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The form contains required questions that must be completed in order to submit any Patient Safety Reporting Program (PSRP) report. Depending on the event type selected, there may be additional event-specific questions that must be completed prior to submission. The system will automatically save a partially completed report regardless of whether the required fields are completed.
The following questions are required for any adverse event PSRP report:
General Information
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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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Event Summary, Causes, and Action Plans
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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 = "harmsummary_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 = "event_informationharm" and space = currentSpace ( ) |
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Event Details
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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 = "contributingevent_factorsinformation" 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 = "reviewcontributing_informationfactors" and space = currentSpace ( ) |
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Event
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Review and Analysis
| 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 = "summaryreview_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 | YellowGreen |
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| title | in progressdone |
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Suzanne Wood |
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Comms Approval | KO 10/04/2022 |
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