Triggers found:	ADE Found?		Harm Category*	Description of ADE
	Yes	No
Total ADEs for this resident:
Total number of doses of medication for this resident (if available):

^*Harm Category (adapted from NCC-MERP Index; Categories A-D do not cause harm):

Category E: Temporary harm to the patient and required intervention

Category F: Temporary harm to the patient and required initial or prolonged hospitalization

Category G: Permanent patient harm

Category H: Intervention required to sustain life

Category I: Patient death