Accident Report at Nursing Care Service Facilities

In the event of an accident occurring during the provision of nursing care services

Long-Term Care Insurance designated Business Operators are required to take appropriate action to protect the life and body of users in the event of an accident during the provision of care services, as well as to contact the user's family and the relevant home care support office. They are also obligated to record the circumstances of the accident and the actions taken, and report this to the insurer.

Flow of Accident Reporting

1. Accident Occurred
2. Contact for family members of users and home care support service providers contracted with users
3. Submit the accident report to the Senior Welfare Division Long-Term Care Insurance Section using the LoGo form within approximately 5 days (however, in the case of fatal accidents or other urgent or serious incidents, report by phone immediately and then submit the accident report)
4. If the municipality where the business or facility is located and the insurer of the user are not Inagi City, report to the respective municipality as well.
5. Submit the final accident report when all relevant accident handling is complete (however, if the accident handling is complete at the time of the first report, it is not necessary).

Accident Report Subject

1. In the event that a user dies or is injured due to an accident during the provision of services (including accidents during medical treatment within the facility, transportation, or outpatient visits, as well as unauthorized outings),
2. In the event of an outbreak of food poisoning, infectious diseases (as defined in the "Law on the Prevention of Infectious Diseases and Medical Care for Patients with Infectious Diseases", including Class 1 to Class 5 infectious diseases (excluding Class 5 designated infectious diseases), novel influenza and other infectious diseases, designated infectious diseases, and new infectious diseases)
3. If the provision of services is affected due to disaster damage or machinery failure at the business establishment
4. In the case of occurrences such as pica, aspiration, or medication errors
5. If there are any illegal acts or scandals by staff (such as loss of personal information, loss of deposits, etc.) that affect the treatment of users
6. Other cases deemed necessary

Note: Please report regardless of the presence or absence of negligence and responsibility of the business.

Note: Medication errors are also subject to reporting (if an alternative medication was administered on the spot, it will be handled as a near miss).

Note: If a cluster occurs, please contact the city first.

Items that do not require an accident report

1. In the case of relatively minor injuries such as abrasions or bruises
2. In the case of natural death or death due to illness from old age

Note: Even in the above cases, items requested for reporting by the Mayor of Inagi City are considered to require a report.

Report Items

According to the LoGo form and accident report
(On March 19, 2021, the Ministry of Health, Labor and Welfare issued a notification (Long-Term Care Insurance Latest Information Vol. 943) regarding the reporting format for accidents in Long-Term Care Insurance facilities. Accordingly, Inagi City has also created a format based on the accident report format recommended by the national government as a new format. Please download and use it from the link below. Please ensure that there are no omissions in the items "Reporter", "Contact Information", "Location of Medical Institution", "Administrator Name" that are not included in the national format.)

Note: Please enter all items in the report, including those that are undecided.

Note: Regarding the "Future Measures for Preventing Recurrence," please discuss prevention measures in a meeting attended by the facility manager or administrator of the business operators, and input the results of that discussion.

Note: Please fill in without leaving any blanks.

Note: There may be inquiries from the person in charge regarding the contents of the report.

Submission Method

Please fill in the required information in the LoGo form at the URL below, attach the created file, and submit it to the city.

Note: Regarding the LoGo form, if you select "Apply immediately as is," you can apply without logging in.

LoGo Form (External Link)

• Inagi City Accident Report Submission Form for Nursing Care Service Providers(External Link)

Download Form

• Download Various Forms (For Business Operators)

About Medication Errors and Missed Doses

The number of reports of "medication errors and missed doses" is increasing. The main causes include insufficient confirmation by staff, assumptions, and anxiety due to overlapping tasks. "Medication errors and missed doses" can lead to fatal accidents in the worst cases. Please make efforts to prevent accidents from occurring, and if an accident does happen, be sure to implement recurrence prevention measures in a meeting attended by the facility manager or administrator of the business operators.

Below are examples of effective measures to prevent recurrence.

・Do not leave the person until the swallowing confirmation is complete.

Adjust to allow multiple staff members to double-check the confirmation of medication timing, such as date and morning/evening.

Do not rely on verbal confirmation for the type of medication; use the instruction manual, and if the issue is not resolved, check with a nurse or the facility director.

Change the assignment so that it is handled by employees who are relatively less fatigued right after arriving at work, rather than those who are about to leave.

・The checklist should be filled out individually for each user, not all at once.

- The confirmation before and after medication administration will be conducted by two staff members each, creating a system that allows for double-checking and cross-checking.

Staff administering medication will not provide other assistance, and if the need for additional assistance arises, they will request support from other staff.