National System for Incident Reporting
National System for Incident Reporting (NSIR)
The National System for Incident Reporting (NSIR) is a component of the Canadian Medication Incident Reporting and Prevention System (CMIRPS).
NSIR is designed for healthcare facilities and long-term care homes to securely and anonymously share data related to medication and/or radiation treatment incidents. NSIR consists of 2 reporting modules: one for medications and one for radiation treatment (NSIR-RT).
Analyses of and learning from NSIR and NSIR-RT data inform quality improvement initiatives to strengthen health care systems.
- Learning from medication incidents is shared in the NSIR MedSafety CheckPoint.
- Learning from radiation treatment incidents is shared in the NSIR-RT Safety Bulletin.
NSIR MedSafety CheckPoint
The MedSafety CheckPoint highlights key learning from incident analyses conducted using reports submitted to NSIR. Developed as a one-page resource for safety huddles, it highlights system-level opportunities for improvement while incorporating practical guidance for frontline practitioners. The biannual publication is intended to spark discussion, encourage reflection, and support ongoing efforts to improve medication safety.
The Canadian Medication Incident Reporting and Prevention System (CMIRPS) is a collaborative pan-Canadian program of Health Canada, the Canadian Institute for Health Information (CIHI), the Institute for Safe Medication Practices Canada (ISMP Canada) and Healthcare Excellence Canada (HEC). The goal of CMIRPS is to reduce and prevent harmful medication incidents in Canada. Funding support provided by Health Canada. The views expressed herein do not necessarily represent the views of Health Canada.
The Healthcare Insurance Reciprocal of Canada (HIROC) provides support for the bulletin and is a member owned expert provider of professional and general liability coverage and risk management support.
NSIR-RT Safety Bulletin
Explore key insights from the analysis of NSIR-RT reports in the inaugural edition of the NSIR-RT Safety Bulletin – available in early 2027!
FAQ
We previously participated in NSIR. Can I use my CIHI NSIR login to get access to ISMP Canada NSIR?
- You will need to be set up in ISMP Canada’s NSIR with new credentials. Please contact nsir@ismpcanada.ca if you need more information on how to get started.
Is there an agreement that my organization needs to sign to take part in ISMP Canada’s NSIR?
- There are 2 agreements to be signed to be able to submit to NSIR:
- a Letter of Understanding (LOU) by a provincial/territorial oversight organization
- a Data Sharing and Service Agreement (DSSA) for Data Submitters by the submitting organization
- ISMP Canada is working with the provincial/territorial oversight organizations for signing of the LOUs.
- The DSSA needs to be signed by all organizations, whether or not your organization previously submitted data to NSIR. Kindly contact nsir@ismpcanada.ca for the DSSA.
We have not previously participated in NSIR. How can we take part in ISMP Canada’s NSIR?
- Please contact ISMP Canada at nsir@ismpcanada.ca to learn about the program and steps needed to join the ISMP Canada NSIR community.
Is there a Privacy Impact Assessment (PIA) for ISMP Canada NSIR?
- Yes – the ISMP Canada NSIR PIA is available here: NSIR Privacy Impact Assessment
Who do I contact for NSIR-related questions?
- Connect with the ISMP Canada NSIR team at nsir@ismpcanada.ca. We would love to hear from you!
Privacy Impact Assessment (PIA)
Privacy Impact Assessment - PDFContact Us
Email: nsir@ismpcanada.ca