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Belmont University Institutional Review BoardUnusual or Adverse Event Report FormTitle of Study: IRB Record Number:Principal Investigator (PI) Name: PI Phone Number:PI email:Date of Unusual or Adverse
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How to fill out unusual or adverse event

01
Gather all relevant information about the unusual or adverse event.
02
Fill out the required forms or paperwork accurately and completely.
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Include any supporting documentation or evidence related to the event.
04
Make sure to follow any specific guidelines or instructions provided for reporting such events.
05
Submit the completed forms or report to the appropriate person or department in a timely manner.

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What is Unusual or Adverse Event Report Form?

The Unusual or Adverse Event Report is a fillable form in MS Word extension required to be submitted to the relevant address in order to provide specific info. It has to be completed and signed, which may be done manually in hard copy, or with a particular software such as PDFfiller. It allows to complete any PDF or Word document directly in your browser, customize it depending on your requirements and put a legally-binding e-signature. Right away after completion, the user can send the Unusual or Adverse Event Report to the relevant recipient, or multiple recipients via email or fax. The template is printable too due to PDFfiller feature and options offered for printing out adjustment. In both digital and in hard copy, your form will have a neat and professional outlook. You may also save it as the template for later, without creating a new document from scratch. You need just to customize the ready form.

Instructions for the Unusual or Adverse Event Report form

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An unusual or adverse event is an occurrence that deviates from the expected outcome or poses potential harm, typically in a clinical or research setting.
Researchers, healthcare providers, and institutions involved in studies or treatments are typically required to file unusual or adverse events.
To fill out an unusual or adverse event, provide detailed information including the nature of the event, when it occurred, the individuals involved, and any actions taken in response.
The purpose is to ensure the safety of participants, identify risks, and improve protocols to prevent future incidents.
Information to be reported includes the description of the event, severity, relevant medical history, and details of the investigation or response.
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