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CRITICAL INCIDENT REPORT For UNLICENSED HOMES AND COMMUNITY INCLUSION ACTIVITIES and LICENSED HOMES FOR INCIDENTS NOT REPORTABLE TO LICENSING GENERAL INFORMATION Name of Residence / Service / Activity
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What is critical incident report?
Critical incident report is a document that records details of an unexpected event or situation that resulted in harm or had the potential to cause harm.
Who is required to file critical incident report?
Healthcare providers, law enforcement agencies, social service agencies, and other mandated reporters are required to file critical incident reports.
How to fill out critical incident report?
Critical incident reports should be filled out with accurate and detailed information about the incident, including date, time, location, individuals involved, and a description of what happened.
What is the purpose of critical incident report?
The purpose of critical incident report is to document and investigate unexpected events in order to prevent similar incidents in the future and ensure the safety and well-being of individuals.
What information must be reported on critical incident report?
Information such as date, time, location, individuals involved, description of the incident, potential causes, and any actions taken as a result of the incident must be reported on a critical incident report.
How can I send critical incident report to be eSigned by others?
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How do I make changes in critical incident report?
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