Follow-up required Tick it and say what is needed.
  3. 3

    On the way: Press an incident to open it.

    One incident

    Everything recorded about it, what was done since, and its resolution.

    Press any incident in the list.

    On this page

    Add to itDetails, injuries, preventive measures

    Edit opens every section: the description, injury and medication details, the client’s condition, witnesses and preventive measures.

    See how shows:

    1. Edit Every change is kept in its history.
    Resolve itWith how it was resolved

    Mark resolved lets you note how it was resolved, then counts it as done.

    See how shows:

    1. Mark resolved The note is optional.
    Read the guide
    Not really an incident?Move it to Documented Events

    For a hospital stay, a call or a change in service, Move to Documented Events moves it there. Nothing is deleted, and the incident stays here marked as moved.

    See how shows:

    1. Move to Documented Events It asks before it moves anything.
    Who changed whatThe change history

    Change history lists every edit with who made it and when.

    See how shows:

    1. Change history Each edit, with its time.

At the end

Now you know how incident reports work