United States Health Information Knowledgebase

 

Extent of harm


Data Element ID: DE57
Name: Extent of harm
Version: 1.1
Data Element ISO Name: Patient-Harm,CD
Synonym: None defined at this time
Definition: The extent of harm to the patient after discovery of the incident and any attempts to minimize adverse consequences.
Question: After discovery of the incident, 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)?
Conditionality: Reserved for future use
Multiple Choice: Not Applicable
Form Name: Patient Information Form (PIF)
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: Answer this question only if you are reporting an incident.

The answer choices constitute AHRQ's Harm Scale.

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, dies 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 can not decide between two categories that you believe both apply, select the one that is higher on the list.
Format: Not Applicable
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
A165 b Severe permanent harm: Severe lifelong bodily or psychological injury or disfigurement that interferes significantly with functional ability or quality of life. Prognosis at time of assessment. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A168 c Permanent harm: Lifelong bodily or psychological injury or increased susceptibility to disease. Prognosis at time of assessment. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A171 d Temporary harm: Bodily or psychological injury, but likely not permanent. Prognosis at time of assessment. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A174 e Additional treatment: Injury limited to additional intervention during admission or encounter and/or increased length of stay, but no other injury. Treatment since discovery, and/or expected treatment in future as a direct result of event. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A177 f Emotional distress or inconvenience: Mild and transient anxiety or pain or physical discomfort, but without the need for additional treatment other than monitoring (such as by observation; physical examination; laboratory testing, including phlebotomy; and/or imaging studies). Distress/inconvenience since discovery, and/or expected in future as a direct result of event. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A180 g No harm: Event reached patient, but no was harm evident. 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
UNK h Unknown 2.16.840.1.113883.5.1008 HL7 NullFlavor
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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