INCIDENT MONITORING REPORTING FORM

Accidental extubation. Dislodgement of catheter. Unplanned ICU admission. Readmission to ICU within 24 hrs after discharged. Unexpected death. Complications during stay in ICU. Labour Room use *Mother transferred to ICU/CCU post delivery. Injury to neonate at delivery *Unplanned post delivery procedure (D&C, EUA, Uterine Exploration) ................
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