Analysis of incidents is a major responsibility of an agency. Using the General Event Reporter (GER) in Therap provides administration with a great deal of information and its’ value is in the analysis of that data. Analysis is an on going project in order to be responsive to events and take actions prior to them developing into repeated or more serious incidents. OPWDD has provided guidelines for what elements are basic for a trend analysis and I have provided those here.
Elements of an Acceptable Incident Trend Report
An acceptable incident trend report must:
Include the agency’s approach and commitment to incident management.
Include the make‐ up of the agency’s Incident Review committee(s) and subcommittee(s), if
applicable, and schedule of meetings and summary of activities for the period of time included
in the report.
Include that the committee, in accordance with agency policy, will report periodically (monthly,quarterly, etc.) but no less than annually to the CEO, Governing Body, and (if voluntary provider) to the DDSO on the committee’s:
1. general monitoring functions;
2. general identified trends in reportable incidents, deaths, serious reportable incidents,
allegations of abuse and other incidents which do not meet the definition for a reportable
incident (commonly referred to as occurrences, minor events, agency reportable, etc.)
and also medication errors if managed through the agency’s incident management process;
3. general identified trends in injuries of unknown origin regardless of category and
classification including occurrences (this may be done by the full committee or a member of
a subcommittee reporting to the full committee);
4. recommendations on corrective, preventative and/or disciplinary action pertaining to
identified trends; and,
5. recommendations to the CEO or designee to prevent recurrence of incidents presenting a
Include aggregated data and information and not individual case specifics unless egregious or
identifying a trend across the agency operations.
Include a trend analysis which contains examination of information including:
1. a comparison of incident types and number over a period of time;
2. identified trends by site, time, location, staff involved, individual involved, circumstances and any other pertinent information;
3. identified reasons for the trends and increases/decreases in incidents;
4. identified systemic changes implemented based on incidents reported and an analysis of
whether these changes were effective; and,
5. recommendations for future actions.