Major incidents should be reported within 30 days of the end of the quarter in which the event occurred.
Complete and mail a safety and quality
review (SQR) form to the Quality and Patient Safety Division (QPSD) of the Board of Registration in Medicine.
If your internal review is not completed in time to meet the deadline, submit an initial SQR and include an estimated date of completion. When the review is completed, submit a follow-up SQR.
Semi-Annual & Annual Reports
If your facility is required to participate in a Patient Care Assessment Program (PCA), submit a semi-annual report every 6 months and an annual report each year to QPSD. These reports are required regardless of whether you report a major incident.
Annual reports include:
Semi-annual reports include:
For more details, review guidelines from QPSD.
Quality and Patient Safety Division, Board of Registration in Medicine
200 Harvard Mill Square, Suite 330
Wakefield, MA 01880
Phone: (781) 876-8296
Fax: (781) 876-8384
We hope these instructions helped you meet this reporting requirement. Be aware that this action may not fulfill all applicable reporting requirements associated with the event.