<P> Most incident reports that are written involve accidents with patients, such as patient falls . But most facilities will also document an incident in which a staff member or visitor is injured . </P> <P> In the event that an incident involves a patient, the patient will often be monitored for a period of time following the incident (for it may happen again), which may include taking vital signs regularly . </P> <P> The latest guidebook for the index of the International Classification of Diseases, Edition 10, Clinical Modifications (the ICD - 10 - CM) has, in Chapter 20 (External Causes of Morbidity, Codes V00 - Y99), a section of external cause codes to identify and track the occurrence of certain serious medical and surgical errors and other serious events, which could constitute malpractice . Some of this data this data is collected by the National Quality Forum's never events . The federal and state governments use the never events list as the basis for quality indicators and state - based reporting systems . Some of these are: Y65. 51 (Performance of the wrong procedure or operation on the correct patient); Y65. 52 (Performance of a procedure or operation on a patient not scheduled for a procedure or operation); and Y65. 53 (Performance of the correct procedure or operation on the wrong side or the wrong body part of the patient). </P>

Who determines the information to be included in an incident report