Incident
An event outside of routine care that may have harmed or had potential to harm a client.
An incident is an event outside routine care that harmed, or could have harmed, a client — a fall, a medication error, or a needlestick. File a factual, non-blaming incident report, but do not mention the report itself in the client’s chart; chart only the objective clinical facts and the client’s condition. Incident reports are internal quality-improvement tools, so keep them objective rather than speculative.
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