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Description

Determination of who notified the pharmacy of the event or unsafe condition.

On-Screen Instructions

Select all that apply.

Field Type

Checkbox (multiselect)

Responses

  • Patient

  • Care provider

  • Family member

  • Pharmacist

  • Pharmacy intern

  • Pharmacy staff

  • Pharmacy technician

  • Prescribing provider

  • Unknown

  • Other (please describe)

Guide for Use

If “Other” is selected, a text box for a description will also appear.

The question “Who else was aware of this event” on the Review Tab will capture information about individuals who knew about the event but did not bring it to the pharmacy’s attention.

History

Start Date

2013

End Date

n/a

Change History

n/a

Field Name

who_discovered

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