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Scope and Content Note
These reports describe "incidents" where dangerously unusual behavior was displayed by a patient or staff member, such as refusal to follow proper procedure or instructions, and especially where injury, violence, or accident occurred. Reports are present from both the Nursing and Quality Assurance Offices.
The Quality Assurance Office reviewed reports to ensure that staff were properly following policies and procedures; some reports (particularly those involving major injury or death) were additionally reviewed by the Board of Visitors for final response, and copies of those reports appear in the Board's records.
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