What information should be included in incident report documentation?

• A. Name and Date of Birth
• B. Date and times, location, description with facts, names of witnesses, correction actions, and equipment ID
• C. Patient's full medical history
• D. Billing information

Answer: (B)

Incident reports should capture objective, factual details of what occurred so the event can be investigated, corrected, and used to prevent recurrence. The information typically included—when the incident happened, where it occurred, a clear description of what happened with factual specifics, names of witnesses, actions taken to correct or contain the situation, and the equipment involved—is what creates a complete, traceable record. This focus supports safety improvements and accountability without drifting into unnecessary or private information. Other details like a patient’s full medical history or billing information aren’t part of incident documentation, because they aren’t needed for understanding the event and could raise privacy or relevance concerns.