The form contains required questions that must be completed in order to submit any report. Depending on the event type selected, there may be additional event-specific questions that must be completed prior to submission. If needed, you will be able to save a partially completed form regardless of whether the required fields are completed.
The following questions are required for any adverse event report:
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| showLabels | false |
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| max | 50 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "hospital" and label = "required" and label = "general_information" and space = currentSpace ( ) |
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Harm Category
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| showLabels | false |
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| max | 50 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "hospital" and label = "required" and label = "harm" and space = currentSpace ( ) |
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Event Details
| Filter by label (Content by label) |
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| showLabels | false |
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| max | 50 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "hospital" and label = "required" and label = "event_information" and space = currentSpace ( ) |
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Contributing Factors
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| showLabels | false |
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| max | 50 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "hospital" and label = "required" and label = "contributing_factors" and space = currentSpace ( ) |
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Event Review and Analysis
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| showLabels | false |
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| max | 50 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "hospital" and label = "required" and label = "review_information" and space = currentSpace ( ) |
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Event Summary, Causes, and Action Plans
| Filter by label (Content by label) |
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| showLabels | false |
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| max | 50 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "hospital" and label = "required" and label = "summary_information" and space = currentSpace ( ) |
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| Page Properties |
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Initial Build | SE 8/6/2021 |
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Staff Review | | Status |
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| colour | Yellow |
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| title | in progress |
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Suzanne Wood |
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Comms Approval | |
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