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Description

The extent of harm to the patient after discovery of the incident and any attempts to minimize adverse consequences.

On-Screen Instructions

Select one.

Which best describes the extent to which the patient’s functional ability is expected to be impaired subsequent to the incident and any attempts to minimize adverse consequences.

Field Type

Radio button (single select)

Responses

  • Severe harm: bodily injury (including pain or disfigurement) that interferes significantly with functional ability or quality of life

  • Moderate harm: bodily injury adversely affecting functional ability or quality of life, but not at the level of severe harm

  • Mild harm: minimal symptoms or loss of function, or injury limited to additional treatment, monitoring, and/or increased length of stay

Guide for Use

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.

History

Start Date

Spring 2012

End Date

n/a

Change History

n/a

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