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International Accreditation of Healthcare Facilities

Standards › Standard 2A › Forms

Form · INC-FRM-001 · Version 1.1 · Approved by the ASF Expert Committee

Supports: 2A.6

Purpose

To record a serious incident review: facts, timeline, root causes, actions and the sign-off.

How to complete

Checks

Check Entry
Classification recorded within 2 working days Yes [EC]
Review team has no one directly involved Yes [EC]
Timeline with times and sources Yes [EC]
Root causes are system factors Yes [EC]
Each action has owner, due date and measure Yes [EC]

Evidence

Reference Note
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version Approved by the ASF Expert Committee
1.1 the date of approval Internal quality review: corrected cross-references, status wording and document control Approved by the ASF Expert Committee

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References

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