Full Adverse Incident Report - 15 Day - Florida

Form Template

The Adverse Incident Report mobile app was designed for healthcare professionals in long-term care facilities, assisted living health care providers and others who work directly with patients.

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Language: English
Country: United States of America

Instead of using paper forms for adverse event reporting, the user friendly app tracks all the details of the incident and includes electronic signature capture from any smartphone or tablet.

While health professionals strive to provide the highest level of care, sometimes incidents occur that must be reported. In long-term care facilities, this could include a patient falling down and breaking a bone, an adverse reaction to medication or other type of patient care issue. Unlike complicated incident reporting systems on your computer, the adverse event reporting app provides fast and easy reporting of adverse events from anywhere in the field. Simply open the app to generate a new healthcare adverse incident report form, add the details of the event, and the results are saved automatically for your records.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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