Medication Error Report sample page preview

Medication Error Report

$24.99
Instant download. One-time purchase. Fully editable Word (DOCX).

A medication error report form that the worker completes immediately after any medication administration error and files with the incident report. A supervisor reviews it, and the director also reviews serious errors.

What is inside:

  • Details of the error: date, time, location, participant, worker involved and type of error
  • Medication involved, comparing the prescribed and actual dose, route and time
  • Description of what happened and how the error was identified
  • Participant response and any adverse effects
  • Immediate actions taken, including calls to 000, the GP or Poisons Information on 13 11 26, and who was notified
  • Reportable incident check with NDIS Commission notification timeframes
  • Root cause and prevention actions
  • Sign-off by the reporting worker, supervisor and director

Good to know: this is an internal record and does not replace a reportable incident notification to the NDIS Commission where one is required. Near misses and non-administration incidents use a separate medication incident form.

  • Reviewed against the current NDIS Rules, Practice Standards and Commission guidance
  • Editable DOCX with a placeholder legend, so you enter your details once
  • Instant download

These templates are general information, not legal advice. No template can guarantee registration or audit outcomes.

Buying more than one template? This one is also in

On its own this template is $24.99. Each pack below includes it, plus the rest of the set.

Digital product. Because these are instant downloads, we do not offer refunds for change of mind once your files have been accessed. This does not affect your rights under the Australian Consumer Law. Bought the wrong pack? Contact us within 30 days and we will credit what you paid towards the right one. If you have a technical issue accessing your files, contact us and we will sort it out. See our refund policy.
Your responsibility. These are editable templates provided as a starting point, not legal, compliance or professional advice. You are responsible for reviewing each template, adapting it to your service, and making sure the information is current, accurate and appropriate for your circumstances and your state or territory before you rely on it. Moreton Regional Support Services is not liable for any loss, penalty or outcome arising from your use of these templates, and no template can guarantee NDIS registration, audit or compliance outcomes.