AegysPro-MR MRI Adverse Event Reporting Form

Form Template

An adverse event or near miss event is when a safety procedure or practice is not executed properly.

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Systematic reporting of adverse events is critical in identifying risk, enhancing procedures, and correcting operational practices. Use this MRI Adverse Event Reporting Form to report all your MRI Adverse events in a systematic and organized manner anywhere without the need of Wifi or Internet Connection. This mobile application collects information about whether or not the MRI injured a patient, an employee, or damaged any equipment and speeds up your reporting process. If you need to add, change, or remove any fields, use the GoCanvas form editing tool.

Features
  • Signature Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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