United States Health Information Knowledgebase

 

Extent of harm


Data Element ID: DE55
Name: Extent of harm
Version: Hospital Version 1.2
Data Element ISO Name: Patient-Harm,CD
Definition: The extent of harm to the patient after discovery of the incident and any attempts to minimize adverse consequences.
Question: After any intervention to reduce harm, what was the degree of residual harm to the patient from the incident (and subsequent intervention)?
Multiple Choice: No
Form Name: Patient Information Form (PIF)
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Comments: None defined at this time
Description of Change: Changed the Data Element Question from "After discovery of the incident, and any subsequent intervention, what was the extent of harm to the patient (i.e., extent to which the patient's functional ability is expected to be impaired subsequent to the incident and any attempts to minimize adverse consequences)?" to "After any intervention to reduce harm, what was the degree of residual harm to the patient from the incident (and subsequent intervention)?";
Changed the Answer Value [A172 (d)] from "Mild harm: Minimal symptoms or loss of function, or injury limited to additional treatment, monitoring, and/or increased length of stay" to "Mild harm: Bodily or psychological injury resulting in minimal symptoms or loss of function, or injury limited to additional treatment, monitoring, and/or increased length of stay" in the answer value set.
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: Answer this question only if you are reporting an incident.
The answer choices constitute the first part of AHRQ's Harm Scale. This question relates to the intensity of harm that occurred as a result of the incident and not its duration. If you indicate that harm to the patient occurred, you will be asked about the anticipated duration of this harm in the following question.
Select 'Death: Dead at time of assessment' only if the patient died during the stay when the incident occurred and the death was attributable, in whole or in part, to the incident. Do not make this selection if the patient is alive at the time of this report, no matter how bad the patient's prognosis. Do consider updating this report if the patient, who is alive at the time of this assessment, should die prior to discharge.
No further explanation is provided regarding the other categories in the Harm Scale. Your selection among these categories should be based on your present assessment of the patient's future condition attributable to the incident, taking the likely effects of treatment into account. If you cannot decide between two categories that you believe both apply, select the one that is higher on the list.
Format: N/A
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 4
Answer Code Answer ID Answer Value Code System Code System Name
A162 a Death: Dead at time of assessment 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A166 b Severe harm: Bodily or psychological injury (including pain or disfigurement) that interferes significantly with functional ability or quality of life. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A169 c Moderate harm: Bodily or psychological injury adversely affecting functional ability or quality of life, but not at the level of severe harm. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A172 d Mild harm: Bodily or psychological injury resulting in minimal symptoms or loss of function, or injury limited to additional treatment, monitoring, and/or increased length of stay. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A180 e No harm: Event reached patient, but no harm was evident. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
UNK f Unknown 2.16.840.1.113883.5.1008 HL7 NullFlavor
Effective Date: 04/03/2012
Until Date: - -
Update Date: 04/24/2013
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: - -
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: Amy Helwig, MD, MS
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: No specific reference at this time
Rationale for Change: Data Element Question clarification;
Answer Value clarification
Administrative Status: Final
Administrative Status Date: 04/03/2012
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