AESI Accidents and Injuries Form 11-0001-F-V-1

200,00 $

The Accidents and Injuries AESI Form includes 2 pages of detailed questions to healthcare professionals to assess case causality.

Document Description

The Accidents and Injuries AESI Form is designed by medical safety specialists to ensure that the right questions are asked in the first query. The form contain two pages of questions that facilitate a full medical safety assessment and determination of a potential relationship between the medicinal product and the reported adverse events(s) – including details in the following main categories:

  • Patient information
  • Medication
  • Signs and symptoms
  • Laboratory measures
  • Relevant findings
  • Patient history
  • Risk factors

The form is designed in word format and come ready to adapt if needed for your company.