Information on Adverse Event Reporting

Protect confidentiality of everyone involved (medical or other facilities, person’s names—name of the “injured” or “potentially injured” party; the person(s) giving out the questionable or detrimental information. If the person giving out the questionable or potentially damaging advice has professional credentials and is not a Registered/Licensed Dietitian, note this information, but do not put in the name of the person.)If the person is a Registered/Licensed Dietitian please use this link, http://www.dshs.state.tx.us/dietitian/dt_consumer.shtm, to make your report to the Texas State Board of Examiners for Dietitians (TSBED).

Must be able to verify the information.

Simply tell the story of what happened (patient using a product(s) or following advice; what the advice giver said, what resulted or could have resulted.) It is OK to use tech language, but it must be explained in layman’s terms so legislators will easily understand. Could include a statement such as “Any dietitian would have known that using “X” or doing “X” would cause “Y.” Again, it must be explained in layman’s language.

If there are financial impacts, explain those (if product(s) cost is a factor; if the person ended up needing to be hospitalized; had to make a trip to a doctor, etc.; then there is an unneeded cost to the patient and possibly related parties).

State why this was unsound advice or product recommended –why this was a danger or potential danger.

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* 1. Please document your experience of harm in 500 words or less.

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* 2. Please include any history relevant to adverse event.

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* 3. Would you or the consumer involved be willing to share this information with your state legislator?

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