Form and Instructions
The Safety and Quality Review (SQR) Form replaces the Major Incident Report form. This is the prescribed form for reporting events that meet “major incident” reporting requirements under the Patient Care Assessment (PCA) regulations, 243 CMR 3.08. The information that you provide in the SQR is protected by statute from public disclosure.
Additional Resources
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Open DOC file, 180 KB, Safety and Quality Review Form (English, DOC 180 KB)
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Open PDF file, 88.2 KB, SQR Instructions (English, PDF 88.2 KB)
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Open PDF file, 22.69 KB, Basis Codes (English, PDF 22.69 KB)