Incident Reporting &
Management System (IRMS)
An Incident Reporting & Management System (IRMS) is software that lets care staff log incidents (e.g. falls, medication errors, near-misses, behavioural incidents, and abuse or harassment cases) at the point of occurrence, classify severity, route them for investigation, track corrective actions, and generate reports in the format regulators expect. In Singapore, structured review of Serious Reportable Events has been a binding MOH licence condition since March 2023.
Every incident on one system
Falls, near-misses, behavioural, and medication errors in one log with structured severity classification and escalation triggers.
Built around MOH's SRE clock
2-working-day MOH notification and 60-calendar-day root cause analysis deadlines, tracked automatically and without spreadsheets.
MOH-ready reporting
Notification-ready exports and trend analysis dashboards by type, ward, and time period.
Inside the module
Every incident captured, classified, and closed
95% of incidents logged within 1 hour of occurrence; 40% reduction in repeat incidents.
Digital incident capture at the point of occurrence
Capture and classify
Incident capture via mobile or desktop at the point of occurrence, with structured severity classification (minor, moderate, major, sentinel).
Investigate and act
Root cause investigation templates by incident type, corrective and preventive action (CAPA) tracking, and escalation triggers based on severity and incident type.
Report and learn
MOH notification-ready incident exports, trend analysis dashboards by type/ward/time period, and family notification workflows for reportable incidents.
Built around MOH Circular 12/2023
The Serious Reportable Event (SRE) compliance clock
Once an SRE is identified, four deadlines corresponding to licence conditions start running.
On identification
Preliminary assessment
Immediately assess whether the harm could spread to more people, and put interim containment measures in place while the SRE Quality Assurance Committee (QAC) investigates.
2 working days
Notify MOH
Notify MOH's Clinical Quality, Performance and Value Division via the National Quality Assurance System (NQAS), including the date, location, and a summary of the event.
60 calendar days
Submit the RCA report
The SRE Quality Assurance Committee completes its root cause analysis and submits findings and recommendations to MOH. Or 30 calendar days to resubmit if MOH finds the report inadequate.
Half-yearly, until closed
Report on implementation
Submit progress reports on outstanding recommendations every six months until every corrective action has been implemented.
Enforcement
Under section 20 of the Healthcare Services Act, a contravention can mean licence suspension, licence revocation, or a financial penalty of up to $10,000 per contravention.
Common questions
IRMS and SRE compliance, answered
What is an Incident Reporting & Management System (IRMS)?
An Incident Reporting & Management System (IRMS) is software that lets care staff log incidents (e.g. falls, medication errors, near-misses, behavioural incidents, and abuse or harassment cases) at the point of occurrence, classify severity, route them for investigation, track corrective actions, and generate reports in the format regulators and auditors expect.
What is a Serious Reportable Event (SRE)?
A Serious Reportable Event (SRE) is one of 31 specific categories of serious adverse events and patient safety incidents defined in MOH Circular 12/2023. It includes surgery on the wrong site or patient, retained foreign objects, medication errors causing serious or permanent harm, and patient abscondment or suicide resulting in death or serious injury. Any SRE must be reviewed by a dedicated SRE Quality Assurance Committee (SRE QAC) and notified to MOH within 2 working days of identification.
Is incident reporting mandatory for nursing homes and care organisations in Singapore?
Yes. Since 6 March 2023, MOH Circular 12/2023 has made structured review of Serious Reportable Events a binding licence condition for prescribed licensees under the Healthcare Services Act. Separately, AIC's June 2025 Tripartite Implementation Guide adds standardised protocols for abuse and harassment incidents specifically (organisations are strongly encouraged, not yet legally compelled, to adopt it), and the Health Information Act imposes its own, unrelated 2-hour/14-day reporting clock for data breaches and cybersecurity incidents.
What happens if a facility misses the MOH SRE notification or reporting deadline?
MOH Circular 12/2023 gives the Director of Medical Services the power to take regulatory action under section 20 of the Healthcare Services Act for any contravention, including suspending or revoking the facility's licence, or imposing a financial penalty of up to $10,000 per contravention. The circular sets hard deadlines: 2 working days to notify MOH after an SRE is identified, 60 calendar days for the SRE Quality Assurance Committee's root cause analysis report, and half-yearly progress reports until every recommendation is implemented.
How does WerkDone's IRMS help with MOH SRE compliance?
It captures incidents digitally at the point of occurrence, flags Serious Reportable Events against MOH's 31 defined categories. It tracks the statutory clocks automatically (e.g. 2-working-day MOH notification deadline, 60-calendar-day root cause analysis report, and half-yearly follow-up reporting) with escalation before a deadline is missed.
Customer stories
Incident management in the field
Care organisations running access, safety, and incident management on OneCare.
Care settings
Where incident reporting runs
The module is part of OneCare's Access & Security pillar and runs across these care settings.
Nursing Homes
Resident records, medication, family updates, and incident reporting built around MOH licence conditions.
Senior Care Centres
Attendance, programme scheduling, and caregiver handoffs for day-care settings — incidents in the same system.
Access & Security
The full pillar: incident reporting alongside visitor access, vehicle access, resident safety, and asset tracking.
See IRMS running in your facility
Book a discovery call. We'll walk through incident capture, escalation, and MOH-ready reporting on your own workflows.