W. Va. Code R. § 69-8-15

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 69-8-15 - Incident Reporting and Adverse Events

15.1. The pain management clinic shall develop policies and procedures for comprehensively documenting, investigating, taking corrective action, and tracking instances of adverse events or incidents.

15.2. Adverse events or incidents may include, but not be limited to:

15.2.1. Medication errors;

15.2.2. Patient suicide attempts;

15.2.3. Patients deaths;

15.2.4. Harm to family members or others from ingesting a patient's medication;

15.2.5. Selling drugs on the premises;

15.2.6. Medication diversion;

15.2.7. Harassment or abuse of patients by staff;

15.2.8. Threats and intimidation of staff by patients; and,

15.2.9. Violence.

15.3. Adverse events or incidents shall be reviewed on a quarterly basis by the designated physician owner and administrator, who shall make recommendations to the owners and quality assessment and performance improvement program regarding improvements in the process to prevent further incidents.

15.4. Upon the occurrence of an adverse event or incident, the clinic shall:

15.4.1. Fully document the event or incident and report the matter to the Office of Health Facility Licensure and Certification on the prescribed form and to any other applicable state agencies within 24 hours according to procedures established by the secretary;

15.4.2. Immediately investigate and review the situation surrounding the event or incident;

15.4.3. Take corrective action within 10 days, unless an extension is requested and granted;

15.4.4. Conduct ongoing monitoring of any corrective action that takes place until effectiveness of the action is established.

15.5. The designated physician owner or administrator of the pain management clinic shall report any death involving drug overdose or drug-related complications to the secretary within 48 hours of any person at the clinic receiving notification of the mortality.

W. Va. Code R. § 69-8-15