Healthcare Risk Management Checklist: Incident Prevention
Proactively safeguard your healthcare facility. This comprehensive Incident Prevention Checklist streamlines risk assessment, reinforces safety protocols, and minimizes liability - ensuring patient well-being and operational efficiency. Download now for enhanced risk management!
This Template was installed 2 times.
Patient Identification & Verification
Ensuring accurate patient identification throughout the care process to prevent medical errors.
Patient Full Name
Patient Medical Record Number (MRN)
Date of Birth Verification
Photo ID Presented?
Notes/Discrepancies
Insurance Verification Method
Insurance Policy Number
Medication Management
Verifying medication orders, administration, and reconciliation to minimize adverse drug events.
Medication Reconciliation Complete?
Double-Check Count (if applicable)
High-Alert Medication Verification?
Any Discrepancies Noted?
Medication Reconciliation Date
Patient Education Provided?
Upload Medication Reconciliation Form (if required)
Infection Control & Prevention
Adhering to protocols for hand hygiene, sterilization, and isolation precautions to reduce healthcare-associated infections.
Last Hand Hygiene Audit Date
Hand Hygiene Compliance Rate (%)
Type of Disinfectant Used
Notes on Recent Infection Control Concerns/Observations
PPE Used for Isolation Precautions
Sterilization Method Used
Upload Hand Hygiene Audit Report
Equipment Maintenance & Calibration
Ensuring medical equipment is properly maintained, inspected, and calibrated for safe and effective operation.
Last Calibration Date
Calibration Result (e.g., +/- value)
Calibration Method
Calibration Notes/Observations
Next Calibration Due Date
Equipment Serial Number
Calibration Certificate (if applicable)
Emergency Preparedness
Reviewing and updating emergency response plans for various scenarios, including fire, natural disasters, and active shooter situations.
Last Emergency Drill Date
Type of Drill Conducted
Number of Participants in Drill
Drill Observation and Findings
Areas of Improvement Identified
Date of Next Emergency Plan Review
Emergency Contact List (Updated)
Plan Distribution Method
Staff Training & Competency
Verifying staff training records and competency assessments for relevant procedures and protocols.
Employee Name
Training Completion Date
Training Program (e.g., HIPAA, Safety)
Training Hours Completed
Proof of Completion (Certificate)
Competency Level Achieved
Trainer Comments / Observations
Incident Reporting & Analysis
Ensuring a robust system for reporting, investigating, and analyzing incidents to identify root causes and implement corrective actions.
Date of Incident
Time of Incident
Detailed Description of Incident
Incident Type (e.g., Medication Error, Patient Fall)
Number of Patients Involved
Contributing Factors Identified
Departments Involved (select all that apply)
Reporting Staff Signature
Security & Access Control
Implementing and maintaining security measures to protect patient data, prevent unauthorized access to facilities and systems.
Physical Access Control System Status
Number of Active User Accounts
Multi-Factor Authentication (MFA) Implementation
Last Security Audit Date
Summary of Recent Security Vulnerabilities & Remediation Steps
Data Encryption Status (At Rest)
Upload of Access Control Logs (if applicable)
Fall Prevention
Assessing patient fall risks and implementing appropriate preventative measures.
Patient Fall Risk Assessment Score
Patient Weight (lbs)
Vision Impairment?
Use of Assistive Devices?
Specific Fall Risk Factors Noted
Environmental Fall Hazards Present?
Bed/Chair Alarm in Place?
Communication & Handoff Procedures
Standardizing communication protocols during patient handoffs to ensure continuity of care and minimize errors.
Handoff Method Used
Summary of Patient Condition & Concerns
Patient's Current Pain Level (0-10)
Next Scheduled Follow-Up Appointment
Time of Handoff
Medication Changes/Updates
Relevant Lab Results/Diagnostic Findings
Handoff Provider Signature
Healthcare Management Solution Screen Recording
See how ChecklistGuro's healthcare management solution can improve your workflows and improve patient care! This screen recording showcases key features like: patient onboarding, task assignment, reporting. Learn how our BPM platform helps healthcare providers optimize operations and reduce administrative burden. #healthcare #healthcaremanagement #bpm #checklistguro #patientsafety #automation
Related Checklist Templates
Healthcare Patient Portal Access Checklist: Security & Usability
Healthcare Data Breach Response Checklist: Notification & Remediation
Healthcare Cybersecurity Incident Response Checklist
Healthcare IT Security Checklist: Data Protection & Access Control
Healthcare Disaster Recovery Checklist: Business Continuity & Resilience
Healthcare Audit Preparation Checklist: Readiness & Documentation
Healthcare Business Associate Agreement Checklist: HIPAA Compliance
Healthcare Vendor Management Checklist: Risk & Compliance
Healthcare Patient Experience Checklist: Satisfaction & Feedback
Healthcare Value Analysis Checklist: Cost Savings & Standardization
We can do it Together
Need help with Checklists?
Have a question? We're here to help. Please submit your inquiry, and we'll respond promptly.