Care module |
Cardiac arrest and/or deterioration in vital signs |
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Deep venous thrombosis and/or pulmonary embolus |
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Pressure ulcer |
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Blood vessel, skin and/or tissue harm |
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Neurological impairment and/or harm |
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Fall |
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Healthcare-associated infection |
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Moderate/severe pain |
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Moderate/severe worry, anxiety, suffering, existential pain and/or psychological pain |
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Moderate/severe agitation and/or acute confusion/delirium |
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Undernutrition |
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Insufficient oral health |
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Moderate/severe gastrointestinal problem |
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Distended urinary bladder |
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Deviation from normal course after invasive/surgical treatment |
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Treatment |
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Advanced medical device |
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Threats, violence and/or improper contact |
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Self-inflicted harm |
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Escape from home/special accommodation |
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Documentation of mistake or dissatisfaction with care |
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Other |
Laboratory module |
Abnormal glucose value |
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Increasing creatinine value |
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Abnormal potassium value |
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Abnormal sodium value |
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Abnormal calcium value |
Medication module |
Adverse drug event/adverse drug reaction |
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Drug that requires follow-up with blood sampling |
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Treatment with at least 10 drugs |
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Absence of in-depth drug review |
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Treatment with drugs that increase the risk for haemorrhage |
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Drug management |
Continuity and transition module |
Unplanned change of care-providing unit |
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Unplanned contact with physician and/or registered nurse |
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Absence of and/or deviation from care plan |
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Absence of a coordinated individual care plan when care is provided by several caregivers |
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Documentation related to insufficient coordination of care, communication and/or information |