This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Adverse Outpatient Surgery Settings is a legal document that was released by the Medical Board of California - a government authority operating within California.
Q: What is the purpose of the Adverse Event Reporting Form?
A: The purpose of the Adverse Event Reporting Form is to report any adverse events that occur in accredited outpatient surgery settings in California.
Q: What is an adverse event?
A: An adverse event is any unexpected or undesirable event that occurs during or as a result of a surgical procedure.
Q: Who is required to complete the Adverse Event Reporting Form?
A: Accredited outpatient surgery settings in California are required to complete the Adverse Event Reporting Form.
Q: What information is required on the form?
A: The form requires detailed information about the adverse event, including the date and time it occurred, patient information, and a description of the event.
Q: Are there any penalties for failure to complete and submit the form?
A: Yes, failure to complete and submit the Adverse Event Reporting Form can result in penalties, including fines and possible loss of accreditation.
Form Details:
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