Incident Investigation in Aging Services
September 30, 2019 | Aging Services Risk, Quality, & Safety Guidance
The investigation must begin directly after initial notification of the incident because time is a significant factor. The longer it takes to conduct fact-finding after an incident occurs, the greater the possibility that evidence will be lost, memories will dim, and speculation and self-justification will cloud the process. (ECRI Institute "Healthcare Device")
Figure 1. Overall Postincident Response Process illustrates the many elements of postincident response in three phases. Incident reporting and initial investigation—the topics addressed in this white paper—occur in Phase I.