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Logo Document Title RESEARCH ETHICS OFFICE Research Ethics Board 299 Down Valley Drive Kitchener, Ontario N2G 4M4 Tel: (519) 7485220 × 2349 Adverse Events Report The Faculty Investigator or Supervisor
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How to fill out adverse events report

01
Start by gathering all relevant information about the adverse event, including the date, time, and location of occurrence.
02
Identify the person or entity experiencing the adverse event and provide their contact information.
03
Describe the adverse event in detail, including any symptoms or effects experienced.
04
If applicable, include information about any medical treatment or intervention provided.
05
Include any additional relevant information about the circumstances or context of the adverse event.
06
Review and verify the completed adverse events report for accuracy.
07
Submit the adverse events report to the designated authority or organization responsible for collecting such reports.

Who needs adverse events report?

01
Healthcare professionals, including doctors, nurses, and pharmacists, who encounter adverse events in their practice.
02
Pharmaceutical companies and manufacturers of medical devices.
03
Regulatory bodies or government agencies responsible for monitoring and evaluating the safety of healthcare products.
04
Research institutions or academic organizations studying adverse events and their impact on public health.
05
Patients or their caregivers who experience adverse events and wish to report them for further investigation.
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Adverse events report is a documentation of any unfavorable or unexpected health occurrences associated with the use of a particular product or medication.
Manufacturers, healthcare professionals, and consumers are required to file adverse events report.
Adverse events report should be filled out by providing details of the adverse event, including date of occurrence, affected individual, symptoms, and any relevant medical history.
The purpose of adverse events report is to monitor and analyze the safety and effectiveness of products and medications, and to take appropriate actions if necessary.
Information such as date of occurrence, affected individual, symptoms, severity of the adverse event, and any actions taken should be reported on adverse events report.
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