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Near miss prevention action


Data Element ID: DE93
Name: Near miss prevention action
Version: Hospital Version 1.1, Hospital Version 1.2
Data Element ISO Name: Prevention-Process_Near Miss,CD
Definition: Determination of what process prevented the near miss from reaching the patient.
Question: What prevented the near miss (close call) from reaching the patient?
Multiple Choice: No
Form Name: Summary of Initial Report (SIR)
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 "What prevented the near miss from reaching the patient?" to "What prevented the near miss (close call) from reaching the patient?";
Added A338 (c) "Spontaneous action by a practitioner or staff member prevented the event from reaching the patient", A340 (d) "Action by the patient's family member prevented the event from reaching the patient" and A66 (f) "Other: Please specify" to the answer value set;
Removed A336 (c) "Spontaneous action by a practitioner or staff member (other than person making the error) prevented the event from reaching the patient", A339 (d) "Action by the patient or patient's family member prevented the event from reaching the patient", and A342 (e) "Other" from the answer value set;
Added Maximum Length of characters for free text of "2000"
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: Answer this question only if you are reporting a near miss.
The answer selections are intended to be mutually exclusive. However, if it appears to you that 'Fail-safe designed into the process and/or a safeguard worked effectively' and one of the other selections both apply, select the former.
Format: N/A
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 4 (2000 for free text associated with 'Other: Please specify' response.)
Answer Code Answer ID Answer Value Code System Code System Name
A330 a Fail-safe designed into the process and/ or a safeguard worked effectively 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A333 b Practitioner or staff member who made the error noticed and recovered from this error (avoiding any possibility of it reaching the patient) 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A338 c Spontaneous action by a practitioner or staff member prevented the event from reaching the patient 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A340 d Action by the patient's family member prevented the event from reaching the patient 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A66 e Other: Please specify 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: 03/31/2010
Until Date: - -
Update Date: 04/03/2012
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;
Increased narrative field size to accommodate more information
Administrative Status: Final
Administrative Status Date: 04/03/2012
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