What To Include in a Medical Incident Report

A medical incident report is a document that records an unplanned event or near miss in a healthcare setting….

A medical incident report is a document that records an unplanned event or near miss in a healthcare setting. The information should include a description of the incident, the names of any staff involved, and any actions taken in response to the incident. Keep reading to learn more about what to include in a medical incident report.

What should be included in an incident report?


An incident report is a document filled out in the case of an accident or injury that occurs while receiving medical treatment. The report should include information about the nature of the injury, how it happened, and any treatment given. Including information about the patient’s health history and any preexisting conditions may also be necessary.

This report includes information on the incident itself, as well as on the patient involved. The goal of this document is to help identify any potential safety risks and to prevent future medical incidents from happening. Some of the information that should be included in a medical incident report consists of the date and time of the incident, the location of the incident, the names of the patients involved, a description of the incident, what caused the incident, what steps were taken to address the incident, any potential injuries that were sustained, and any potential consequences of the incident.

This information can help investigators determine the cause of the incident and identify any safety risks that must be addressed. It can also help healthcare providers learn from past mistakes and improve patient safety.

What happens after I file an incident report?

When an individual experiences or witnesses a medical incident, it’s essential to report the event as soon as possible. The purpose of an incident report is to provide accurate and timely information about the event so that appropriate action can be taken.

Once you have filed a medical incident report, you must stay patient and wait for a response from the hospital or healthcare organization. In many cases, they will investigate the incident to find out what went wrong and how it can be prevented from happening again. You may be contacted by hospital staff for more information about the incident or to provide a statement.

If you have suffered any injuries or health complications from the medical incident, seek medical attention and keep all medical records and bills related to the incident. You may also consider speaking to an attorney to discuss your legal options. Speaking with an attorney can help to determine if the offer is fair and understand your legal options. If you do not feel comfortable accepting the offer, you can choose to pursue a lawsuit.

The hospital or healthcare organization should provide you with an update on the status of the investigation at regular intervals. If they find that the incident resulted from negligence or malpractice on the part of the hospital or staff, they will likely offer you a settlement.

Who should be notified when an incident report is filed?


If an incident report is filed, a few different people should be notified. Other people may need to be contacted depending on the severity and type of the incident. The people who should be notified when an incident report is filed include:

  • The patient or the patient’s representative
  • The doctor who treated the patient
  • The hospital administrator
  • The hospital quality improvement team
  • The hospital risk manager
  • The insurance company or companies covering the patient

A comprehensive and accurate medical incident report is critical so all involved parties can understand what happened and how to prevent it from happening again. The report should include all relevant positive and negative information so it can be used as a learning tool.