nyc doe incident report
INCIDENT/ACCIDENT REPORT
Completion of this report includes prompt presentation of report to your immediate supervisor for investigation, then to the departmental risk management
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DOE F 5484.3
INDIVIDUAL ACCIDENT/INCIDENT REPORT. Official Use Only - Privacy Act. 1 If Yes, was seat belt in use? 30. Did vehicle accident involve recordable injury? 31
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Surgical Site Infection Event (SSI)
Jan 1, 2025 If an SSI is determined, the reporting facility should indicate Detected = RO (patient readmission to a facility other than where procedure was
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