Incident Report Category Category Classifications
Abduction
Behavioral Incidents
Death
Abduction
Verbal aggression to other
Physical aggression to other
Property damage
Self injurious behavior
Sexual
Suicide ideation/threat
Suicide attempt
Homicide attempt/threat
Unauthorized leave of absence
Violating program/house rules
Other
Natural Causes
Accident (under supervision)
Environment of Care
Hospitalization
Injury/Accident
Accident (not under supervision)
Suicide
Unknown at time of report
Fire/smoke incident
Other
Medical
Psychiatric
ER Visit
Bruise/Scratch or other non-seri
No injury observed
Consumer to Consumer
Consumer to Staff
Injury of unknown origin
Fall
E.II Incident Report Categories and Classifications
Classification Definition
Consumer taken against their will or person without proper authority took consumer
Consumer verbal aggression to another, i.e. yelling, swearing, threatening
Consumer physical aggression to another, i.e. push, kick, hit
Consumer causes damage to home, vehicle, property of another
Consumer harms self but was not suicidal. i.e. head banging, picking behavior
Consumer exhibits inappropriate or risky sexual behavior
Consumer considers or threatens suicide
Consumer attempts suicide
Consumers attempted or threatened homicide of another person
Consumer left setting without notice
Consumer act that is against house rules. i.e. drinking alcohol on site
Behavioral incident that does not fall into one of the above categories
Consumer death where cause of death was a naturally occurring disease process, or is not apparent given medical history or circumstances
Consumer death occurred as a result of an accident while under staff supervision
Consumer death occurred as a result of an accident while not under staff supervision
Consumer death caused by their own intentional act
Cause of death is unknown
Incident with consumer present involving fire or smoke
Power outage, gas leak, inclement weather, etc
Consumer hospitalized due to health issues
Consumer hospitalized due to psychiatric issues)
Consumer injury or accident requiring treatment at emergency/ urgent care/hospital
Bruise, scratch or other injury found on consumer that is non serious
Consumer accident or fall but no observable injury
Injury to consumer resulting from another consumer
Injury to staff resulting from consumer
Injury observed, but cause unknown
Consumer fell
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Incident Report Category Category Classifications
Legal
Medical/Health Issues
Other
Arrest
Conviction
Ingestion
Seizure
Illness
Care protocol not followed
Medication Incidents (Who)
Medication Incidents (What)
Medical Supplies/Appliances
Refused medical treatment
Other
Staff Related
Recipient Related
Pharmacy error
Missed Meds
Refused Meds
Look alike/sound alike
Wrong med
Wrong dose
Double dose
Adverse Reaction
E.II Incident Report Categories and Classifications
Classification Definition
An injury/accident that does not fit the description of the other IR Injury/Accident codes.
Consumer was arrested
Consumer convicted of a crime
Consumer ingested something causing medical or health issues
Consumer had a seizure
Consumer illness
A protocol or procedure such as a nursing or licensing protocol was not followed, such as med passing or treatment protocols (e.g. tube feeding)
Consumer did not receive care due to unavailability of medical supplies or appliances
Consumer refused medical treatment such as refusal to seek care at ER or care for a scratch or other injury
A Medical/Health incident that does not fit the description of the other
Medical/Health IR Codes.
Incident occurred due to staff action or inaction. Please also select a “Medication
Incidents - What”
Incident occurred due to consumer action or inaction. Please also select a
“Medication Incidents – What”.
Incident occurred due to pharmacy error. For example mislabeled medication. Please also select a “Medication Incidents – What”.
Consumer did not receive medication as prescribed. Please also select a “Medication
Incidents – Who”
Consumer refused medication.
Incident occurred due to the medication looking or sounding like another medication and was given in error. Please also select a “Medication Incidents – Who”.
Wrong medication was given or taken by the consumer. Please also select a
“Medication Incidents – Who”.
Wrong medication dosage was given or taken by the consumer. Please also select a
“Medication Incidents – Who”.
A double dose of medication was given or taken by the consumer. Please also select a “Medication Incidents – Who”.
Consumer had a bad reaction to medication
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Incident Report Category Category Classifications
Other - Staff documentation Other
Physical Intervention Release
Hands Down
Property (recipient)
Sexual Assault
Control Position
Block
Theft
Loss
Missing money
Recipient to Recipient
Other to Recipient
E.II Incident Report Categories and Classifications
Classification Definition
Does not require coding
Physical intervention technique meant to get the consumer to release such as bite or hair pull
Physical intervention technique used to prevent consumer self injurious behavior
Physical intervention technique such as wrap, come along, or take down when there is significant risk of harm to consumer or others
Physical intervention technique meant to deflect consumer physical aggression toward staff or others
Consumer property was stolen by a consumer, staff or another individual
Consumer property was lost
Consumer is missing money
Consumer assaulted another consumer
A person who was not a consumer assaulted consumer
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