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CCMDB_legit, approved, Bureaucrats, Administrators
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CCMDB_legit, approved, Bureaucrats, Administrators
27,522 edits
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* [[Annual report]]  
* [[Annual report]]  
* [[Weekly report]]‎
* [[Weekly report]]‎
==Data Request Form==
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|style="font-size:6pt" height="14" | Revised on  5 May 2008
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|style="font-size:8pt;font-weight:bold;text-decoration:underline;color:#FF0000" | ATTENTION:
| Julie Mojica, Statistician  (Phone  787-1690)
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| Trish Ostryzniuk, Regional Manager (Phone  787-3055)
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|style="font-size:8pt;text-decoration:underline" | Fax:  787-2823 
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|style="font-weight:bold" |                    Critical Care Database Information Request Form
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|- style="font-size:11pt"  valign="bottom"
| height="14" | Date of Request:
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| Date Information required by:
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|style="font-size:8pt;font-style:Italic" | (Allow at least 2 weeks for completion of request)
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| Department:           
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|- style="font-size:11pt"  valign="bottom"
| height="14" | Who is the request for? 
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| Department:                       
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|style="font-size:7pt" |  (if different from above)
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|- style="font-size:11pt"  valign="bottom"
| height="14" | List all others who will have access to this data:
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|style="font-size:12pt;text-decoration:underline" height="16" | Intended use of data :
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|style="font-size:12pt;text-decoration:underline" |  Specific Data Requested?
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|style="font-size:8pt;font-style:Italic" height="14" | Check the item and elaborate further in the space below.
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| Time Period:                               
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|style="font-size:8pt" | End
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|-  valign="bottom"
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| Research Project  -  Please attached the  following:
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|style="font-size:6pt" |            ( mm/dd/yyyy)   
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|style="font-size:6pt" |    (mm/dd/yyyy)
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|style="font-size:8pt;font-style:Italic" | 1.Copy of Research  Ethics Boards' Approval Form
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|style="font-size:11pt" | Hospital & Unit:
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|style="font-size:8pt" |    All
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|style="font-size:8pt;font-style:Italic" | 2.Copy of Research Proposal/Protocol Summary
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|style="font-size:9pt" | HSC:
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|style="font-size:8pt" | MICU
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|style="font-size:8pt" | CCU
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|style="font-size:8pt" | SICU
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|style="font-size:8pt" | IICU
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| Teaching
|      Resource Utilization
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|style="font-size:9pt" | STB:
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|style="font-size:8pt" | MICU
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|style="font-size:8pt" | CCU
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|style="font-size:8pt" | SICU
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|style="font-size:8pt" | CICU
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|-  valign="bottom"
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| Audit/Evaluation/Review
|      Others - Please specify.
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|style="font-size:9pt" | CON
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|style="font-size:9pt" |  GRA
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|style="font-size:9pt" |  OAK
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|style="font-size:9pt" |  VIC
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|style="font-size:11pt" | Type of Report:
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|style="font-size:8pt" |  Combined Report
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|style="font-size:8pt" | Individual Reports
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| Summary statistics required?
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|style="font-size:8pt" | YES
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|style="font-size:8pt" | NO
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|  (Include N , Mean, Standard Deviation, Sum, Minimum, Maximum)
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==Database Status==
==Database Status==
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Reporting"