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Identification Number:Maternal Near misses Reporting Form Ministry of Health Sri Lanka SECTION I: BASIC INFORMATION1. Name of the patient: 2. NIC No: 3. Ethnicity: 4. Gravid: Parity: Children: 5.

How to fill out maternal near-misses reporting form

How to fill out maternal near-misses reporting form

1. Step 1: Start by gathering all the necessary information and documents related to the maternal near-misses that need to be reported.
2. Step 2: Ensure that you have a clear understanding of the reporting form and its sections.
3. Step 3: Begin filling out the form by entering the relevant personal details of the maternal near-miss case, such as name, age, and contact information.
4. Step 4: Proceed to provide information about the health facility where the near-miss occurred, including its name, location, and contact details.
5. Step 5: Provide a detailed account of the maternal near-miss event, including the date and time it occurred, as well as any relevant medical history or complications.
6. Step 6: Describe the treatment and interventions provided to the patient during the near-miss event.
7. Step 7: If applicable, include information about any follow-up care or referrals provided after the near-miss.
8. Step 8: Ensure that all the required sections of the reporting form are completed accurately and thoroughly.
9. Step 9: Review the filled form for any errors or omissions before submitting it.
10. Step 10: Submit the completed maternal near-misses reporting form to the designated authority or department responsible for data collection.

Who needs maternal near-misses reporting form?

1. Healthcare professionals involved in maternal care
2. Medical facilities and hospitals
3. Government health departments
4. Health organizations and NGOs working in the field of maternal health
5. Researchers and statisticians analyzing maternal health data

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What is maternal near-misses reporting form?

Maternal near-misses reporting form is a document used to report instances where a pregnant woman comes close to death but survives.

Who is required to file maternal near-misses reporting form?

Healthcare providers and facilities are required to file maternal near-misses reporting form.

How to fill out maternal near-misses reporting form?

Maternal near-misses reporting form can be filled out by providing details of the situation, including the patient's information, symptoms, and actions taken.

What is the purpose of maternal near-misses reporting form?

The purpose of maternal near-misses reporting form is to track and analyze instances where pregnant women experience severe complications during pregnancy or childbirth.

What information must be reported on maternal near-misses reporting form?

Information such as patient's name, age, medical history, symptoms, treatment provided, and outcome must be reported on maternal near-misses reporting form.