SafeReport · Patient Safety IRReport a patient safety incident
Incidents, adverse events and near misses. Takes under two minutes — every field except the description is one tap.
You’ll get an IR number to track the outcome. Reporting a near miss is as valuable as reporting harm.
Report received
Thank you for speaking up. Your report is now with the Quality & Patient Safety team only.
Triage queue
New and in-review incident reports. Triage SLA: 24 h from submission; RCA required for moderate harm and above.
IR-2608-104
Medication error · moderate harm · Wards Tower L4 · reported 6 days ago by a staff nurse (named report)
Incident
Patient (UHID ••••2913) prescribed enoxaparin 40 mg OD received 60 mg for two consecutive doses. Prescription was modified in HIS but the ward’s printed MAR was not reprinted. Identified at pharmacist reconciliation; physician informed, anti-Xa monitored, no bleeding event. Patient and family informed per disclosure policy.
Triage — Quality, day 0
- Classification
- Medication error — administration (wrong dose)
- Harm level
- Moderate — monitoring required, no lasting harm
- RCA required
- Yes (moderate+) — assigned to Nursing + Pharmacy + IT
- Immediate action
- Ward advisory: reprint MAR on every HIS prescription edit
Root cause analysis — 5 whys
CAPA — corrective & preventive actions
Effectiveness check — scheduled
Quality re-audits L4 medication administration 30 days after CAPA completion (target: zero stale-MAR administrations in audit sample). IR closes only after the check passes; reporter is notified of the outcome.
Safety trends
De-identified, for the monthly patient safety committee. A rising report count with a rising near-miss share is a healthy reporting culture, not a worsening hospital.