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NASA Ball NASA
Procedural
Requirements
NPR 1850.1
Effective Date: May 11, 2010
Expiration Date: May 11, 2015
COMPLIANCE IS MANDATORY
Printable Format (PDF)

(NASA Only)

Subject: Quality Assurance of the NASA Medical Care

Responsible Office: Office of the Chief Health & Medical Officer


| TOC | Preface | Chapter1 | Chapter2 | Chapter3 | AppendixA | AppendixB | AppendixC | AppendixD | AppendixE | ALL |

Appendix D. Medical Incident Investigation

D.1 Introduction

D.1.1 Medical incident investigations will be conducted by an independent panel according to the procedures noted below. The panel will include personnel with similar experience and expertise as those involved in the medical incident. Physician members shall be board certified and experienced in the appropriate area of interest.

D.2 Responsibilities

D.2.1 The Center Chief Medical Officer/Medical Director (CMO/MD) will ensure that the Chief Health and Medical Officer (CHMO) is notified of all medical incidents involving serious physical or psychological injury or death.

D.2.2 The Center Chief Medical Officer/Medical Director and Center Occupational Health Contracting Officer Technical Representative (COTR), or the appropriate official that serves as that COTR, will appoint the independent panel to investigate the incident.

D.2.3 The CHMO will appoint the investigating panel in cases involving the CMO/MD.

D.3 Process Description

D.3.1 Minimum factors the independent panel will consider include:

a. Human Factors such as:

b. Operational and System Factors such as:

c. Witnesses - All witnesses will be informed that their statements may not be confidential and that they will be interviewed upon their consent.

d. Possible Criminal Behavior - If a criminal violation is suspected, the CHMO must be immediately notified in writing who, in turn, will notify appropriate NASA legal counsel (i.e., the Office of General Counsel and the Office of Inspector General). The investigation will stop pending further guidance from the CHMO and the appropriate NASA legal counsel.

D.3.2 The panel will determine if the standard of care was met.

D.3.3 The panel will report findings and provide all relevant records and data collected to the CHMO. The CHMO may convene the Center CMOs and/or elements of the Medical Policy Board to review the investigation results and recommend actions. Adverse actions taken against privileged providers will be performed in accordance with Appendix E.



| TOC | Preface | Chapter1 | Chapter2 | Chapter3 | AppendixA | AppendixB | AppendixC | AppendixD | AppendixE | ALL |
 
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