Background: The purpose of this tool is to audit incident ... is captured in the report. This tool should be used by the quality improvement manager. Information systems staff may also use this tool ...

Check Yes or No. Did the patient transfer to another facility? Check Yes or No. If yes provide the name and address of the facility. Provide a narrative report of the investigation – Explain how you ...

Submit each form separately to HHSC within the required time frame of incident ... provided – Enter the patient outcome result from the hospital and the patient diagnosis upon discharge. Provide a ...