Get Meqi Hard Copy Form For Use 100106 - Shepscenter Unc

This guide provides detailed instructions on completing the MEQI HARD COPY FORM FOR USE 100106 - Shepscenter Unc effectively. By following these steps, users can ensure accurate reporting of medication errors while maintaining confidentiality.

Follow the steps to fill out the MEQI hard copy form correctly.

1. Click the ‘Get Form’ button to obtain the form, which will open for you to begin filling it out.
2. In Part I, fill out the error incident information, including the date and time of the error, and indicate if the error occurred repeatedly. Provide the name of the employee reporting the incident, along with the unit or floor information, if applicable.
3. In Part I, select the phase in the medication use process where the error began. Check the appropriate box indicating whether it was a prescribing, dispensing, documenting, administering, or monitoring error.
4. Still in Part I, identify the primary personnel involved in the error by checking one of the options provided. Indicate whether this individual was temporary, contract, or agency staff.
5. Move to Part II and select the primary type of error or potential error. If needed, provide additional description in the space provided.
6. In Part III, list the primary medication given to the patient involved in the error. If applicable, provide details about the medication that was intended to be given.
7. Part IV requires you to describe possible causes or reasons for the error. You can select multiple options that align with your incident.
8. In Part V, check the type of effect observed or reported, and provide any additional description if necessary.
9. Part VI requires marking the patient impact outcome based on the error, ensuring compliance with the provided checklist.
10. Lastly, complete Part VII with the patient information unless outcome 1 is checked in Section VI. This includes patient age, gender, cognitive ability, and transition information if relevant.
11. After completing all relevant sections, save your changes, download, print, or share the form as required.

Ensure thorough reporting by completing the MEQI hard copy form online today.