A Customized Tool of Incident Reporting for the Detection of Nonconformances at a Single IVF Center: Development, Application, and Efficacy
Table 2
NC reporting form. NC forms are fulfilled by the reporting operator in each section.
Section 1-reporting sector
(i) Outpatient service (ii) IVF laboratory (iii) Surgery compartment (iv) Gynecological compartment (v) Other
Section 2-reporter qualification
(i) Gynecologist (ii) Biologist (iii) Nurse (iv) Supporting staff (v) Data manager (vi) Collaborating staff outside the IVF center (vii) Other
Section 3-date and time
____/____/____ 00:00
Section 4-NC description (provide a brief summary of what happened)
Open text box to be completed
Section 5-NC responsibility (specify the contest to which the NC is chargeable)
(i) IVF laboratory (go to section 6) (ii) Outpatient service-laboratory interface or vice versa (go to section 8) (iii) Troubles exceeding IVF center responsibility (go to section 8) (iv) Others (go to section 8)
Section 6-level of NC management (only for NCs chargeable to IVF laboratory)
(i) Sample management (go to section 7) (ii) Laboratory management (go to section 8) (iii) Personnel management (go to section 8) (iv) Other (go to section 8)
Section 7-level of sample management (only if the NC belongs to the level of sample management)
(i) Preanalytical phase (ii) Intra-analytical phase (iii) Postanalytical phase (iv) Other
Section 8-NC triggers
(i) Difficulty following instructions and procedures (ii) Fatigue/stress (iii) Taking a shortcut (iv) Lack of supervision (v) Poor team work (vi) Ambiguous procedure (vii) Other
Section 9-report conclusion (describe how the NC was handled)
