Online reporting form

CORESS is an independent, registered charity (charity number 1134175) which exists to provide a safety information service to and on behalf of the surgical community. CORESS does not possess any executive power granted by stature or otherwise. The Freedom of Information Act therefore does not apply to CORESS.

Any surgeon or surgical trainee, irrespective of specialty, can submit reports in confidence. We would like to encourage all to report incidents of actual or near harm, as well as near misses, where there are lessons from which the whole community can learn. Every submission is treated in the strictest confidence and when published will never contain any clues as to its origin. Before submitting a report, please click here to read online the Terms of Use.

    * Mandatory field

    Account of Incident*

    Main Causative Factors*

    In my opinion, the main causative factors were/are as follows:

    Causative Factor - 1

    Causative Factor - 2

    Causative Factor - 3

    Lessons Learned *

    Date and time of incident

    Date:

    Time:

    Personal Details

    Your Name

    Address for correspondence including post code:

    Preferred contact telephone number:

    Your Email Address

    Your Position*

    Please select your designation from the drop down menu:

    Category of patient

    Please select from the drop down menu

    Any case related images can be emailed to admin@coress.org.uk, please ensure consent is in place and there are no identifying factors.

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