Quality Event Flow Chart Quality Event Phoned to Risk Management Ask caller to submit EVR Area Manager Follow-Up Risk reduction plan Patient Safety Event Report Filed Refer to QMS Yes Preliminary QMS Review No Potential risk Liability issue? Refer to Risk Management Involved Individuals present at IRC Action Plan Developed No Potential or actual harm & process Issue? Yes Further Investigation Data Tracking for Trends IRC Assessment No Root Cause or Causal Analysis Necessary? Yes Cause Map Completed with Action Plan developed Data Tracking and Evaluation of Action Plan Implemented END
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