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不良事件上报表(一)

    .uacf7-uacf7style-1864 label { font-style: normal;font-weight: normal; } .uacf7-uacf7style-1864 input[type="email"], .uacf7-uacf7style-1864 input[type="number"], .uacf7-uacf7style-1864 input[type="password"], .uacf7-uacf7style-1864 input[type="search"], .uacf7-uacf7style-1864 input[type="tel"], .uacf7-uacf7style-1864 input[type="text"], .uacf7-uacf7style-1864 input[type="url"], .uacf7-uacf7style-1864 input[type="date"], .uacf7-uacf7style-1864 input[type="radio"], .uacf7-uacf7style-1864 input[type="checkbox"], .uacf7-uacf7style-1864 select, .uacf7-uacf7style-1864 textarea { font-style: normal;font-weight: normal;border-style: solid!important; } .uacf7-uacf7style-1864 .wpcf7-radio span, .uacf7-uacf7style-1864 .wpcf7-checkbox span { font-style: normal;font-weight: normal; } .uacf7-uacf7style-1864 textarea { } .wpcf7-form-control-wrap select { width: 100%; } .uacf7-uacf7style-1864 input[type="submit"] { font-style: normal;font-weight: normal;border-style: none; } .uacf7-uacf7style-1864 input[type="submit"]:hover { } /* 基础样式 - 可根据需要修改主色调 */ :root { --primary-color: #165DFF; /* 主色调 - 专业蓝色 */ --primary-hover: #0E42D2; /* 主色悬停 */ --bg-color: #f9f9f9; /* 背景色 */ --border-color: #e0e0e0; /* 边框色 */ --text-color: #333; /* 文本色 */ --hover-bg: #f0f0f0; /* 悬停背景 */ --error-color: #e74c3c; /* 错误色 */ --info-bg: #f5f7fa; /* 信息背景 */ } /* 表单容器 */ .cf7-ultra-container { max-width: 1000px; margin: 0 auto; padding: 20px; } /* 分区卡片 */ .cf7-section-card { background-color: #ffffff; border-radius: 8px; box-shadow: 0 2px 10px rgba(0, 0, 0, 0.05); margin-bottom: 25px; padding: 25px; transition: all 0.3s ease; border-left: 4px solid var(--primary-color); } .cf7-section-card:hover { box-shadow: 0 4px 15px rgba(0, 0, 0, 0.1); } /* 信息卡片(填报说明) */ .cf7-info-card { background-color: var(--info-bg); border-radius: 8px; margin-bottom: 25px; padding: 25px; border-left: 4px solid #8c9eff; } .cf7-info-title { color: #555; font-size: 18px; font-weight: 600; margin-bottom: 15px; } .cf7-info-content { color: #666; line-height: 1.6; } .cf7-info-content ul { margin-left: 20px; margin-bottom: 10px; } .cf7-info-content li { margin-bottom: 5px; } /* 分区标题 */ .cf7-section-title { color: var(--text-color); font-size: 20px; font-weight: 600; margin-bottom: 20px; padding-bottom: 10px; border-bottom: 1px solid #eee; display: flex; align-items: center; } .cf7-section-title::before { content: ''; display: inline-block; width: 6px; height: 20px; background-color: var(--primary-color); margin-right: 10px; border-radius: 3px; } /* 表单布局 - 响应式网格 */ .cf7-form-row { display: flex; flex-wrap: wrap; margin: 0 -15px; } .cf7-form-col { flex: 1; padding: 0 15px; margin-bottom: 20px; min-width: 280px; /* 小屏幕最小宽度 */ } .cf7-form-col-sm { flex: 1; padding: 0 10px; margin-bottom: 15px; min-width: 120px; } @media (max-width: 768px) { .cf7-form-col, .cf7-form-col-sm { flex-basis: 100%; } } /* 嵌套字段 */ .cf7-nested-fields { background-color: #fafafa; padding: 15px; border-radius: 6px; margin-top: 10px; } .cf7-nested-label { display: block; margin-bottom: 5px; font-weight: 500; color: #555; font-size: 14px; } .cf7-nested-input { width: 100%; padding: 8px 10px; border: 1px solid var(--border-color); border-radius: 4px; background-color: #fff; font-size: 14px; transition: all 0.2s ease; } .cf7-nested-input:focus { outline: none; border-color: var(--primary-color); box-shadow: 0 0 0 2px rgba(22, 93, 255, 0.1); } /* 输入框通用样式 */ .cf7-input-wrapper { position: relative; } .cf7-label { display: block; margin-bottom: 8px; font-weight: 500; color: #555; display: flex; align-items: center; } .required { color: var(--error-color); margin-left: 3px; font-size: 14px; } .cf7-input, .cf7-select, .cf7-textarea { width: 100%; padding: 12px 15px; border: 1px solid var(--border-color); border-radius: 5px; background-color: #fff; transition: all 0.3s ease; font-size: 15px; color: var(--text-color); box-shadow: 0 1px 2px rgba(0, 0, 0, 0.05); } .cf7-input:focus, .cf7-select:focus, .cf7-textarea:focus { outline: none; border-color: var(--primary-color); background-color: #fff; box-shadow: 0 0 0 3px rgba(22, 93, 255, 0.15); transform: translateY(-1px); } .cf7-input::placeholder, .cf7-textarea::placeholder { color: #999; font-style: italic; } /* 日期选择器样式优化 */ .cf7-input[type="date"] { position: relative; padding-right: 35px; } .cf7-input[type="date"]::-webkit-calendar-picker-indicator { background: transparent; color: transparent; cursor: pointer; height: 100%; left: 0; position: absolute; right: 0; top: 0; width: 100%; } .cf7-input[type="date"]::after { content: '📅'; position: absolute; right: 10px; top: 50%; transform: translateY(-50%); pointer-events: none; color: #999; } /* 单选按钮(评分)样式 */ .cf7-rating-group { margin-bottom: 20px; } .cf7-rating-label { display: block; margin-bottom: 12px; font-weight: 500; color: #555; } .cf7-radio input[type="radio"] { position: absolute; opacity: 0; width: 0; height: 0; } .cf7-radio span.wpcf7-list-item { display: inline-block; margin-right: 10px; margin-bottom: 10px; } .cf7-radio input[type="radio"] + span.wpcf7-list-item-label { display: inline-block; padding: 10px 18px; border-radius: 6px; background-color: var(--bg-color); color: #666; cursor: pointer; transition: all 0.2s ease; font-size: 15px; line-height: 1.4; min-width: 120px; text-align: center; } .cf7-radio input[type="radio"]:checked + span.wpcf7-list-item-label { background-color: var(--primary-color) !important; color: #fff !important; box-shadow: 0 2px 5px rgba(22, 93, 255, 0.3); } .cf7-radio input[type="radio"] + span.wpcf7-list-item-label:hover { background-color: var(--hover-bg); transform: translateY(-1px); } /* 复选框样式 */ .cf7-checkbox-group { margin-bottom: 20px; } .cf7-checkbox-label { display: block; margin-bottom: 12px; font-weight: 500; color: #555; } .cf7-checkbox input[type="checkbox"] { position: absolute; opacity: 0; width: 0; height: 0; } .cf7-checkbox span.wpcf7-list-item { display: block; margin-bottom: 15px; } .cf7-checkbox input[type="checkbox"] + span.wpcf7-list-item-label { position: relative; padding-left: 35px; cursor: pointer; line-height: 22px; color: #666; font-size: 15px; display: inline-block; min-height: 22px; } .cf7-checkbox input[type="checkbox"] + span.wpcf7-list-item-label:before { content: ''; position: absolute; left: 0; top: 0; width: 22px; height: 22px; border: 2px solid var(--border-color); border-radius: 4px; background-color: #fff; transition: all 0.2s ease; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.05); } .cf7-checkbox input[type="checkbox"]:checked + span.wpcf7-list-item-label:before { background-color: var(--primary-color) !important; border-color: var(--primary-color) !important; } .cf7-checkbox input[type="checkbox"]:checked + span.wpcf7-list-item-label:after { content: ''; position: absolute; left: 7px; top: 3px; width: 6px; height: 12px; border: solid white; border-width: 0 2px 2px 0; transform: rotate(45deg); } .cf7-checkbox input[type="checkbox"] + span.wpcf7-list-item-label:hover:before { border-color: var(--primary-color); } /* 提交按钮样式 */ .cf7-submit-wrapper { text-align: center; margin-top: 30px; margin-bottom: 20px; } .cf7-submit { background-color: var(--primary-color); color: #fff; border: none; border-radius: 8px; padding: 16px 50px; font-size: 17px; font-weight: 500; cursor: pointer; transition: all 0.3s ease; box-shadow: 0 4px 12px rgba(22, 93, 255, 0.25); position: relative; overflow: hidden; } .cf7-submit:hover { background-color: var(--primary-hover); transform: translateY(-2px); box-shadow: 0 6px 15px rgba(22, 93, 255, 0.3); } .cf7-submit:active { transform: translateY(0); } .cf7-submit::before { content: ''; position: absolute; top: 0; left: -100%; width: 100%; height: 100%; background: linear-gradient(90deg, transparent, rgba(255, 255, 255, 0.2), transparent); animation: shine 2s infinite; } @keyframes shine { 100% { left: 100%; } } /* 表单验证反馈 */ .wpcf7-not-valid-tip { color: var(--error-color); font-size: 13px; margin-top: 5px; display: block; } .wpcf7-response-output { padding: 15px 20px; margin: 20px 0; border-radius: 6px; font-size: 15px; line-height: 1.6; } .wpcf7-mail-sent-ok { background-color: #e8f5e9; color: #2e7d32; border: 1px solid #c8e6c9; } .wpcf7-mail-sent-ng { background-color: #ffebee; color: #c62828; border: 1px solid #ffcdd2; } .wpcf7-validation-errors { background-color: #fff8e1; color: #f57f17; border: 1px solid #ffecb3; } /* 滚动提示 */ .cf7-scroll-hint { text-align: center; margin: 15px 0; color: #999; font-size: 14px; } .cf7-scroll-hint span { display: inline-block; animation: bounce 2s infinite; } @keyframes bounce { 0%, 20%, 50%, 80%, 100% { transform: translateY(0); } 40% { transform: translateY(-5px); } 60% { transform: translateY(-3px); } }

    基本信息

    事件基本信息

    事件类型

    发生地点

    事件详细描述

    上报与处理

    各级审核

    填报说明

    上报时限:

    • Ⅰ 级事件:事发后1小时内口头上报,24小时内提交书面报告。
    • Ⅱ 级事件:事发后24小时内提交书面报告。
    • Ⅲ 级事件:每周汇总上报至质控管理部。

    保密要求:涉及长者隐私信息需加密处理,仅限内部管理使用。

    数据应用:

    • 每月汇总不良事件类型及整改成效,形成《安全质量月报》。
    • 对重复发生的事件启动专项改进项目(如"防跌倒管理优化计划")。

    附件要求:可附现场照片、监控录像截图、医疗记录等证据材料。

    手机扫码上报:

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