Talking with the patient

How to write an incident report

Other platforms explain it with text and video. In VMS you practice it on the patient.

MD / DOPANursing (NCLEX)EMS (NREMT)

Incident reports help find and fix system problems. They are a safety tool, not a punishment.

Step by step

  1. Care for the patient

    Check the patient and treat any harm first. [1]

  2. Notify the right people

    Tell the provider and your supervisor. [1]

  3. Write promptly

    Complete the report as soon as possible, usually before the end of the shift. [2]

  4. State facts only

    Write what happened, when, where, who was involved and what was done. Quote the patient. [2]

  5. Avoid blame and opinions

    Describe events, not guesses about cause or fault. [3]

  6. Keep it out of the chart

    Document the event and care in the medical record, but do not mention the incident report there. [2]

  7. Report near misses too

    Report events that almost happened; they show weak spots in the system. [1]

Common errors

Practice it in VMS

In VMS you do this on the patient, not on paper: every step goes on the checklist with a score, and in Teach mode Blocky tells you what comes next.

VMS cases that train this skill

29 VMS cases train this skill: open the case library

Sources

  1. The Joint Commission, National Patient Safety Goals
  2. Open RN, Nursing Fundamentals 2e (CC BY 4.0)
  3. AAMC Core Entrustable Professional Activities (Core EPAs)
  4. AHRQ Health Literacy Universal Precautions Toolkit (Teach-Back)

Facts and steps follow AAMC Core Entrustable Professional Activities (Core EPAs); AHRQ Health Literacy Universal Precautions Toolkit (Teach-Back). VMS is not affiliated with these organizations. Updated: 2026-10-11.