Serious Reportable Incident (SRIs) Reportable Incidents (RIs) (Review)

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Serious Reportable Incident (SRIs)

Reportable Incidents (RIs)

In the context of the DHCF waiver program, a "Serious Reportable Incident" (SRI) refers to a significant event that poses a serious threat to the health and safety of a participant, requiring immediate action and investigation, while a "Reportable Incident" (RI) is a less severe event that still needs to be reported but may not warrant a full investigation; examples of SRIs include death, abuse, exploitation, serious physical injury, missing persons, and significant medication errors, while RIs could include minor injuries, emergency room visits without admission, or incidents requiring temporary relocation. 

Key points about SRIs and RIs in the DHCF waiver program:

● Severity:

SRIs are considered more severe and require immediate reporting to relevant authorities like APS and the police if needed. 

● Investigation:

SRIs typically trigger a full investigation by the designated unit within DHCF. 

● Reporting requirements:

Both SRIs and RIs must be documented and reported according to established procedures. 

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Examples of Serious Reportable Incidents (SRIs):

● Death

● Physical abuse

● Sexual abuse

● Neglect

● Serious medication errors

● Missing person

● Suicide attempt

● Unplanned hospitalization

● Inappropriate use of restraints causing injury

● Severe physical injury 

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Examples of Reportable Incidents (RIs):

● Minor physical injury (falls, skin breakdown, lacerations, bruises, abrasions, blisters, sunburns, sprains, and burns.

● Medication errors without significant consequences

● Emergency room visit without admission

● Property damage

● Verbal abuse

● Temporary relocation

● Vehicle accident without significant injury 

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Fraud:  Incidents of fraud should also be reported

● Falsely documenting visits not made.

● Falsely documenting time. (arriving late or leaving early).

● Falsely documenting services provided.

● Paying patients for services not provided.

● Reporting knowledge of any of the above done by other providers.

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Prepared by PSHC In-Service Exams 2025