Element 4 - Example of a Monitoring System a Facility May Establish
To meet PoC Element 4, the facility should address how its monitoring system will ensure the deficient practice will not happen again.
Here is an example of a monitoring system a facility may establish to ensure that the system corrections are effective.
- The administrator will verify through daily review of facility incident reports that the QIDP is investigating all non-serious injuries of unknown origin.
- The administrator will maintain a Non-Reportable Injuries of Unknown Origin Log that includes the date of the incident, the name of the individual, the injuries sustained, the suspected cause, IDT intervention, when the individual's family was notified, the date that the completed investigation was submitted, and if any issues needed follow up.