Create Incident - OCB

The immediate priorities when a Patient Safety Incident is identified are:

stabilize the clinical condition of affected patients
act to prevent further harm to affected or other patients
act to prevent the incident happening again

An initial report should be submitted as soon as these steps are complete. Do not wait for an investigation of the incident to be completed, as support for this may be required from Coordination or Headquarters.

Create Incident - OCB

Title

Department Area

Date of Incident

Time of incident (24h format)

Type

Main Activity(ies)

Description of incident

MSF Project name & Location

Non-MSF Email Address

First Name

Last Name

Patient Reports

You must add at least one patient report and no more than 4.

Patient Report 1

Patient File Number and or Initials

Patient outcome

Age

Unit

Days Months Years

Sex

Incident communicated to patient and/or family

You can add up to 4 patient reports.

This verification step prevents unauthorized or automated submissions.