Professional Quality Assurance Incident Report


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Do you have an idea of what you want to draft, but you cannot find the exact words yet to write it down or lack the inspiration how to make it? If you've been feeling stuck, this Quality Assurance Incident Report template can help you find inspiration and motivation. This Quality Assurance Incident Report covers the most important topics that you are looking for and will help you to structure and communicate in a professional manner with those involved. 

The PWH ICU internal confidential critical incident reporting system (CIRS) AIRS • • • • • • • • This is a web-based electronic reporting system serving as a tool to support risk management by facilitating the reporting, classification, analysis and management of incidents It is the HA risk management policy that frontline staff have an obligation to report incidents Reporting is non-anonymous Categories for reportable incidents include o Patient safety related incidents o Incidents of specific medicolegal implications o Incidents that require immediate management intervention The above criteria is not exhaustive How to report o You need a HA computer portal o Follow prompts on display on the screen The hospital risk management team will screen the reports and those incidents that require attention/action will be reported to relevant parties including the COS and Director, or where appropriate the Department Operations Manager of the department involved After collecting appropriate written documentation, the investigation process examines the following: o System faults April 2006 o o o • CIRS • • • • • • • Environmental problems Personnel faults Possibility of no fault System changes, if required, are instituted This is our own in-house ICU reporting system for purposes of quality assurance Aims to improve patient safety and prevent/minimize similar incidents from happening in the future It is strictly confidential and reporting is on a voluntary basis What incidents should be reported ICU staff members (nursing and medical) are encouraged to report any events that occurs during their practice in ICU which could have reduced, or did reduce the safety margin for the patient under their care Regular reminders are distributed every 3 months There are 2 methods of reporting: o By filling out a standardized critical incident form and placing the completed report in a locked postbox in the ICU, located at the ICU nurses’ station o On-line reporting – the ICU has set-up

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