Medical Office Incident Report

Medical Office Incident Report


I. Incident Details

A. Date and Time of Incident:

May 15, 2050, 10:30 AM

B. Location of Incident:

Reception Area

C. Incident Description:

A patient became agitated while waiting for their appointment and started yelling at the receptionist, demanding to be seen immediately

II. Persons Involved

A. Patient Information:

Information

Details

Name:

John Smith

Date of Birth:

January 10, 1985

Address:

4743 Hill Street, Florida, OH 43545

Contact Number:

555-123-4567

B. Staff Member Involved:

Information

Details

Name:

Emily Johnson

Position:

Receptionist

Department:

Front Desk

Contact Information:

emily.j@email.com

III. Witnesses

A. Witness 1:

Information

Details

Name:

Sarah Smith

Contact Information:

sarah.smith@email.com

B. Witness 2:

Information

Details

Name:

David Brown

Contact Information:

david.brown@email.com

IV. Incident Assessment

A. Severity of Incident:

Medium

B. Impact on Operations:

The incident caused disruption to the waiting area and created tension among other patients.

C. Immediate Action Taken:

The receptionist calmly attempted to de-escalate the situation and offered the patient a private space to discuss their concerns.

V. Recommendations

A. Preventive Measures:

  • Implement training sessions for staff on handling difficult situations and de-escalation techniques.

  • Consider installing panic buttons in the reception area for immediate assistance in similar situations.

B. Training Needs:

Provide additional training for all front desk staff on conflict resolution and customer service skills.

VI. Follow-Up Actions

A. Follow-Up Date:

May 20, 2050

B. Follow-Up Responsible:

Emily Johnson

C. Status Update:

Emily Johnson has completed the training module on conflict resolution and has reported feeling more confident in handling similar situations in the future.

VII. Attachments

  • CCTV footage of the incident

  • Incident log entry


For any further inquiries or updates regarding this incident report, please contact [Your Name] at [Your Email] or [Your Company Name] at [Your Company Email].

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