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TWO MINUTE WALK ELIGIBILITY FORM ID NUMBER:FORM CODE:TMEDATE: 04/06/2022 Version 1.0ADMINISTRATIVE INFORMATION/0a. Completion Date: Month/ Day0b. Staff ID: YearA. EXCLUSION CRITERIA Instructions:
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01
Gather all relevant information regarding the unanticipated problem, including when it occurred, who was involved, and any factors that may have contributed to it.
02
Complete the appropriate sections of the unanticipated problem form, providing as much detail as possible.
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Submit the completed form to the appropriate person or department for review and follow-up.
Who needs unanticipated problem form?
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Researchers conducting clinical trials or studies that may encounter unforeseen problems or events.
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What is unanticipated problem form?
An unanticipated problem form is a document used to report unexpected issues that arise during a study that may affect the safety, welfare, or rights of participants.
Who is required to file unanticipated problem form?
Investigators and research staff involved in a study are typically required to file an unanticipated problem form when they encounter such issues.
How to fill out unanticipated problem form?
To fill out an unanticipated problem form, provide detailed information about the problem, including a description, impact on participants, actions taken, and any additional relevant data.
What is the purpose of unanticipated problem form?
The purpose of the unanticipated problem form is to ensure the accountability and safety of the research process by documenting issues that arise unexpectedly and assessing their impact.
What information must be reported on unanticipated problem form?
The form must report the nature of the problem, individuals affected, immediate actions taken, long-term effects, and any potential impact on the study outcomes.
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