Community Behavioral Health Services - San Francisco Department ...

CITY AND COUNTY OF SAN FRANCISCO COMMUNITY BEHAVIORAL SERVICES- CHILD, YOUTH & FAMILY SYSTEM OF CAREQUALITY OF CARE REPORTPrivileged And Confidential InformationQuality Of Care Reporting Categories(Back side)Quality Of Care Reporting CategoriesPlease use the following categories for reporting all Quality of Care reports. The following categories areconsidered a Quality of Care Occurrence and require a report within 24 hours: 1a, 1c, 2a,2b, 3a, 4a, 5,6, 8a, 9, 10a, 11 and 12.1a Violent behavior, physical assaults towards staff, resulting in serious injury requiring emergency medicalintervention.1b Violent behavior, physical assaults towards staff not resulting in serious injury that requires emergencymedical intervention.1c Violent behavior, physical assaults towards peer, resulting in serious injury requiring emergency medicalintervention.1d Violent behavior, physical assaults towards peer not resulting in serious injury that requires emergencymedical intervention.2a Alleged physical act of sexual assault/sexual misconduct involving clients by staff.2b Alleged physical act of sexual assault/sexual misconduct involving clients by clients.3a Suicide attempt requiring emergency medical intervention.3b Suicide attempt not requiring emergency medical intervention.4a Medication issues (administration, prescribing or dispensing errors) which result in severe adverse drugreaction (toxicity, blood dyscrasia, seizure, falls) which may result in hospitalization, emergency care ortransfer to medical unit.4b Medication issues (administration, prescribing or dispensing errors) which result in adverse drug reactionnot requiring hospitalization, emergency care or transfer to medical unit5 Acts constituting a violation of professional code of ethics or of any policy governing professional conductadopted by CBHS.6 Client death.7 Mandatory reporting, includes select reporting to licensing or regulatory agencies.8a Physical damage to a facility caused by client that results in disruption of service, closure or injuryrequiring medical intervention.8b Physical damage to a facility caused by client that does not result in disruption of service, closure orinjury requiring medical intervention.9 Accidents on-site that result in serious injury requiring emergency medical intervention.10a AWOL - Clients absent without leave from 24-hour care settings and Day Treatment.10b Absenteeism or unexplained absences from Day Treatment.11 Loss or theft of client records.12 Needlestick.13 Other.103