Date of Graduation

Fall 12-14-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Behavioral Health (MSBH)


School of Nursing and Health Professions

First Advisor

Kathleen Raffel


The Progress Foundation, as licensed by the state of California and the Community Care Licensing, is required to use incident reports for internal audits and remain in compliance as a health facility. Incident reports are used to record events or accidents that have occurred within an organization. Often times, reports are made, handed off, and given from the residence home to the Community Care Licensing with little to no information of how an incident was managed. The Progress Foundation is working towards tracking information from the incident reports to improve internal management and understand the trends in the reports.

In order to identify trends and understand the internal processes of incident reports, 2000 plus reports from July 2015 to July 2018 were analyzed. The reports were categorized by date, program at which the incident occurred, and type of incident on the report. Findings suggested that incident reports were more likely to be categorized as unauthorized absences, hospitalizations, medical emergencies, and the “other” category. The reports were also found to have errors in reporting such as marking two or more categories which could have been defined through one incident.

The Progress Foundation was provided a Google Form document to track incident reports in the future. Along with that, the Progress Foundation may need to integrate simpler instructions in how to record incident reports. This will help manage and understand trends in incidents as well as improve the reporting system.