Incident Report Assignment

Compliance officers are often involved with facility incidents.One of the most common incidents found in health care organizations are falls.Most facilities have a falls prevention program. To prepare for this assignment, watch the video on Prevention of Falls to provide you the background to complete the incident report

  • Watch the Prevention of Falls video.
  • After watching the Prevention of Falls video, watch this scenario video of a fall.
  • Complete an incident report on what you observed in the scenario video. You may use an incident report form from your employer. OR, you may find a template in Word or online.

Be sure on the incident report form you include:

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  • The names of people involved
  • Your direct observations
  • Details as to time and place
  • At least two strategies that could be considered to prevent this type of incident from occurring again


Points Possible: 20

2 points for providing complete information of the people involved in the incident

10 points for your direct observations provided in the incident report

5 points for providing at least two possible strategies that could be considered to prevent this type of incident from occurring again

3 points for writing level (Level 2)

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