%PDF- <> %âãÏÓ endobj 2 0 obj <> endobj 3 0 obj <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 28 0 R 29 0 R] /MediaBox[ 0 0 595.5 842.25] /Contents 4 0 R/Group<>/Tabs/S>> endobj ºaâÚÎΞ-ÌE1ÍØÄ÷{òò2ÿ ÛÖ^ÔÀá TÎ{¦?§®¥kuµùÕ5sLOšuY>endobj 2 0 obj<>endobj 2 0 obj<>endobj 2 0 obj<>endobj 2 0 obj<> endobj 2 0 obj<>endobj 2 0 obj<>es 3 0 R>> endobj 2 0 obj<> ox[ 0.000000 0.000000 609.600000 935.600000]/Fi endobj 3 0 obj<> endobj 7 1 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Subtype/Form>> stream
<div class="wrapper d-flex align-items-stretch"> <?php include('_parts/admin_sidebar.php') ?> <div id="content"> <?php include('_parts/admin_internal_header.php') ?> <div class="main-body"> <div class="headings"> <h4>Incident Details : Take Action </h4> <button name="Submit2" type="button" class="button3" value="Back" onClick="javascript:history.go(-1)"><i class="fa fa-angle-left" aria-hidden="true"></i> Back</button> </div> <form method="post" name="takeAction" id="takeAction" action="" name="deptlevel"> <div class="white-box"> <div class="row form1"> <div class="col-md-12"> <div class="form-incident"> <label>Incident Category <span class="required">*</span></label> <select name="incident_category" id="incident_category" required> <option value="">Select Category</option> <option value="Adverse harm">Adverse harm</option> <option value="Adverse - No harm">Adverse - No harm</option> <option value="Sentinel">Sentinel</option> <option value="Near - Miss">Near - Miss</option> </select> </div> </div> <div class="col-md-12"> <div class="form-incident"> <label>IERP :Incident Error Reporting & Prevention Analysis <span class="required">*</span></label> <div class="row"> <div class="col-md-4"> <div class="checkboxsec"> <?php $prevention_analysis = explode(',',$_POST['prevention_analysis']); list($array1, $array2) = array_chunk($preventionArray, ceil(count($preventionArray) / 2)); foreach($array1 as $prow) { ?> <label><input type="checkbox" name="prevention_analysis[]" value="<?=$prow['id']?>" <?php if(in_array($prow['id'],$prevention_analysis)) { echo 'checked'; }?> /> <?=$prow['title']?> </label> <?php } ?> </div> </div> <div class="col-md-8"> <div class="checkboxsec"> <?php foreach($array2 as $prow) { ?> <label><input type="checkbox" name="prevention_analysis[]" value="<?=$prow['id']?>" <?php if(in_array($prow['id'],$prevention_analysis)) { echo 'checked'; }?> /> <?=$prow['title']?> </label> <?php } ?> </div> </div> </div> </div> </div> </div> </div> <div class="white-box"> <div class="row form1"> <div class="col-md-12"> <ul class="nav nav-tabs takeactionnav" id="myTab" role="tablist"> <?php $k=1; foreach($incidentissueArray as $inrow) { if($k=='1') { ?> <li class="nav-item" role="presentation"> <button class="nav-link active" id="Medication-tab-<?=$inrow['id'] ?>" data-bs-toggle="tab" data-bs-target="#Medication<?=$inrow['id'] ?>" type="button" role="tab" aria-controls="Medication" aria-selected="true"><?=$inrow['title'] ?></button> </li> <?php } else { ?> <li class="nav-item" role="presentation"> <button class="nav-link" id="Medication-tab-<?=$inrow['id'] ?>" data-bs-toggle="tab" data-bs-target="#Medication<?=$inrow['id'] ?>" type="button" role="tab" aria-controls="Medication" aria-selected="false"><?=$inrow['title'] ?></button> </li> <?php } $k++; } ?> </ul> <div class="tab-content" id="myTabContent"> <?php $i=1; $issue_master = explode(',',$_POST['issue_master']); foreach($incidentissueArray as $inrow){ ?> <div class="tab-pane fade <?php if($i=='1'){?> show active<?php } ?>" id="Medication<?=$inrow['id'] ?>" role="tabpanel" aria-labelledby="Medication-tab-<?=$inrow['id'] ?>"> <div class="form-incident"> <div class="row"> <?php if($inrow['id']=='4') { ?> <div class="col-md-8"> <label>Service Issue <span class="required">*</span></label> <textarea name="other_service_issue" id="other_service_issue"><?php echo $_POST['other_service_issue']?></textarea> </div> <?php } else { ?> <div class="col-md-4"> <?php list($issueArray1, $issueArray2) = array_chunk($issueArray[$inrow['id']], ceil(count($issueArray[$inrow['id']]) / 2)); ?> <div class="checkboxsec"> <?php foreach($issueArray1 as $psrow) { ?> <label><input type="checkbox" value="<?=$psrow['id']?>" name="issue_master[]" <?php if(in_array($psrow['id'],$issue_master)) { echo 'checked'; }?> /> <?=$psrow['title']?></label> <?php } ?> </div> </div> <div class="col-md-8"> <div class="checkboxsec"> <?php foreach($issueArray2 as $ptrow) { ?> <label><input type="checkbox" value="<?=$ptrow['id']?>" name="issue_master[]" <?php if(in_array($ptrow['id'],$issue_master)) { echo 'checked'; }?> /> <?=$ptrow['title']?></label> <?php } ?> </div> </div> <?php } ?> </div> </div> </div> <?php $i++; } ?> </div> </div> </div> </div> <div class="white-box"> <div class="row form1"> <div class="col-md-12"> <div class="form-incident"> <label>Contributory factors <span class="required">*</span></label> <?php $contributory_factors = explode(',',$_POST['contributory_factors']); ?> <?php list($contributoryArray1, $contributoryArray2) = array_chunk($contributoryArray, ceil(count($contributoryArray) / 2)); ?> <div class="row"> <div class="col-md-4"> <div class="checkboxsec"> <?php foreach($contributoryArray1 as $ptrow) { ?> <label><input type="checkbox" value="<?=$ptrow['id']?>" name="contributory_factors[]" <?php if(in_array($ptrow['id'],$contributory_factors)) { echo 'checked'; }?> onclick='handleClick(this);' /> <?=$ptrow['title']?></label> <?php } ?> </div> </div> <div class="col-md-8"> <div class="checkboxsec"> <?php foreach($contributoryArray2 as $ptrow) { ?> <label><input type="checkbox" value="<?=$ptrow['id']?>" name="contributory_factors[]" <?php if(in_array($ptrow['id'],$contributory_factors)) { echo 'checked'; }?> onclick='handleClick(this);' /> <?=$ptrow['title']?></label> <?php } ?> </div> </div> <div class="col-md-8"> <div id="others_contributory_factors" <?php if(!in_array('7',$contributory_factors)) { ?>style="display:none;" <?php } ?>> <label>Other Contributory factor</label> <input type="text" name="oth_contributory_factors" id="oth_contributory_factors" value="<?=$ptrow['oth_contributory_factors']?>" /> </div> </div> </div> </div> <script> function handleClick(cb) { $("#others_contributory_factors").hide(); if(cb.checked==true && cb.value=='7'){ $("#others_contributory_factors").show(); } } </script> </div> </div> </div> <div class="white-box"> <div class="row form1"> <div class="col-md-12"> <div class="form-incident"> <label>Analysis/Root Causes/Background <span class="required">*</span> </label> <textarea name="analysis_background" id="analysis_background" required><?php echo $_POST['analysis_background']?></textarea> </div> </div> <div class="col-md-12"> <div class="form-incident"> <label>Type of error <span class="required">*</span> </label> <div class="row"> <?php $error_type = explode(',',$_POST['error_type']); foreach($terrorArray as $trow) { ?> <div class="col-md-3"> <div class="checkboxsec"> <label><input type="checkbox" name="error_type[]" id="error_type" value="<?=$trow['id']?>" <?php if(in_array($trow['id'],$error_type)) { echo 'checked'; } ?> /><?=$trow['title']?> </label> </div> </div> <?php } ?> </div> </div> </div> <div class="col-md-12"> <div class="form-incident"> <label>Corrective Action <span class="required">*</span></label> <textarea name="corrective_action" id="corrective_action" required><?php echo $_POST['corrective_action']?></textarea> </div> </div> <div class="col-md-12"> <div class="form-incident"> <label>Preventive action <span class="required">*</span></label> <textarea name="preventive_action" id="preventive_action" required><?php echo $_POST['preventive_action']?></textarea> </div> </div> <div class="col-md-12"> <div class="form-incident"> <label>Action Taken </label> <div class="row"> <?php $action_taken = explode(',',$_POST['action_taken']); foreach($actionArray as $trow) { ?> <div class="col-md-3"> <div class="checkboxsec"> <label><input type="checkbox" name="action_taken[]" value="<?=$trow['id']?>" <?php if(in_array($trow['id'],$action_taken)) { echo 'checked'; } ?> /><?=$trow['title']?> </label> </div> </div> <?php } ?> </div> </div> </div> </div> </div> <div class="white-box"> <div class="row form1"> <div class="col-md-12"> <div class="form-incident"> <label>5 why <small><span class="required">(Three why required)</span></small> </label> <textarea placeholder="Why 1" name="why_comments_one" id="why_comments_one" required><?php echo $_POST['why_comments_one']?></textarea> <textarea placeholder="Why 2" name="why_comments_two" id="why_comments_two" required><?php echo $_POST['why_comments_two']?></textarea> <textarea placeholder="Why 3" name="why_comments_three" id="why_comments_three" required><?php echo $_POST['why_comments_three']?></textarea> <textarea placeholder="Why 4" name="why_comments_four" id="why_comments_four"><?php echo $_POST['why_comments_four']?></textarea> <textarea placeholder="Why 5" name="why_comments_five" id="why_comments_five"><?php echo $_POST['why_comments_five']?></textarea> </div> </div> </div> </div> <div class="white-box"> <div class="row form1"> <div class="col-md-12"> <div class="form-incident"> <input type="hidden" name="cid" value="<?=$_GET['cid']?>" /> <input type="hidden" name="edit" value="<?=$_POST['id']?>" /> <button type="submit" class="btn button5" />Submit</button> </div> </div> </div> </div> </form> </div> </div> </div>