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INCIDENT REPORTING
INCIDENT (ACTUAL / NEAR MISS)
OCCURRED
IMMEDIATE ACTION / DAMAGE CONTROL
Prior to the notification, priority should be given to the immediate action in
order to remove the danger or hazard, help the patient and instituate
necessary management / treatment
FILL UP IR 2.0 FORM (SECTION A)
TO BE COMPLETED BY REPORTER & SUBMITTED TO QUALITY
MANAGER WITHIN 48 HOURS FROM THE TIME OF INCIDENT
As part of good leadership & clinical governance, please inform your Head
of Department immediately
SUBMIT TO QUALITY MANAGER
FILL UP IR 2.0 FORM (SECTION B)
TO BE COMPLETED BY QUALITY MANAGER
DECIDE LEVEL OF ACTION & ISSUE Í.R.PRESCRIPTION SLIP’(IF NECESSARY)
Refer to the section on 'Incident Reporting Prescription Slip'. Inform the Hospital
Director, State Health Department and Patient Safety Unit immediately if the
incident involved 'severe / death' outcome or patentially medico lecal
SUBMIT e-IR
TO BE COMPLETED BY QUALITY MANAGER WITHIN 5
WORKING DAYS FROM DATE OF INCIDENT
To prevent duplicate entry, notification via e-IR need to be done by Quality
Manager or representative. Kindly visit the official Patient Safety Unit,
MoH Malaysia Website ( www.patientsafety.moh.gov.my)
for access and further information
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