W. Va. Code R. § 69-9-8

Current through Register Vol. XLI, No. 50, December 13, 2024
Section 69-9-8 - INCIDENTS AND INCIDENT REPORTING
8.1. Critical Incidents.
8.1.a. The center shall provide an environment that remains free from accident hazards as possible.
8.1.b. The center shall provide an environment where each patient receives adequate supervision.
8.1.c. Critical incidents are incidents resulting in or the potential for significant harm or death to a patient. Critical incidents include, but are not limited to:
8.1.c.1. Allegations of abuse, neglect, mistreatment, misappropriation;
8.1.c.2. Medication errors;
8.1.c.3. Removal of a staff member from duty pending an investigation;
8.1.c.4. Behavior likely to lead to serious injury or significant property damage;
8.1.c.5. Involvement with law enforcement;
8.1.c.6. Possession of illicit substances, including alcohol, by anyone entering the facility;
8.1.c.7. Possession of a weapon by anyone entering the facility;
8.1.c.8. Injuries requiring medical treatment;
8.1.c.9. Reaction to medication or food requiring medical treatment;
8.1.c.10. Dietary errors with a negative outcome;
8.1.c.11. Removal of a patient from the nursery without authorization;
8.1.c.12. Fire;
8.1.c.13. Drug diversion;
8.1.c.14. Incident due to a lack of employee oversight;
8.1.c.15. Injuries of unknown origin;
8.1.c.16. Unusual occurrences, or
8.1.c.17. Any incident that has a significant and negative impact on the patient.
8.2. Critical Incident Reporting and Investigation.
8.2.a. The center shall submit a written report to the state oversight agency within 24 hours of any critical incident or accident in which a patient is involved, either inside or outside of the center. The report shall be documented on a form provided by the state oversight agency.
8.2.b. The report shall include the:
8.2.b.1. Date of the occurrence;
8.2.b.2. Time of the occurrence;
8.2.b.3. Place of the occurrence;
8.2.b.4. Details of the occurrence; and
8.2.b.5. Date and signature of the reviewing physician.
8.2.c. Maintains a record of critical incidents, investigations, and corrective actions related to infections. The records shall provide for analysis of causal factors and identification of preventative actions to be implemented.
8.2.d. Non-critical incidents that do not rise to the level of a critical incident shall be documented and monitored by the facility for trends and quality improvement opportunities.

W. Va. Code R. § 69-9-8