Voluntary Reporting Of Medical Errors And Accidents Form

Dear Colleagues, Through This Form, You Can Report Any Incident In Which You Or Others Are Involved The Purpose Of Reporting Errors Is To Avoid Repeating Errors There Will Be No Punishment Or Blame From The Authorities The Information Obtained Will Be Provided To Other Interlocutors Without Mentioning The Name And Relevant Department, So As To Avoid Duplication Of Similar Cases And Serve As A Documented Experience

The Importance Of Mistakes

Error Occurance Possibility

Error Range

The Drug items

Causes

Nursing

Diagnosis

Surgery

Please Mark The Severity Of The Event By The Following Categories






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