Timeliness of the intervention ---GoodAdequatePoorInsufficient
Effectiveness of the intervention ---GoodAdequatePoorInsufficient
Clarity in timing and methods of intervention ---GoodAdequatePoorInsufficient
Competence of technical staff ---GoodAdequatePoorInsufficient
Your job ---Clinical engineering contact personQC - Quality ControlLaboratory managerLaboratory/department technical managerLaboratory technicianOther
Date of the intervention
Intervention report number (FDL)
Email address (used only for confirmation)
Notes, observations, suggestions:
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