What information must be included in a UIR if a medication is missed?

A UIR (Unusual Incident Report) must comprehensively document incidents such as a missed medication to ensure thorough tracking and accountability. Including information about who was consulted is crucial, as it reflects the chain of communication and any input from healthcare professionals that may influence the resolution or understanding of the incident.

Describing what caused the medication to be missed provides critical context for future prevention measures. This information can help identify systemic issues or individual oversights that could lead to similar incidents. Understanding the root cause is key to developing solutions and improving medication management protocols.

Lastly, documenting the actions taken in response to the missed medication is vital for accountability and for ensuring that appropriate steps were taken to address the issue. This could include administering the missed dose later (if appropriate), notifying the healthcare provider, or implementing additional checks to prevent a recurrence.

In summary, all these elements together create a comprehensive record that contributes to patient safety and quality of care, making it essential to include all aspects in the UIR when a medication is missed.