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BROOKVILLE GENERAL HOSPITAL INFECTION CONTROL BREACH REPORTING FORM Please forward form to Quality and Risk Management when complete. Name of person reporting the incident(s): ___ Unit/Department
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How to fill out infection control breach reporting

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How to fill out infection control breach reporting

01
Identify the specific infection control breach that occurred
02
Record all relevant details such as date, time, location, and people involved
03
Notify the appropriate supervisor or infection control team
04
Complete the necessary forms or documents required for reporting
05
Submit the infection control breach report according to the established protocol

Who needs infection control breach reporting?

01
Healthcare professionals
02
Hospital staff
03
Healthcare facilities
04
Regulatory bodies
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Infection control breach reporting is a formal process used to document and report incidents where infection control protocols have been violated, potentially leading to the spread of infections.
Healthcare facilities, healthcare providers, and any personnel involved in patient care activities that may compromise infection control are typically required to file infection control breach reports.
To fill out infection control breach reporting, follow the specific guidelines provided by your facility or governing health organization, ensuring to include all relevant details of the breach, individuals involved, corrective actions taken, and any impact on patients.
The purpose of infection control breach reporting is to identify, investigate, and mitigate risks associated with infection control breaches, ultimately protecting patient safety and improving health outcomes.
Information that must be reported includes the date and time of the breach, description of the incident, personnel involved, patient impact, corrective measures taken, and any follow-up actions required.
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