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Category(s) associated with event or unsafe condition


Data Element ID: DE21
Name: Category(s) associated with event or unsafe condition
Version: 1.1
Data Element ISO Name: Event or unsafe condition-Category,CD
Synonym: None defined at this time
Definition: Documentation of the category of event that was being reported to include an incident, near miss and/or unsafe condition.
Question: Which of the following categories are associated with the event or unsafe condition? For each category selected below, except ´other´, please complete the corresponding category-specific form. All categories include reporting of incidents. Any category with + also includes reporting of near misses. Any category with * also includes reporting of unsafe conditions.
Conditionality: Reserved for future use
Multiple Choice: Not Applicable
Form Name: Healthcare Event Reporting Form (HERF)
Data Set: Reserved for future use
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Comments: None defined at this time
Description of Change: Not applicable for this release
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: Additional Common Formats have been defined for eight specified categories of patient safety concerns. For the patient safety concern you are reporting, please select all of the categories in the list that apply to that concern, and, for each category selected, except "Other", complete the corresponding category-specific form. All categories include reporting of incidents. Any category with + also includes reporting of near misses. Any category with * also includes reporting of unsafe conditions.

Select 'Blood or Blood Product' if the concern you are reporting involved the processing and/or administration of blood or a blood product.

Select 'Device or Medical/Surgical Supply' if the concern you are reporting involved a device failure or incorrect use of a device. A device includes an implant, medical equipment, or a medical/surgical supply (including a disposable product).

Select 'Fall' if the concern you are reporting involved a sudden, unintended, uncontrolled downward displacement of a patient's body to the ground or other unintended surface and the concern was an incident, i.e., not a near miss or unsafe condition.

Select 'Healthcare-associated Infection' if the concern you are reporting was a localized or systemic condition resulting from an adverse reaction to the presence of an infectious agent(s) or its toxin(s) that was acquired during the course of receiving treatment for other conditions within a healthcare setting and the concern was an incident, i.e., not a near miss or unsafe condition.

Select 'Medication or Other Substance' if the concern you are reporting involved a substance such as a medication, vaccine, nutrient, dietary supplement, medical gas or contrast medium.

Select 'Perinatal' if the incident you are reporting involved an adverse outcome occurring during the perinatal period to the mother, fetus(es), or neonate(s) and the incident involved the birthing process or an intrauterine procedure that occurred prior to the onset of labor. The perinatal period extends from the 20th week of gestation through 4 weeks (28 days) post-partum. The neonatal period extends from birth until the end of the perinatal period.

Select 'Pressure Ulcer' if the concern you are reporting involved a pressure ulcer or deep tissue injury that was not present on admission or that worsened during the patient's stay and the concern was an incident, i.e., not a near miss or unsafe condition.

Select 'Surgery or Anesthesia' if the concern you are reporting involved a surgical or other invasive procedure (e.g., colonoscopy) or the administration of anesthesia and the concern was an incident or near miss, i.e., not an unsafe condition.

Select 'Other' if the concern you are reporting does not belong to any of the listed categories. If so, please describe the event in a few words.
Format: Not Applicable
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 3 (500 for free text associated with ´Other: Please Specify´ response.)
Answer Code Answer ID Answer Value Code System Code System Name
A42 a Blood or Blood Product*+ 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A45 b Device or Medical/Surgical Supply*+ 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A48 c Fall 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A51 d Healthcare-associated Infection 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A54 e Medication or Other Substance*+ 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A57 f Perinatal 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A60 g Pressure Ulcer 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A63 h Surgery or Anesthesia (includes invasive procedure)+ 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A66 i Other: Please specify*+ 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: 03/31/2010
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: John C. Moquin
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: No specific reference at this time
Rationale for Change: Not Applicable
Administrative Status: Final
Administrative Status Date: 03/31/2010
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