Ambulatory Patient:: Medical Error/Potential Medical Error/Incident Form

Form Template

Whenever a medical error, potential medical error or incident is identified, it should be reported.

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We define these as follows: Medical Error - failure of a planned action to be completed as intended or use of a wrong plan to achieve an aim. Incident - occurrence which happens to a patient, visitor or property which is inconsistent with proper procedure or routine operations, inconsistent with intended care or injurious or has potential to result in injury, property harm or negative consequences. Use the Ambulatory Patient: Medical Error/Potential Medical Error/Incident Form mobile app to report events.

Audits in the GoCanvas Application Store can easily be customized to meet your medical practices specific assessments in simply minutes. You can Customize an app by editing one from the Application Store.

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