At MDA we take seriously the safety of providers that are on assignment with us. As such our incident reporting mechanism is designed to provide a means for providers and clients to document individual or patient safety issues as they arise. The incident reporting process has been developed to capture remarkable and non-remarkable safety or security concerns as well as unexpected patient incidents, errors, unanticipated deaths, sentinel events, equipment failures, patient falls, medication errors, hazardous materials exposure and needle sticks.

It is suggested that all Incident Reports be submitted within 24-48 hours of the occurrence. The corporate risk manager/designee will be responsible for maintaining this reporting mechanism. MDA management will attempt to initially investigate all complaints within 48 hours of receipt. Under no circumstances, should the preliminary investigation of a complaint exceed 10 working days. MDA will respond back to customer in the event of a significant or recurring complaint.

Under no circumstances will MDA tolerate subjection of a client, staff member or provider to coercion, discrimination, reprisal, or unreasonable interruption of services for voicing complaints or recommending changes in good faith.

Click here to see MDA incident reporting policy.

Download the Incident Reporting Form here. You can either fill and save the form and email the form to andersona@mdainc.com as an attachment, or you can print and fax it to us.