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Get UT Patient Safety Sentinel Event Reporting Form 2007-2024

S present prior to surgery and left in place; and o Broken micro-needles. â–¡ Intraoperative or immediately post-operative death in an ASA Class I patient within 24 hours of surgery. â–¡ Other _______________________________________________________ This information is protected from public disclosure under Utah Cod Ann. 26-3-7 and 8 -2- PATIENT SAFETY SENTINEL EVENT REPORTING FORM (May 2007) Product or Device Event: â–¡ Arising from the use of contaminated drugs, devices, or biologics provided.

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