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    Medical Incident Report Template OCA

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    Shafis Khan
    This medical incident report from a MSF facility in Malaysia in February 2013 describes an incident involving a patient where details of their age, sex, diagnosis, treatment, how the incident was discovered, patient outcome, medications involved, immediate actions taken, who was informed, root cause analysis, further actions planned, and whether compensation was offered are to be documented. The report will be reviewed by MSF headquarters to determine if appropriate action was taken, further review is needed, or additional action is required by the mission or organization.

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    Medical Incident Report Template OCA

    Uploaded by

    Shafis Khan
    21 views2 pages
    This medical incident report from a MSF facility in Malaysia in February 2013 describes an incident involving a patient where details of their age, sex, diagnosis, treatment, how the incident was discovered, patient outcome, medications involved, immediate actions taken, who was informed, root cause analysis, further actions planned, and whether compensation was offered are to be documented. The report will be reviewed by MSF headquarters to determine if appropriate action was taken, further review is needed, or additional action is required by the mission or organization.

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    This medical incident report from a MSF facility in Malaysia in February 2013 describes an incident involving a patient where details of their age, sex, diagnosis, treatment, how the incident was discovered, patient outcome, medications involved, immediate actions taken, who was informed, root cause analysis, further actions planned, and whether compensation was offered are to be documented. The report will be reviewed by MSF headquarters to determine if appropriate action was taken, further review is needed, or additional action is required by the mission or organization.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    21 views2 pages

    Medical Incident Report Template OCA

    Uploaded by

    Shafis Khan
    This medical incident report from a MSF facility in Malaysia in February 2013 describes an incident involving a patient where details of their age, sex, diagnosis, treatment, how the incident was discovered, patient outcome, medications involved, immediate actions taken, who was informed, root cause analysis, further actions planned, and whether compensation was offered are to be documented. The report will be reviewed by MSF headquarters to determine if appropriate action was taken, further review is needed, or additional action is required by the mission or organization.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    February 2013

    MSF-OCA MEDICAL INCIDENT REPORT

    Reported By: Date:

    Project/health
    Country: malaysia Health facility
    facility:

    DETAILS

    DATE AND TIME:

    RESPONSIBLE HEALTH CARE WORKER:

    DESCRIPTION OF THE INCIDENT:

     Patient age and seks :

     Diagnosis and treatment :

     How was the incident discovered/intercepted?

     Patient outcome:

     Generic and brand names of all medication involved:

     IMMEDIATE ACTIONS TAKEN:

     WHO HAS BEEN INFORMED AND WHEN:

     WHAT IS THE ANALYSIS OF ROOT CAUSE OF THE INCIDENT:

     FURTHER ACTIONS TO BE TAKEN:

     WAS COMPENSATION OFFERED TO THE PATIENT/FAMILY? If not, why not?


    February 2013

    Headquarters Feedback:

     All appropriate action taken


     Requires further review at HQ level
     Additional action required either for mission or organisation

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