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Anonymous Reporting

For Healthcare Employee Use Only

This brochure contains information for healthcare employees if they determine they need to file an anonymous report. The brochure is for healthcare facility employees' use only. Included in the brochure is an actual anonymous report form. Patient Safety Officers are encouraged to make the brochures available to employees.

If you are a healthcare worker and believe a patient in your facility suffered an unanticipated injury involving clinical care, your first obligation is to report this internally via your organization's patient safety plan. If you are not satisfied with the manner in which the report was handled by the organization, please consider submitting an Anonymous Report with the Pennsylvania Patient Safety Authority.

All information submitted via this process is confidential and will be held in strictest confidence by the Patient Safety Authority.

If you would like to file an Anonymous Report with the Patient Safety Authority about an event that has happened in your facility that you believe has caused harm to a patient, you must follow the guidelines listed below:

  • You must be a healthcare worker working in the facility where the event occurred.
  • The patient must have suffered harm or death resulting from clinical care given in your facility.
  • Before submitting an Anonymous Report to the Patient Safety Authority, you must make sure you or someone else has taken appropriate action (including filing any report(s) as necessary) within your facility according to your healthcare facility's Patient Safety Plan.
  • If you are not satisfied with the manner in which a report was handled where you believe a patient was harmed, you may consider filing an Anonymous Report with the Patient Safety Authority. All information submitted under this process is confidential.

(Other channels are specifically available for individual citizens who are not healthcare workers, such as patients or family members; see the Authority's "Other Patient Information" webpage, or visit the websites of the Pennsylvania Department of Health or Department of State's Bureau of Professional and Occupational Affairs.)

Anonymous Reporting: What You Should Know

 Anonymous Reporting: What You Should Know

©2017 Pennsylvania Patient Safety Authority