RISKProbability of adverse event occurring. Identification through screening tools, assessments, clinical judgment. Strategies implemented to mitigate. Regular monitoring and reassessment. Documentation of level and actions.
MANAGEMENTThis information is available on The Pulse intranet (The Pulse/PolicyMedical). Situations where we cannot serve a client are documented in: the referral tracking system or intake database (declined referral log), program-specific waitlist management systems, and quality improvement trackin
ASSESSMENTSystematic evaluation using validated tools. Completed within required timeframes and when status changes. Documentation supports care planning. Required for accreditation compliance.
INCIDENTSUnexpected event causing or potentially causing harm. Reporting without blame enables learning. Investigation identifies contributing factors. Disclosure to client/family per policy. Actions prevent recurrence. Documentation supports improvement.
REPORTINGClients and families can raise concerns or complaints through multiple channels including speaking to their care provider, contacting the manager/supervisor, using feedback forms, or contacting patient relations. The process is explained to clients.
INVESTIGATIONClient rights include the right to respectful care, informed consent, privacy, confidentiality, access to records, refuse treatment, and raise concerns without reprisal. Rights are explained at admission and posted in client areas. If a rights violation is reported, we immediately ensure c
MITIGATIONExample: Client wants to return home but assessment indicates safety concerns. We balance respect for autonomy with duty to protect from harm through: capacity assessment, exploring risk mitigation, offering alternatives, family involvement, documenting decision, and respecting informed ch
DISCLOSUREThe protocol for information sharing with clients and families is located in policy ADMIN-017-1 Privacy of Personal Information & Personal Health Information and ADMIN-006-2 Patient/Resident Confidentiality & Security, both available on the Pulse intranet. Protocols cover circle of care, c
MONITORINGRegular observation and tracking of indicators, interventions, outcomes. Frequency based on risk level. Results analyzed for trends, shared with team. Supports early intervention and improvement.
PREVENTIONEvidence-based strategies to reduce adverse events. Risk factors identified, interventions implemented, effectiveness evaluated. Proactive approach improves outcomes and supports accreditation.
