If a medication is missed, which of the following MUST be included in a UIR?

The answer is grounded in the requirement for comprehensive documentation in a Universal Incident Report (UIR) when a medication is missed. Including all aspects—who was consulted, what was reported, and what actions were taken—ensures a thorough record that can be useful for review and continuous improvement in medication administration practices.

Documenting who was consulted provides insight into the communication chain and accountability. Noting what was reported is crucial for clarity about the situation and understanding any potential implications for the individual who missed the medication. Lastly, detailing what actions were taken helps in assessing the response to the missed dosage and ensures that any necessary follow-up measures or adjustments in care are well-documented.

This comprehensive approach not only enhances safety protocols but also supports transparency and accountability within the medication administration process. By including all these elements, the report becomes a valuable tool for both immediate resolution and future preventative strategies.