{"id":2,"date":"2023-03-13T22:58:05","date_gmt":"2023-03-13T21:58:05","guid":{"rendered":"https:\/\/zdarzenia.usd.krakow.pl\/?page_id=2"},"modified":"2023-03-29T12:59:32","modified_gmt":"2023-03-29T10:59:32","slug":"przykladowa-strona","status":"publish","type":"page","link":"https:\/\/zdarzenia.usd.krakow.pl\/?page_id=2","title":{"rendered":"Formularz zg\u0142oszeniowy"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-6\"><form id=\"wpforms-form-6\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"6\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2\" data-token=\"36e71fc90425fba5ffef9fcab4eacb6c\" data-token-time=\"1779537220\"><noscript class=\"wpforms-error-noscript\">Aby wype\u0142ni\u0107 ten formularz, w\u0142\u0105cz obs\u0142ug\u0119 JavaScript w przegl\u0105darce.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#1667b3\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" data-page-2-title=\"Okre\u015bl typ zdarzenia \" data-page-3-title=\"Okre\u015bl typ zdarzenia\"><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Krok <span class=\"wpforms-page-indicator-steps-current\">1<\/span> z 4<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:25%;background-color:#1667b3\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-6-field_24-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"24\"><\/div><div id=\"wpforms-6-field_2-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"2\"><label class=\"wpforms-field-label wpforms-label-hide\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_1-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_1\">P\u0142e\u0107<\/label><ul id=\"wpforms-6-field_1\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_1_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][1][]\" value=\"M\u0119\u017cczyzna\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_1_1\">M\u0119\u017cczyzna<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_1_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][1][]\" value=\"Kobieta\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_1_2\">Kobieta<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-6-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_4\">Wiek <\/label><input type=\"text\" id=\"wpforms-6-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" placeholder=\"wpisz wiek \" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-6-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_5\">Nr. Ksi\u0119gi G\u0142\u00f3wnej<\/label><input type=\"text\" id=\"wpforms-6-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-6-field_7-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"7\"><label class=\"wpforms-field-label wpforms-label-hide\">Czas wyst\u0105pienia zdarzenia <\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_11-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_11\">Data wyst\u0105pienia zdarzenia <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-6-field_11\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][11][date]\" required><a title=\"Wyczy\u015b\u0107 dat\u0119\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_12-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_12\">Czas wyst\u0105pienia zdarzenia  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_12-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"30\" data-rule-time24h=\"true\" name=\"wpforms[fields][12][time]\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-6-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_13\">Lokalizacja zdarzenia w szpitalu :  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><div class=\"wpforms-field-description\">(oddzia\u0142, miejsce w oddziale)<\/div><\/div><div id=\"wpforms-6-field_14-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_14\">Czynniki wp\u0142ywaj\u0105ce na wyst\u0105pienie zdarzenia: <\/label><textarea id=\"wpforms-6-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/textarea><\/div><div id=\"wpforms-6-field_22-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"22\"><h3 id=\"wpforms-6-field_22\"> Zg\u0142aszaj\u0105cy (dane pracownika): <\/h3><\/div><div id=\"wpforms-6-field_16-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"16\"><label class=\"wpforms-field-label wpforms-label-hide\">Layout (copy)<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_20\">Imi\u0119 i nazwisko <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><div class=\"wpforms-field-description\">Uwaga: Dane osobowe zostan\u0105 skutecznie usuni\u0119te z systemu do 15 dni po zg\u0142oszeniu. <\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-6-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_18\">Zaw\u00f3d<\/label><input type=\"text\" id=\"wpforms-6-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-6-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_19\">Stanowisko<\/label><input type=\"text\" id=\"wpforms-6-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-6-field_23-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"23\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"6\" disabled>Nast\u0119pny krok<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-6-field_26-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"26\"><h3 id=\"wpforms-6-field_26\"> Zdarzenia niepo\u017c\u0105dane (ZN), kt\u00f3re DOSI\u0118GN\u0118\u0141Y pacjenta <\/h3><div class=\"wpforms-field-description\">Typ zdarzenia:<\/div><\/div><div id=\"wpforms-6-field_27-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_27\">a) dzia\u0142alno\u015b\u0107 kliniczna <\/label><ul id=\"wpforms-6-field_27\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_27_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][27][]\" value=\"cialo obce pozostawione w polu operacyjnym \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_27_1\">cialo obce pozostawione w polu operacyjnym<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_27_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][27][]\" value=\"mylna identyfikacja pacjenta \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_27_2\">mylna identyfikacja pacjenta<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_27_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][27][]\" value=\"mylna identyfikacja procedury \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_27_3\">mylna identyfikacja procedury<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_27_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][27][]\" value=\"mylna identyfikacja miejsca operowanego\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_27_4\">mylna identyfikacja miejsca operowanego<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_27_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][27][]\" value=\"b\u0142\u0119dna diagnoza\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_27_7\">b\u0142\u0119dna diagnoza<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_27_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][27][]\" value=\"zlecenie niew\u0142a\u015bciwej profilaktyki \u017bChZZ lub jej  pomini\u0119cie \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_27_8\">zlecenie niew\u0142a\u015bciwej profilaktyki \u017bChZZ lub jej  pomini\u0119cie<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_27_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][27][]\" value=\"uszkodzenie cia\u0142a w wyniku zabiegu operacyjnego\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_27_9\">uszkodzenie cia\u0142a w wyniku zabiegu operacyjnego<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_27_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][27][]\" value=\"niedostarczenie opieki \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_27_10\">niedostarczenie opieki<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_28\">b) farmakoterapia: <\/label><ul id=\"wpforms-6-field_28\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_28_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][28][]\" value=\"pomy\u0142ka w podawaniu leku: niew\u0142a\u015bciwa dawka \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_28_1\">pomy\u0142ka w podawaniu leku: niew\u0142a\u015bciwa dawka<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_28_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][28][]\" value=\"pomy\u0142ka w podaniu leku: niew\u0142a\u015bciwy pacjent\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_28_2\">pomy\u0142ka w podaniu leku: niew\u0142a\u015bciwy pacjent<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_28_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][28][]\" value=\"pomy\u0142ka w podaniu leku: niew\u0142a\u015bciwy czas podania leku\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_28_3\">pomy\u0142ka w podaniu leku: niew\u0142a\u015bciwy czas podania leku<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_28_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][28][]\" value=\"pomy\u0142ka w podaniu leku: niew\u0142a\u015bciwa droga podania \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_28_4\">pomy\u0142ka w podaniu leku: niew\u0142a\u015bciwa droga podania<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_28_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][28][]\" value=\"pomy\u0142ka w podaniu leku: niew\u0142a\u015bciwy rozpuszczalnik \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_28_7\">pomy\u0142ka w podaniu leku: niew\u0142a\u015bciwy rozpuszczalnik<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_28_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][28][]\" value=\"pomy\u0142ka w podaniu leku: podanie leku po up\u0142ywie jego terminu wa\u017cno\u015bci \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_28_8\">pomy\u0142ka w podaniu leku: podanie leku po up\u0142ywie jego terminu wa\u017cno\u015bci<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_29-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_29\">c) przetaczanie krwi i jej sk\u0142adnik\u00f3w<\/label><ul id=\"wpforms-6-field_29\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_29_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][29][]\" value=\"niew\u0142a\u015bciwa identyfikacja pacjenta przed przetoczeniem\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_29_1\">niew\u0142a\u015bciwa identyfikacja pacjenta przed przetoczeniem<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_29_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][29][]\" value=\"podanie niew\u0142a\u015bciwej jednostki \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_29_2\">podanie niew\u0142a\u015bciwej jednostki<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_29_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][29][]\" value=\"inne dzia\u0142ania zwi\u0105zane z przetoczeniem krwi i preparat\u00f3w krwiopochodnych\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_29_3\">inne dzia\u0142ania zwi\u0105zane z przetoczeniem krwi i preparat\u00f3w krwiopochodnych<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_29_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][29][]\" value=\"niew\u0142a\u015bciwe wskazania i odstapienie od przetoczenia.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_29_4\">niew\u0142a\u015bciwe wskazania i odstapienie od przetoczenia.<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_30-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_30\">d) zdarzenia dotycz\u0105ce sprz\u0119tu medycznego, wyposa\u017cenia, organizacji pracy:<\/label><ul id=\"wpforms-6-field_30\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_30_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][30][]\" value=\"brak dost\u0119pno\u015bci sprz\u0119tu\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_30_1\">brak dost\u0119pno\u015bci sprz\u0119tu<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_30_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][30][]\" value=\"awarie sprz\u0119tu\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_30_2\">awarie sprz\u0119tu<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_30_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][30][]\" value=\"niew\u0142a\u015bciwa identyfikacja pacjenta \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_30_3\">niew\u0142a\u015bciwa identyfikacja pacjenta<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_30_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][30][]\" value=\"niedostateczne obsady dy\u017curowe\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_30_4\">niedostateczne obsady dy\u017curowe<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_31-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_31\">e) inne:<\/label><ul id=\"wpforms-6-field_31\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_31_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][31][]\" value=\"odle\u017cyny powsta\u0142e w szpitalu \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_31_1\">odle\u017cyny powsta\u0142e w szpitalu<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_31_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][31][]\" value=\"upadki w szpitalu\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_31_2\">upadki w szpitalu<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_31_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][31][]\" value=\"samob\u00f3jstwo\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_31_3\">samob\u00f3jstwo<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_31_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][31][]\" value=\"pr\u00f3ba samob\u00f3jcza w szpitalu\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_31_4\">pr\u00f3ba samob\u00f3jcza w szpitalu<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_31_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][31][]\" value=\"inne\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_31_9\">inne<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_32-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"32\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"2\" data-formid=\"6\" disabled>Poprzedni krok<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"6\" disabled>Nast\u0119pny krok<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-6-field_33-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"33\"><h3 id=\"wpforms-6-field_33\">Zdarzenia niedosz\u0142e (NZN), kt\u00f3re NIE DOSI\u0118GN\u0118\u0141Y pacjenta<\/h3><div class=\"wpforms-field-description\">Typ zdarzenia:<\/div><\/div><div id=\"wpforms-6-field_36-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_36\">a) dzia\u0142alno\u015b\u0107 kliniczna<\/label><ul id=\"wpforms-6-field_36\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_36_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][36][]\" value=\"cia\u0142o obce nieomal pozostawione w polu operacyjnym\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_36_1\">cia\u0142o obce nieomal pozostawione w polu operacyjnym<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_36_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][36][]\" value=\"pocz\u0105tkowo mylna identyfikacja pacjenta \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_36_2\">pocz\u0105tkowo mylna identyfikacja pacjenta<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_36_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][36][]\" value=\"pocz\u0105tkowo mylna identyfikacja procedury \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_36_3\">pocz\u0105tkowo mylna identyfikacja procedury<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_36_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][36][]\" value=\"pocz\u0105tkowo mylna identyfikacja miejsca operowanego\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_36_4\">pocz\u0105tkowo mylna identyfikacja miejsca operowanego<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_36_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][36][]\" value=\"zweryfikowane zlecenie niew\u0142a\u015bciwej profilaktyki \u017cChZZ\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_36_8\">zweryfikowane zlecenie niew\u0142a\u015bciwej profilaktyki \u017cChZZ<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_36_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][36][]\" value=\" unikni\u0119cie uszkodzenia cia\u0142a w wniku zabiegu operacyjnego \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_36_9\">unikni\u0119cie uszkodzenia cia\u0142a w wniku zabiegu operacyjnego<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_36_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][36][]\" value=\"zweryfikowana b\u0142\u0119dna diagnoza\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_36_10\">zweryfikowana b\u0142\u0119dna diagnoza<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_37-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_37\">b) farmakoterapia:<\/label><ul id=\"wpforms-6-field_37\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_37_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][37][]\" value=\"unikni\u0119to podania niew\u0142a\u015bciwej dawki\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_37_1\">unikni\u0119to podania niew\u0142a\u015bciwej dawki<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_37_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][37][]\" value=\"unikni\u0119to podania leku niew\u0142a\u015bciwemu pacjentowi\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_37_2\">unikni\u0119to podania leku niew\u0142a\u015bciwemu pacjentowi<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_37_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][37][]\" value=\"unikni\u0119to podania leku w niew\u0142a\u015bciwym czasie \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_37_3\">unikni\u0119to podania leku w niew\u0142a\u015bciwym czasie<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_37_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][37][]\" value=\"unikni\u0119to podania leku niew\u0142a\u015bciw\u0105 drog\u0105 podania \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_37_4\">unikni\u0119to podania leku niew\u0142a\u015bciw\u0105 drog\u0105 podania<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_37_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][37][]\" value=\"unikni\u0119to podania leku z zastosowaniem niew\u0142a\u015bciwego rozpuszczalnika\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_37_8\">unikni\u0119to podania leku z zastosowaniem niew\u0142a\u015bciwego rozpuszczalnika<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_37_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][37][]\" value=\"unikni\u0119to podania leku po up\u0142ywie terminu wa\u017cno\u015bci\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_37_9\">unikni\u0119to podania leku po up\u0142ywie terminu wa\u017cno\u015bci<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_38-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_38\">c) przetaczanie krwi i jej sk\u0142adnik\u00f3w:<\/label><ul id=\"wpforms-6-field_38\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_38_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"niew\u0142a\u015bciwa identyfikacja pacjenta, zweorflkowana przed przetoczeniem\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_38_1\">niew\u0142a\u015bciwa identyfikacja pacjenta, zweorflkowana przed przetoczeniem<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_38_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"skorygowanie podania niew\u0142a\u015bciwej jednostki\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_38_2\">skorygowanie podania niew\u0142a\u015bciwej jednostki<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_38_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"inne dzia\u0142ania niedosz\u0142e zwi\u0105zane z przetoczeniem krwi i preparat\u00f3w krwiopochodnych\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_38_3\">inne dzia\u0142ania niedosz\u0142e zwi\u0105zane z przetoczeniem krwi i preparat\u00f3w krwiopochodnych<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_38_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"zweryfikowane pocz\u0105tkowo niew\u0142a\u015bciwe wskazania, skutkuj\u0105ce odst\u0105pieniem od przetoczenia\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_38_4\">zweryfikowane pocz\u0105tkowo niew\u0142a\u015bciwe wskazania, skutkuj\u0105ce odst\u0105pieniem od przetoczenia<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_39-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_39\">d) zdarzenia dotycz\u0105ce sprz\u0119tu medycznego, wyposa\u017cenia, organizacji pracy:<\/label><ul id=\"wpforms-6-field_39\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_39_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][39][]\" value=\"zdarzenia niedosz\u0142e zwi\u0105zane z brakiem dost\u0119pno\u015bci sprz\u0119tu\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_39_1\">zdarzenia niedosz\u0142e zwi\u0105zane z brakiem dost\u0119pno\u015bci sprz\u0119tu<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_39_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][39][]\" value=\"zdarzenia niedosz\u0142e zwi\u0105zane z awariami sprz\u0119tu\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_39_2\">zdarzenia niedosz\u0142e zwi\u0105zane z awariami sprz\u0119tu<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_39_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][39][]\" value=\"zweryfikowana niew\u0142a\u015bciwa identyfikacja pacjenta\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_39_3\">zweryfikowana niew\u0142a\u015bciwa identyfikacja pacjenta<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_39_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][39][]\" value=\"zdarzenia niedosz\u0142e zwi\u0105zane z niedostatecznymi obsadami dy\u017curowymi\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_39_4\">zdarzenia niedosz\u0142e zwi\u0105zane z niedostatecznymi obsadami dy\u017curowymi<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_40-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_40\">e) inne zdarzenia niedosz\u0142e dotycz\u0105ce:<\/label><ul id=\"wpforms-6-field_40\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_40_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"odle\u017cyn w szpitalu\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_40_1\">odle\u017cyn w szpitalu<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_40_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"upadku w szpitalu \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_40_2\">upadku w szpitalu<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_40_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"samob\u00f3jstwa\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_40_3\">samob\u00f3jstwa<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_40_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"pr\u00f3by samob\u00f3jczej w szpitalu\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_40_4\">pr\u00f3by samob\u00f3jczej w szpitalu<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-6-field_40_11\" data-rule-check-limit=\"true\" name=\"wpforms[fields][40][]\" value=\"inne\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6-field_40_11\">inne<\/label><\/li><\/ul><\/div><div id=\"wpforms-6-field_41-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"41\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"3\" data-formid=\"6\" disabled>Poprzedni krok<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"3\" data-formid=\"6\" disabled>Nast\u0119pny krok<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4 last \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-6-field_42-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_42\">Skutek zdarzenia - dla pacjenta i szpitala: \t<\/label><textarea id=\"wpforms-6-field_42\" class=\"wpforms-field-small\" name=\"wpforms[fields][42]\" ><\/textarea><\/div><div id=\"wpforms-6-field_43-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_43\">Reakcje bezpo\u015brednia:<\/label><textarea id=\"wpforms-6-field_43\" class=\"wpforms-field-small\" name=\"wpforms[fields][43]\" ><\/textarea><\/div><div id=\"wpforms-6-field_44-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_44\">Uwagi i komentarze:<\/label><textarea id=\"wpforms-6-field_44\" class=\"wpforms-field-medium\" name=\"wpforms[fields][44]\" ><\/textarea><\/div><div id=\"wpforms-6-field_45-container\" class=\"wpforms-field wpforms-field-captcha\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_45\">Rozwi\u0105\u017c r\u00f3wnanie  <span class=\"wpforms-required-label\">*<\/span><\/label>\t\t\t<div class=\"wpforms-captcha-math\">\n\t\t\t\t<span id=\"wpforms-6-field_45-question\" class=\"wpforms-captcha-equation\">\n\t\t\t\t\t<span class=\"n1\">7<\/span>\n\t\t\t\t\t\t\t<span class=\"cal\">*<\/span>\n\t\t\t\t\t\t\t<span class=\"n2\">13<\/span>\t\t\t\t\t<span class=\"e\">=<\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"text\" id=\"wpforms-6-field_45\" class=\"wpforms-field-medium wpforms-field-required a\" data-rule-wpf-captcha=\"math\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][45][a]\" aria-describedby=\"wpforms-6-field_45-question\" required>\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][45][cal]\" class=\"cal\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][45][n2]\" class=\"n2\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][45][n1]\" class=\"n1\">\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-field-description\">Aby stwierdzi\u0107 ze podchodzisz na powa\u017cnie do tego zg\u0142oszenia i potwierdzi\u0107 ze jeste\u015b cz\u0142owiekiem prosimy oblicz powy\u017csze<\/div><\/div><div id=\"wpforms-6-field_25-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"25\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"6\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/zdarzenia.usd.krakow.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-6\" class=\"wpforms-submit\" data-alt-text=\"Wysy\u0142am...\" data-submit-text=\"Wy\u015blij\" aria-live=\"assertive\" value=\"wpforms-submit\">Wy\u015blij<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/zdarzenia.usd.krakow.pl\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Wczytywanie\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-2","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/zdarzenia.usd.krakow.pl\/index.php?rest_route=\/wp\/v2\/pages\/2","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zdarzenia.usd.krakow.pl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/zdarzenia.usd.krakow.pl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/zdarzenia.usd.krakow.pl\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/zdarzenia.usd.krakow.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2"}],"version-history":[{"count":2,"href":"https:\/\/zdarzenia.usd.krakow.pl\/index.php?rest_route=\/wp\/v2\/pages\/2\/revisions"}],"predecessor-version":[{"id":14,"href":"https:\/\/zdarzenia.usd.krakow.pl\/index.php?rest_route=\/wp\/v2\/pages\/2\/revisions\/14"}],"wp:attachment":[{"href":"https:\/\/zdarzenia.usd.krakow.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}