Patient Safety Event Report - Hospital: Patient Information Form - Version 1.2

General Details:

Name:
Patient Safety Event Report - Hospital: Patient Information Form - Version 1.2
Steward:
NLM
Definition:
The Patient Information Form (PIF) is used to collect demographic information as well as additional information about the impact of the event on a patient (e.g., level of harm, unplanned interventions). It supplements the Healthcare Event Reporting Form (HERF) in cases where an incident is being reported.
Registration Status:
Qualified

Designations:

Designation:
Patient Safety Event Report - Hospital: Patient Information Form - Version 1.2
Tags:
Long Common Name
Designation:
Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ]
Tags:
Shortname

Designations:

Definition:
The Patient Information Form (PIF) is used to collect demographic information as well as additional information about the impact of the event on a patient (e.g., level of harm, unplanned interventions). It supplements the Healthcare Event Reporting Form (HERF) in cases where an incident is being reported.
Tags:
TERM DEFINITION/DESCRIPTION(S)

Properties:

Key:
RELATED NAMES
Value:
AHRQ survey PnlPanlRandom
Form versionPIF v1.2SURVEY.AHRQ
HospPnl
PanPoint in time
PanelPt safety event
Key:
Fully-Specified Name
Value:
ComponentPropertyTimeSystemScaleMethod
Patient safety event report - hospital - patient information form - version 1.2-Pt^Patient-AHRQ
Key:
BASIC ATTRIBUTES
Value:
Class/TypePanel TypeCreated OnLast Updated in VersionStatus
PANEL.SURVEY.AHRQ/SurveyPanel2014/02/052.54Active
Key:
LOINC_Copyright
Value:
This material contains content from LOINC® (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and forms file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright © 1995-2017, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/terms-of-use.
Key:
PublicDomain
Value:
true

Identifiers:

Source:
NLM
Id:
mJc8pM6Uf
Version:
Source:
LOINC
Id:
74502-6
Version:
2.56