Please complete this form for any adverse incident or significant event.
- To record adverse incidents affecting patients or staff
- To record “near misses” so that steps can be taken to prevent recurrence
- To improve the quality of care
- To analyse and learn from significant events
Who completes this form and when?
- The person who witnessed, discovered or was involved in the incident
- Doctor, nurse, driver or controller
- At the time of the incident or as soon as possible afterwards