Every healthcare facility needs a system for recording medication incidents. A medication incident report form is an efficient way to document and track these events. This form can be used to report any type of adverse drug reaction, from mild to life-threatening. By tracking medication incidents, healthcare facilities can improve patient safety and identify potential problems with specific medications. Themed around how electronic health records could create more comprehensive surveillance of drug reactions leading possibly fewer incidences all together by having EHR pull information related to patients current prescriptions drugs and interactions therein beyond the doctors note as well as diagnosis codes, this post will focus on the not just benefits clinical staff but also hospital administration in reducing risk and incidence rate.
You could find it useful to understand the amount of time you'll need to fill out this medication incident report and exactly how lengthy this
| Question | Answer |
|---|---|
| Form Name | Medication Incident Report |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | sample incident report medication error, medication error incident report sample letter, in home medication error template, medication error reporting format |
MEDICATION ERROR/INCIDENT REPORT
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Date of Incident
Reason for Report: Missed medication, wrong medication, etc. Give a detailed report as to how incident happened:
Action Taken/Intervention:
Describe how this incident could be avoided in the future:
Name of parent/guardian who was notified:
Time/date of notification:
Printed name of person preparing report
Signature of person preparing report
Follow up contact/care:
Child Care Facility Director/Administrator signature_____________________________________