Which document must adverse events be reported in according to standard practice?

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Adverse events must be reported in the medical record to ensure that there is a comprehensive and accurate account of all patient interactions and occurrences during treatment. Documenting these events in the medical record is vital for multiple reasons. It provides continuity of care, serves as a legal document, and allows for effective communication among the healthcare team. Keeping an accurate and complete medical record ensures that providers can assess the patient's history and any incidents that may impact their treatment plan or health outcomes. This practice also helps in identifying patterns that may suggest areas needing improvement or further investigation. While other documents like quality assurance logs and incident logs play a role in tracking and analyzing adverse events, the medical record is the primary document reflecting patient care and should include all relevant details about adverse events.

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