Feedback Email Template

@jeff_sono PI and feedback

 

Hello,

Please see below for constructive feedback regarding a recent POC ultrasound that you performed. Let us know if you have any questions.

Patient Name:

MRN:

Date of exam:

1. Study type:

2. Your interpretation:

3. Documentation / upload to PACS: Yes, thank you

4. Comments:

 

 

This document was prepared for the Department of Emergency Medicine Peer Review Committee and is privileged under the Medical Care Availability and Reduction of Error Act, 40 Pa.Stat.Ann. Section 1303 et seq. and the Pennsylvania Peer Review Protection Act, 63 Pa.Stat.Ann. Section 425 et seq. This document may only be used for peer review purposes and can only be duplicated upon permission by hospital counsel.