The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like [email protected]). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

pzyEwnwoIKdqgIT4X3bzvQV67wBCCZuyCj5QiErosGfac9a5uvNufXjFVA4wht4TiY6ZTyumwD7CL

IQ - Incident & Quality Report

This reporting system is for internal department quality and education purposes only. All information will be de-identified outside of the data review group and no further action will be taken without your permission. If appropriate, mandatory institutional reporting pathways such as IIMS should also be completed.

MRN: optional - providing an MRN aids analysis if further details are required for review

Reporter: leave blank to remain anonymous. Providing a name allows follow up, feedback or contact for M&M presentation. Report remains confidential regardless of whether a name is provided

Details: description or narrative of incident/issue. May be as brief or as detailed as desired. The capture of the incident is the main goal. Suggested contributing factors, system improvements or lessons learnt are welcome.

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