How to Conduct the Most Effective Incident Investigation

By Amy Stewart, RN, DNS-MT, RAC-MT, QCP-MT - September 14, 2016

The third shift nurse calls to inform you that Mr. Jones was found lying on the floor next to his bed. Immediately following the fall, he was complaining of severe right hip pain. The shift nurse notified the physician and the X-ray results indicated a right hip fracture. Mr. Jones was transferred to the hospital and admitted for surgical repair of the fracture. What happens next at the SNF?

It’s imperative to have a sound investigative process in place so that when a resident incident occurs, you can begin your investigation immediately after making sure that no other residents are at risk for harm. A process ensures that you interview the right staff members promptly, while their recollections are the most clear. The key elements for a strong investigative process follow: