If you are aware of an incident involving significant injury, you should contact your hospital risk manager immediately. If during regular business hours, please contact the Risk Management department at your facility.
If it is not regular business hours, a representative from Risk Management is available 24-hours a day, 7 days a week.The numbers to page are:
You may also go through the hospital switchboard operator or dial the direct telephone number for the affiliate Risk Managers.
Do not send incident information over the Internet or via email unless you are using an electronic version of the hospital's incident report system.
If a medical device or other equipment is involved in the incident, the device should be removed from service and secured. You should contact the Risk Management Department as soon as possible for further instructions.
Incidents not involving significant injury should be reported by using the hospital's confidential Incident Report system. All clinical departments and most other departments have forms available for use. Please provide objective, factual information and do not speculate. The Incident Report is a tool that allows us to identify potential problems by evaluating individual occurrences and monitoring trends. This "peer review" document is a valuable part of Lifespan's total quality management program. The Incident Report is not a part of the medical record and should not be placed in the patient's record. The event, however, should be objectively documented in the medical record. Incident reports are considered confidential and copies are not provided to patients.
If you have any questions about the use of the Incident Report form, contact the hospital Risk Management Department or Lifespan Risk Services, Inc.