Patrolling the LHC M. Gruwé AB-OP LEMIC September 4 th 2007.
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AD'ERSE DUR)REACTION REPORT
ACTION TEAN
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RE OFNURSIN)STAFF
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S NO. DATENAME OFPATIENT
PATIENTID
T,EP OF
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(HETHER TRANSFUSION REACTIONOCCURRED
+LOODCOMPONEN TS
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(HOLE+LOOD/,ES/NO ,ES/NO
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MULTIDOSE 'IAL USA)E
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USED TILL DATE
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SI)N
ANESTHESIA
RELATED MORTALIT,
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NAME
CASE ANAESTHESI
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DON,
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RETUREN TO EMER)ENC, (ITHIN 01 HRS
SR NO. DATE NAME OF
PATIENT
IP NO. RETURN FRON
(ARD2DISCHAR
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REASON ACTION
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