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Form Approved OMB No. 09200666 Exp. Date: 12/31/2017 www.cdc.gov/nhsn Hemovigilance Module Incident *Required for saving *Facility ID#: NHS Incident #: Local Incident # or Log #: Discovery *Date of
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The 57305 hemovigilance module incident refers to an incident that occurred within the hemovigilance module with the code 57305.
The entity responsible for the hemovigilance module incident is required to file the report.
To fill out the 57305 hemovigilance module incident report, you need to provide all the required information specified in the reporting guidelines.
The purpose of the 57305 hemovigilance module incident is to monitor and track any adverse events or incidents related to hemovigilance.
The specific information required to be reported on the 57305 hemovigilance module incident report may include details of the incident, date and time of occurrence, individuals involved, and any actions taken in response to the incident.
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