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ASC Data Dictionary
Hospital Data Dictionary
Nursing Facility Data Dictionary
Pharmacy Data Dictionary
Data Dictionary Pages
Shared Learning Questions
General Information Questions
Summary, Cause and Action Plan Questions
Harm Category Questions
Event Information Questions
Event type
Event location
Relevant surgeries or procedures
Admitting diagnosis
Relevant comorbidities
Was care provided under emergency circumstances?
Level of care
How preventable was the incident?
What was the patient’s documented ASA Class?
HIT Questions
Event Specific Questions
Anesthesia Event Questions
Blood Event Questions
Contaminated Drug, Device or Biologic Event Questions
Device, Supply or Equipment Event Questions
Fall Event Questions
Was a fall risk assessment documented?
Was the patient assessed to be at any level of risk for a fall?
Date of most recent fall risk assessment
Why was the most recent fall risk assessment performed?
Was the patient on medication known to increase fall risk at the time of the fall?
Were any of the following risk factors present at the time of the fall?
Were any of the following risk factors considered to have CONTRIBUTED to the fall?
Which of the following were in the patient’s care plan to prevent falls?
Which of the following were in place and being used to prevent falls for this patient?
Prior to the fall, what was the patient doing or trying to do?
What was the patient’s goal?
What was the patient’s goal? (ASC, Hospital)
What was the patient/resident’s goal? (Nursing Facility)
Was the fall observed?
Was the fall assisted or unassisted?
Did any physical device contribute to the fall?
What was the physical or environmental cause of the fall?
Did the patient sustain a physical injury as a result of the fall?
HAI Event Questions
Maternal Event Questions
Medication Event Questions
Perinatal Event Questions
Pressure Injury Event Questions
Surgical or Other Invasive Procedure Event Questions
Unintended Retained Foreign Object Event Questions
Contributing Factor Questions
Review and Analysis Questions
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What was the patient’s goal?
What was the patient’s goal?
Sydney Edlund
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Sydney Edlund
Feb 07, 2022
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