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Patient Safety Incident Reporting Form

Patient Safety Incident Reporting Form Template for Singapore

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Key Requirements PROMPT example:

Patient Safety Incident Reporting Form

"Need a Patient Safety Incident Reporting Form for our new private mental health clinic in Singapore, focusing on medication errors and patient falls, with additional sections for capturing psychiatric symptoms and behavioral incidents."

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What is a Patient Safety Incident Reporting Form?

The Patient Safety Incident Reporting Form is a crucial document required by Singapore's healthcare regulatory framework. It serves as an essential tool for healthcare providers to document, track, and analyze patient safety incidents, enabling systematic improvement of healthcare delivery. The form aligns with Singapore Ministry of Health guidelines and the Healthcare Services Act 2020, requiring detailed documentation of incidents, immediate actions taken, and contributing factors. This standardized reporting mechanism helps healthcare organizations maintain compliance, identify trends, and implement preventive measures to enhance patient safety.

What sections should be included in a Patient Safety Incident Reporting Form?

1. Incident Details: Date, time, location, and type of incident

2. Patient Information: Basic patient demographics and medical record number

3. Incident Description: Detailed narrative of the incident including what happened, how it happened, and immediate impact

4. Immediate Actions Taken: Steps taken to address the incident and mitigate any harm

5. Staff Involved: Details of healthcare workers involved in or witnessing the incident

What sections are optional to include in a Patient Safety Incident Reporting Form?

1. Witness Statements: Additional observations from witnesses when present during the incident

2. Equipment Details: Information about medical equipment involved in cases of equipment malfunction or misuse

3. Next of Kin Notification: Details of family notification in cases of serious incidents

What schedules should be included in a Patient Safety Incident Reporting Form?

1. Incident Classification Guide: Reference guide for categorizing incidents according to MOH guidelines

2. Risk Assessment Matrix: Tool for evaluating incident severity and likelihood

3. Investigation Checklist: Standardized checklist for incident investigation procedures

4. Supporting Documentation Template: Template for attaching photos, diagrams, or additional relevant documents

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
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Industries

Healthcare Services Act 2020 (HCSA): Primary legislation governing healthcare services in Singapore, including requirements for incident reporting and patient safety measures

Private Hospitals and Medical Clinics Act (PHMCA): Regulatory framework for private healthcare facilities, including incident reporting obligations and safety standards

Medical Registration Act: Legislation governing medical practitioners' responsibilities and obligations in patient safety incidents

National Patient Safety Goals: Singapore's framework of safety objectives and standards for healthcare institutions

MOH National Guidelines for Patient Safety Incident Reporting: Ministry of Health's specific guidelines on how to report and learn from patient safety incidents

Personal Data Protection Act 2012 (PDPA): Law governing the collection, use, and disclosure of personal data, including patient information in incident reports

Healthcare-specific Data Protection Guidelines: Specific data protection requirements for healthcare sector incident reporting

Private Hospitals and Medical Clinics Regulations: Detailed regulations for healthcare facilities including specific incident reporting requirements

SMC Ethical Code and Guidelines: Singapore Medical Council's professional standards and ethical requirements for incident reporting

Singapore Nursing Board Standards: Professional standards for nurses including their roles in incident reporting

Sentinel Events Reporting Requirements: Specific requirements for reporting serious patient safety incidents and adverse events

Evidence Act: Legal framework governing the use of incident reports in legal proceedings

Limitation Act: Statutory time limits for legal claims related to patient safety incidents

Mental Capacity Act: Legal framework for handling incidents involving patients who lack mental capacity

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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