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Event details by discoverer/reporter

Event Report Number

The date the event report was sent

REPORTING SPECIALTY

Event Date and time

Event discovery date and time

Event area

Event location

New location added

Departments Involved

Are there any affected people?

People affected

Statement 1

Statement 2

Incident Type Please check the relevant fields

Type of incident Basic classification

Incident Type Secondary Classification

Incident Type Classification Analytical

Add new analysis type

Event Description by Reporter/Discoverer

Occurrence Description: (If more space is needed, please attach your description) أثناء إجراءات دخول مريض إلى قسم الطوارئ، تم تأخير طفيف في تسجيل البيانات في السجلات الطبية الإلكترونية، مما أدى إلى تأخير تحويل المريض إلى القسم المعني لاستكمال الفحوصات.

Immediate action taken by the discoverer

Select other help

Immediate action taken by discoverer/othersتم إبلاغ المشرف المباشر فورًا بالتأخير الذي حدث. قمت بسرعة بمراجعة البيانات الطبية وتصحيح السجلات، واتبعت الإجراء المناسب لتحويل المريض إلى القسم المعني بعد التأكد من دقة المعلومات.

Admin

Date and time the report was sent to the Quality and Risk Management Officers.

Date and time the report was received by the Quality and Risk Management Officers.

This report is electronic and all transactions are recorded in the database.

Forward the report to the relevant person/department.

Date and time the report was forwarded to the relevant person/department.

The severity of the outcome

Recommended Corrective Action:

Recommended corrective action

تحسين عملية إدخال البيانات في السجلات الطبية لتسريع التحويلات المستقبلية

Send a request to the Quality Department to amend the report if the report is not received by the Quality Department.

Do you want to make any changes to the event notification report

Reason for modifying the report

for trial purposes only; saving is not allowed