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ICR 201603-0920-009 · OMB 0920-1144 · Object 63324601.
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Form Approved OMB NO. 0920-xxxx Expiration Date: xx/xx/20xx Published November 2012 Occupational Health Safety Network (OHSN) Data Elements and Value Sets Version 1.0: Required and Optional, with Descriptions *Indicates Required Data Elements for participation in OHSN Other data elements are optional Data Element (Description) Facility Level Data *Facility ID (ID that uniquely identifies the healthcare facility. Facility must enter this ID.) Value Set (Descriptions) Codes String up to 15 characters N/A *Facility Name (Name of the healthcare facility) Event Level Data *Event ID (ID number of the traumatic injury event. This value must be unique for each event.) String up to 100 characters in length N/A String up to 15 characters N/A *Event Date (Date the event, condition, or injury occurred) Format YYYY-MM-DD, eg 2012-02-24 N/A Event Time (Time that the event, condition, or injury occurred) Format hh:mm N/A Event Reported Date (Date that the event, condition, or injury was reported to participating OHSN organization) Format YYYY-MM-DD N/A OHSN Data Elements and Value Sets - *Indicates Required; others are optional Notes American Hospital Association – AHA— IDs are preferred. This can be a random number assigned by the facility. Must NOT include personal identifiers such as date of birth or social security number. Use 24 hour clock. 1 Public reporting burden of this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx). Published November 2012 Data Element (Description) Event Hours on Duty (Number of hours the healthcare worker was on duty before the incident.) Value Set (Descriptions) Decimal, e.g., 2.50 Codes N/A Notes *Event Location (Location where the event that caused the traumatic injury occurred) Inpatient-Unspecified LO100 Inpatient-Adult Critical Care Units LO101 Inpatient-Neonatal Units LO102 Inpatient-Pediatric Critical Care Units LO103 Inpatient-Specialty Care areas (Adult or Pediatric) LO104 Inpatient-Adult Wards LO105 Use if you do not know the exact inpatient location. Burn Critical Care, Medical Cardiac Critical Care, Medical Critical Care, Med/Surg Critical Care, Neurologic Critical Care, Neurosurg. Critical Care, Prenatal Critical Care, Respiratory Critical Care, Surgical Cardiothoracic Critical Care, Surgical Critical Care, Trauma Critical Care Well Baby Nursery, Step down Neonatal Nursery, Neonatal Critical Care Levels II / III Pediatric: Burn Critical Care, Cardiothoracic Critical Care, Medical Cardiac Critical Care, Medical Critical Care, Med/Surg Critical Care, Neurosurg. Critical Care, Respiratory Critical Care, Surgical Critical Care, Trauma Critical Care Long Term Acute Care, Bone Marrow Transplant, Acute Dialysis Unit, Hematology/Oncology, Solid Organ Transplant, Pediatric Bone Marrow Transplant, Pediatric Dialysis, Pediatric Hem/Onc, Pediatric Long-Term Acute Care, Pediatric Solid Organ Transplant Adult Medical or Surgical Wards: Antenatal Care Ward, Burn Ward, Ear/Nose/Throat Ward, Gastrointestinal Ward, Gerontology Ward, Genitourinary Ward, Gynecology Note: These are based on values from the CDC/National Healthcare Safety Network (NHSN) OHSN Data Elements and Value Sets - *Indicates Required; others are optional 2 Published November 2012 Data Element (Description) Value Set (Descriptions) Codes Inpatient-Pediatric Wards LO106 Inpatient-Step Down Units Inpatient-Operating Rooms LO107 LO108 Inpatient-Long-term Care LO109 Inpatient-Behavioral Health/Psych Ward (Adult or Pediatric) Inpatient-Other locations, please specify LO110 OHSN Data Elements and Value Sets - *Indicates Required; others are optional LO199 Notes Ward, Jail Unit, Labor / Delivery/Recovery/Postpartum, Medical Ward, Med/Surg Ward, Mixed Acuity Ward, Neurology Ward, Neurosurgical Ward, Ophthalmology Ward, Orthopedic Trauma Ward, Orthopedic Ward, Plastic Surgery Ward, Postpartum Ward, Pulmonary Ward, Rehabilitation Ward, School Infirmary (inpatient), Surgical Ward, Stroke (Acute) Unit, Telemetry Unit, Vascular Surgery Ward Pediatric Burn Ward, Pediatric Ear/Nose/Throat, Pediatric Genitourinary, Medical Pediatric Ward, Pediatric Med/Surg Ward, Pediatric Mixed Acuity Ward, Pediatric Neurosurgical Ward, Pediatric Orthopedic Ward, Pediatric Rehab Ward, Pediatric Surgical Ward Adult or Pediatric Cardiac Catheterization Room, Cesarean Section Room, Interventional Radiology, Operating Room, Post Anesthesia Care Unit/Recovery Room Inpatient Hospice, LTC Unit, LTC Alzheimer’s Unit, LTC Behavioral Health/Psych Unit, Ventilator Dependent Unit, LTC Rehab Unit Includes Patient Transportation, Sleep Studies, Pulmonary Function Testing, Treatment Room. Use if you know the inpatient location but cannot find it otherwise on the list. Specify location in field for Event Location Text. 3 Published November 2012 Data Element (Description) Value Set (Descriptions) Outpatient- Unspecified Codes LO200 Outpatient-Acute Care-Emergency Department/Urgent Care Outpatient-Acute Care-Ambulatory Surgery/Observation Outpatient-Clinic (Nonacute) settings LO201 Outpatient-Community locations LO204 OHSN Data Elements and Value Sets - *Indicates Required; others are optional Notes Use if you do not know the exact outpatient location. LO202 LO203 Allergy, Behavioral Health, Blood Collection, Cardiac Rehab, Cardiology, Continence, Dermatology, Diabetes/Endocrinology, Ear/Nose/Throat, Family Medicine, Genetics, Gynecology, Holistic Medicine, Hyperbaric Oxygen, Infusion, Neurology, Occupational Health, Occupational Therapy, Ophthalmology, Orthopedic, Ostomy, Outpt Dental, Outpt GI, Outpt Hem/Onc, Outpt Hemodialysis, Outpt HIV, Outpt Medical, Oupt Rehab, Pain, Pediatric Behavioral Health, Ped. Cardiology, Ped. Clinic, Ped Dental, Ped. Dermatology, Ped. Diabetes/Endocrinology, Ped. Gastrointestinal, Ped. Hem/Onc, Ped. Nephrology, Ped. Orthopedic, Ped. Rheumatology, Ped. Scoliosis, Physical Therapy, Physician’s office, Podiatry, Prenatal, Pulmonary, Rheumatology, School/Prison infirmary (outpatient), Specimen Collection Area, Speech Therapy, Surgical Services, Well Baby, Wound Center, Wound Ostomy Continence, Mobile Blood collection center Includes Home Care, Home-based Hospice, Specimen collection in area not designed for healthcare, Blood Collection (not a van/mobile) in a location not designed for 4 Published November 2012 Data Element (Description) Value Set (Descriptions) Codes Outpatient-Other locations, please specify LO299 Radiology (Inpatient and outpatient) Non-patient-care locations-Unspecified LO301 LO400 Non-patient-care locations-Administrative areas Non-patient-care locations-Laboratories Non-patient-care locations- Hospital Maintenance LO401 Non-patient-care locations-Pharmacy Non-patient-care locations-Morgue Non-patient-care locations-Public areas LO404 LO405 LO406 Non-patient-care locations-Other LO499 Unknown Event Area (Area of the facility where the injury occurred) LO402 LO403 UNK Patient room EA101 Patient bathroom Exam room Operating Room EA102 EA103 EA104 Kitchen/dietary/cafeteria/dining/break room EA201 OHSN Data Elements and Value Sets - *Indicates Required; others are optional Notes healthcare (ex – school gym) Use if you know the outpatient location and can’t find it otherwise listed. Specify location in field for Event Location Text. Includes Mobile MRI/CT. Use if you do not know the exact non-patientcare location. Inpatient or Outpatient Housekeeping, Environmental Services, Kitchen, Engineering, Biomedical Engineering, Sterile Plant Processing, Plant Maintenance, Loading Dock, Central Sterile Supply, Central Trash Area, Laundry Including cafeteria, waiting rooms, parking lot, etc. These can be further specified by the Event Area values. Use if you know the non-patient location and can’t find it otherwise listed. Specify location in field for Event Location Text. A proper value is applicable, but not known. Other than patient bathroom or shower room. Patient bathroom or shower room. 5 Published November 2012 Data Element (Description) Event Medical Treatment (The type of medical treatment the healthcare worker received at the time of the injury event) *Event Type (The type of event that occurred: STF=slip/trip/fall, PHM=patient handling/movement, WPV=workplace violence) Value Set (Descriptions) Facility entrance/exit/lobby/foyer Waiting room area Corridor/hallway/elevator/stairwell Nurses’ station Office/workstation Public bathroom/staff bathroom/staff locker room Outside hospital Codes EA202 EA203 EA204 EA205 EA206 EA207 Off-site home/patient residence Other room or location not listed above, please specify Unknown EA401 EA999 EA301 UNK Hospitalized Visit to a healthcare professional First Aid at the scene No medical treatment MT1 MT2 MT3 MT4 Other, please specify MT9 Unknown UNK STF: Slip, trip, fall: Unspecified STF: Slip or trip without fall STF: Fall on same level STF: Fall to lower level PHM: Unspecified PHM: Patient handling musculoskeletal disorder (MSD) with no equipment PHM: Patient handling MSD with equipment WPV: Unspecified OHSN Data Elements and Value Sets - *Indicates Required; others are optional ET100 ET101 ET102 ET103 ET200 ET201 Notes Includes parking lot, sidewalk, garage, loading dock. Specify in field for Event Area Text. A proper value is applicable, but not known. Specify in field for Event Medical Treatment Text. A proper value is applicable, but not known. Includes fall to upper level. ET202 ET300 6 Published November 2012 Data Element (Description) Value Set (Descriptions) WPV: Verbal assault WPV: Assault against property WPV: Physical assault to person Exposure to blood/body fluid Codes ET301 ET302 ET303 ET401 Exposure to other biohazard ET402 Exposure to other harmful substance or environment ET403 Contact with objects and equipment Musculoskeletal Disorder not related to patient handling Transportation incident Fire or explosion Other, please specify ET404 ET501 ET601 ET701 ET999 Notes Includes threat. Includes needlesticks with or without BBF exposure, other sharps injuries, body fluid splashes, medical waste. Includes insects, mildew, MRSA, meningitis, TB. Includes fumes, dust, chemicals, fiberglass, electricity, radiation, burns, heat/cold exposure. Specify in field for Event Type Text. Event Description (Narrative text that describes what happened) Text string up to 700 characters N/A *Event Severity (Indicate the Severity level of the event based on OSHA severity.) OSHA Recordable, unspecified: (ONLY to be used when cannot be placed in OS11, OS12, OS13, or OS14) OSHA Recordable, Death OS10 ONLY to be used when the event cannot be placed in one of the categories below. OS11 OSHA recordable case – Death. OSHA Recordable, Days away from work OS12 OSHA Recordable, Job transfer or restriction OSHA Recordable, all other cases OS13 OSHA recordable case with days away from work. OSHA recordable case with job transfer/restriction. An OSHA Recordable case that did not result If more than one category applies, choose the one that reflects the higher severity. For example, if there are both Days Away (OS12) and Job Transfer (OS13), choose OS12. OHSN Data Elements and Value Sets - *Indicates Required; others are optional OS14 7 Published November 2012 Data Element (Description) Value Set (Descriptions) Codes Not OSHA recordable OS20 Unknown UNK String up to 15 characters N/A Worker Gender (Gender of the worker) Female Male Undifferentiated F M UN *Worker Age (Age in years of the worker at the time of the event) Number N/A Worker Usual Location (Location where the worker normally worked) Healthcare service location (Same as Event Location) *Worker Occupation (Occupation category of worker at time of event based on categories used in AHA annual survey + additional OHSN value sets) Physician, unspecified Attending Physicians & Dentists Interns/Residents Nurse, unspecified Registered Nurses Licensed Practical (Vocational) Nurses Pharmacy, unspecified Pharmacists Pharmacy Technicians Worker Level Data Worker ID (ID of worker) OHSN Data Elements and Value Sets - *Indicates Required; others are optional Notes in death, days away, or job transfer/restriction. Injury/illness that is not OSHA recordable. Includes no injury (“near-miss”). A proper value is applicable but not known. This can be a random number assigned by the facility. Must NOT include personal identifiers such as date of birth or social security number. The age of the worker who was injured as a 2-digit number. If worker age is unavailable, enter 0. This column cannot be left blank. Use Event Location Codes OC110 OC111 OC112 OC120 OC121 OC122 OC130 OC131 OC132 8 Public reporting burden of this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining . the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx). Published November 2012 Data Element (Description) Worker Type (Type of employee at the time of the event; used to choose appropriate denominators for rates) Value Set (Descriptions) Nursing assistive personnel Codes OC140 Radiology Technicians OC150 Laboratory professional/technical Respiratory Therapists Rehabilitation Personnel OC160 OC170 OC180 Other trainees All other personnel-patient care staff OC190 OC199 Housekeeping/laundry Food service All other personnel-non-patient care staff Unknown OC210 OC220 OC299 UNK Full-time Part-time Contractor Casual Volunteer Other, please specify Unknown EM1 EM2 EM3 EM4 EM5 EM9 UNK Worker Start Date (Date the worker started the job held at the time of the event) Format YYYY-MM-DD N/A Worker Race American Indian or Alaska Native OHSN Data Elements and Value Sets - *Indicates Required; others are optional Notes Includes patient care technicians, patient care assistants, nurse aides. Includes ultrasound technicians, nuclear medicine technicians. Includes phlebotomists. Includes physical therapists, occupational therapists, speech therapists, etc. Includes Advanced Registered Nurse Practitioners, Physician Assistants, paramedics, medical assistants. Specify in field for Worker Occupation Text. Specify in field for Worker Occupation Text. A proper value is applicable, but not known. Not a contractor. Not a contractor. Contract Employee. Casual or per diem. Specify in field for Worker Type Text. A proper value is applicable, but not known. 1002-5 9 Published November 2012 Data Element (Description) (Race of worker) Worker Ethnicity (Ethnicity of worker) Value Set (Descriptions) Asian Black or African American Native Hawaiian or Other Pacific Islander White Other Race, please specify Unknown Codes 2028-9 2054-5 2076-8 2106-3 2131-1 UNK Hispanic or Latino Not Hispanic or Latino 2135-2 2186-5 Undifferentiated Injury Level Data Injury Body Part (The primary body part of the healthcare worker that was injured or exhibits a health condition) Head, including face Neck, including throat Shoulder, including clavicle and scapula Chest, including ribs and internal organs Back, including spine and spinal cord Abdomen Pelvic region Arms Wrists Hand(s) except finger(s) Finger(s), fingernails(s) Legs Ankles Foot (feet), except toe(s) Toe(s), toenail(s) Body Systems Other body parts, please specify Unknown OHSN Data Elements and Value Sets - *Indicates Required; others are optional Notes Specify in field for Worker Race Text. A proper value is applicable, but not known. UNK 0 1 21 22 23 24 25 31 32 33 34 41 42 43 44 5 9 UNK Applies when the functioning of an entire body system has been affected without specific injury to any other part of the body. Specify in field for Injury Body Part Text. A proper value is applicable but not known. 10 Published November 2012 Data Element (Description) Injury Nature (The primary nature of the healthcare worker’s injury/health condition) Value Set (Descriptions) Codes Notes Dislocation 011 Fractures 012 Sprains, strains, tears 021 Open wounds 03 Amputations 031 Surface wounds and bruises 04 Burns 05 Intracranial injury 06 Multiple traumatic injuries and disorders 08 Other traumatic injuries and disorders 09 Displacement and subluxation of bone or cartilage. Traumatic injuries that result in fractures of bones or teeth. Cases of sprains and strains of muscles, joints, tendons, and ligaments. Includes edema. Involving open wounds, broken skin, or outward opening, beyond the superficial skin surface, e.g., lacerations or puncture wounds. Traumatic loss of a limb or other external body part. For an injury to be classified in this group, bone must be lost. Traumatic bruises and other injuries that occur to the surface of the body and generally do not involve open wounds. Includes skin disorders, needlesticks, other sharps injuries. Tissue damage resulting from a variety of sources including heat, flame, hot substances, lightning, radiation, heat, extremely cold objects, and electricity. Traumatic injuries to the cranium or skull and the structures within. Combinations of traumatic injuries or disorders of different types. Traumatic injuries or disorders that are not assigned to the other major groups. Internal injuries to organs and blood vessels of the trunk 094 Crushing injuries 0971 OHSN Data Elements and Value Sets - *Indicates Required; others are optional Traumatic injuries involving internal organs or blood vessels of the trunk and are not classified in any other major group. 11 Published November 2012 Data Element (Description) *+Injury Source (The primary source or secondary source of the injury or the primary hazard involved) +Only required for slip, trip, fall events; optional for workplace violence and patient handling/movement events STF= slip/trip/fall PHM= patient handling/movement WPV= workplace violence Value Set (Descriptions) Back pain, hurt back Soreness, pain, hurt, except the back Multiple nonspecified injuries and disorders Nonclassifiable Codes 0972 0973 0978 Notes 9999 Insufficient information to select even an unspecified code at the division level or there appears to be no injury or illness. Includes “Near-Miss.” A proper value is applicable but not known. Unknown UNK STF Hazard: Unspecified or none IS100 STF Hazard: Contaminant IS101 STF Hazard: Cord or tubing IS102 STF Hazard: Object IS103 STF Hazard: Ice or snow STF Hazard: Surface irregularity IS104 IS105 STF Hazard: A curb or wheel stop STF Hazard: Steps, stairs, or handrail STF Hazard: Other, please specify PHM Equipment: Unspecified PHM Equipment: Full body sling lift – Unspecified IS106 IS107 IS199 IS200 IS210 OHSN Data Elements and Value Sets - *Indicates Required; others are optional Includes water, soap, body fluid, grease/oil, coffee, wax, gel, slick, slippery not otherwise classified. Includes hose, medical tubing, phone cord, nurse call cord, equipment cords. Includes tripping over or getting caught on objects or items on floor, propped against wall, or in the pathway. Includes surface irregularities due to buckled, loose, or damaged mat, carpeting, or rug; when some part of the walking surface is irregular; cracked tiles; loose gravel, door guards; etc. Specify in field for Injury Source Text. 12 Published November 2012 Data Element (Description) STF= slip/trip/fall PHM= patient handling/movement WPV= workplace violence Value Set (Descriptions) PHM Equipment: Full body sling lift – Ceiling lift PHM Equipment: Full body sling lift – Floor-based lift PHM Equipment: Sit-to-stand lift PHM Equipment: Lateral transfer deviceUnspecified PHM Equipment: Air assisted lateral transfer device PHM Equipment: Mechanical lateral transfer device PHM Equipment: Friction-reducing lateral transfer device PHM Equipment: Repositioning aid for bed/chair PHM Equipment: Motorized bed/stretcher/wheelchair PHM Equipment: Specialty function bed PHM Equipment: Shower chair PHM Equipment: Height adjustable exam table PHM Equipment: Gait belt PHM Equipment: Other, please specify WPV: Weapon: Unspecified WPV: Weapon: Firearm WPV: Weapon: Knife WPV: Weapon: Bar, rod, club, stick WPV: Weapon: Building materials WPV: Weapon: Medical instrument or equipment WPV: Weapon: Food, utensils, meal tray OHSN Data Elements and Value Sets - *Indicates Required; others are optional Codes IS211 Notes IS212 IS220 IS230 IS231 IS232 IS233 Includes slide sheet. IS241 IS242 IS243 IS244 IS245 IS246 IS299 IS300 IS301 IS302 IS303 IS304 IS305 Specify in field for Injury Source Text. Excluding eating utensil knife. Includes door, window, floor, wall. IS306 13 Published November 2012 Data Element (Description) STF= slip/trip/fall, PHM= patient handing/movement, WPV= workplace violence Value Set (Descriptions) WPV: Weapon: Bodily fluids or substances of person WPV: Weapon: Other, please specify WPV: Persons (without weapon) WPV: Other, please specify General Source: Chemicals and chemical products General Source: Containers General Source: Furniture and fixtures General Source: Machinery General Source: Parts and materials General Source: Plants, animals, and minerals General Source: Structures and surfaces Codes IS307 IS408 Other than STF hazards. General Source: Tools, instruments, and equipment General Source: Vehicles General Source: Other, please specify Unknown IS409 Other than STF hazards or weapons. IS410 IS499 UNK Specify in field for Injury Source Text. A proper value is applicable but not known. IS309 IS311 IS399 IS401 IS407 STF: Shoe with open back STF: Non-slip-resistant shoe STF: Other, please specify CF1101 CF1102 +Only required for workplace violence PHM: Patient factor: Unspecified PHM: Patient factor: Slipped CF2100 CF2101 PHM: Patient factor: Sudden movement CF2102 PHM: Patient factor: Uncooperative CF2103 OHSN Data Elements and Value Sets - *Indicates Required; others are optional Specify in field for Injury Source Text. This code does not apply to PHM events. Specify in field for Injury Source Text. IS402 IS403 IS404 IS405 *+Injury Contributing Factor (The primary factor contributing to the injury of a healthcare worker) events; optional for slip/trip/fall and patient handling/movement events Notes CF1199 Specify in field for Injury Contributing Factor Text. Patient slipped, tripped, fell, or lost balance. Patient made sudden or unpredictable movement. 14 Published November 2012 Data Element (Description) STF= slip/trip/fall PHM= patient handling/movement WPV= workplace violence Value Set (Descriptions) PHM: Patient factor: Patient equipment or tubes PHM: Patient factor: Patient size or weight PHM: Patient factor: Patient's inability to assist PHM: Patient factor: Other, please specify PHM: Equipment not used: Reason unspecified PHM: Equipment not used: No equipment available PHM: Equipment not used: Refused by patient or family PHM: Equipment not used: Equipment not accessible PHM: Equipment not used: Equipment not suitable for use PHM: Equipment not used: Difficult to use PHM: Equipment not used: Space constraints PHM: Equipment not used: Lack of training PHM: Equipment not used: Urgent medical situation PHM: Equipment not used: Other reason, please specify WPV: Patient Unspecified WPV: Patient: Anesthesia recovery WPV: Patient: Anger related to system OHSN Data Elements and Value Sets - *Indicates Required; others are optional Codes Notes CF2104 CF2105 CF2106 CF2199 Specify in field for Injury Contributing Factor Text. CF2200 CF2201 CF2202 CF2203 CF2204 CF2205 For example, needs to be transferred from another room. For example, equipment not clean or not working. For example, equipment not user-friendly. CF2206 CF2207 Lack of training in use of equipment. CF2208 CF2299 CF3100 Specify in field for Injury Contributing Factor Text. Perpetrator of violence was a patient, but the reason was unspecified. CF3101 CF3102 Anger related to the healthcare system in general. 15 Published November 2012 Data Element (Description) Value Set (Descriptions) WPV: Patient: Anger related to situation Codes CF3103 WPV: Patient: Anger related to policies WPV: Patient: Anger related to wait STF= slip/trip/fall PHM= patient handling/movement WPV= workplace violence WPV: Patient: Cognitive dysfunction WPV: Patient: Influenced by medication WPV: Patient: Mental or behavioral health problems WPV: Patient: Substance abuse WPV: Patient: Other, please specify WPV: Worker: Unspecified CF3104 CF3105 CF3106 CF3107 Anger at staff members related to enforcement of hospital policies. Anger related to long wait times. Includes hypoxic patient, confused patient. CF3108 CF3109 CF3199 CF3200 WPV: Worker: Anger between co-workers WPV: Worker: Mental or behavioral health problems WPV: Worker: Substance abuse WPV: Worker: Other WPV: Visitor: Unspecified CF3201 WPV: Visitor: Anger related to system WPV: Visitor: Anger related to situation CF3301 CF3302 WPV: Visitor: Anger related to policies CF3303 WPV: Visitor: Anger related to wait CF3304 WPV: Visitor: Domestic dispute with HCW WPV: Visitor: Domestic dispute with CF3305 CF3306 OHSN Data Elements and Value Sets - *Indicates Required; others are optional Notes Anger related to the patient's situation or condition. Specify in field for Injury Contributing Factor Text. Perpetrator of violence was a co-worker of the victim, but the reason/s was unspecified. CF3202 CF3203 CF3299 CF3300 Perpetrator of violence was a visitor to the facility, but the reason/s was unspecified. Anger related to the patient's situation or condition. Anger at staff members related to enforcement of hospital policies. Anger related to long wait times. 16 Published November 2012 Data Element (Description) Value Set (Descriptions) patient WPV: Visitor: Mental or behavioral health problems WPV: Visitor: Substance abuse WPV: Visitor: Other, please specify Other, please specify Unknown *+Injury Activity (The primary activity the healthcare worker was performing at the time the event occurred) +Only required for patient handling events; optional for slip/trip/fall and workplace violence events STF= slip/trip/fall, PHM= patient handling/movement, WPV= workplace violence Codes CF3307 CF3308 CF3399 CF9999 UNK STF: Making occupied bed STF: Carrying, pushing or pulling a load STF: Walking STF: Running STF: Awkward posture AC111 AC121 AC131 AC141 AC151 STF: Cleaning AC161 STF: Other, please specify PHM: Hygiene: Unspecified PHM: Hygiene: Bathing patient in bed PHM: Hygiene: Bathing/toileting patient in bathroom PHM: Hygiene: Dressing/undressing or diapering patient PHM: Positioning: Unspecified PHM: Positioning: Positioning/repositioning in bed or stretcher PHM: Positioning: Positioning/repositioning in chair AC199 AC210 AC211 OHSN Data Elements and Value Sets - *Indicates Required; others are optional Notes Specify in field for Injury Contributing Factor Text. Specify in field for Injury Contributing Factor Text. A proper value is applicable, but not known. Reaching, stretching, twisting, bending, or some other awkward posture. Includes washing, waxing, sweeping, dusting, making unoccupied beds, etc. Specify in field for Injury Activity Text. AC212 AC213 Includes applying or removing TED hose. AC230 AC231 AC232 Includes wheelchair, dependency chair, etc. 17 Published November 2012 Data Element (Description) STF= slip/trip/fall PHM= patient handling/movement WPV= workplace violence Value Set (Descriptions) PHM: Responding to patient medical emergency PHM: Sustained lifting/holding of body parts Codes AC241 Notes For example, Code Blue. AC251 For example, holding patient leg/s for sterilization or holding a retractor during thoracic surgery for long period of time. PHM: Transfer: Unspecified PHM: Transfer: Transferring/lifting to/from bed or chair AC260 AC261 PHM: Transfer: Transferring/lifting from floor PHM: Transfer: Lateral transfer of patient to/from bed PHM: Transfer: Transferring/lifting deceased patient PHM: Transport: Unspecified PHM: Transport: Moving patient by wheelchair PHM: Transport: Moving patient by stretcher, bed, litter, trolley, etc. PHM: Transport: Escorting patient without equipment PHM: Other, please specify WPV: Interaction with Patient Unspecified WPV: Interaction with Patient: Assisting AC262 AC263 OHSN Data Elements and Value Sets - *Indicates Required; others are optional To/from stretcher/exam table/surgical lift/trolley. AC264 AC270 AC271 AC272 AC273 AC299 AC310 AC311 WPV: Interaction with Patient: Dispute WPV: Interaction with Co-worker: Unspecified WPV: Interaction with Co-worker: Assisting Includes transferring/lifting to/from bed, chair, wheelchair, dependency chair, toilet, car, etc. Specify in field for Injury Activity Text. Any activity assisting or providing care to the patient, where the patient causes the incident. AC312 AC320 AC321 Any activity assisting a co-worker, where the co-worker causes the incident. 18 Published November 2012 Data Element (Description) Injury Prevention: Recommendation Value Set (Descriptions) WPV: Interaction with Co-worker: Dispute WPV: Interaction with Visitor: Unspecified WPV: Interaction with Visitor: Domestic dispute WPV: Interaction with Visitor: Nondomestic dispute WPV: Intervening in assault on another person WPV: Intervening in an assault on property WPV: Involved in an assault without preceding interaction with perpetrator WPV: Other, please specify Other activity, please specify Unknown Codes AC322 AC330 AC399 AC999 UNK Specify in field for Injury Activity Text. Specify in field for Injury Activity Text. A proper value is applicable, but not known. STF: Redesign of work area STF: Shoe policy STF: Other, please specify PHM: Having more patient lifting equipment PHM: Having properly working lifting equipment PHM: Other, please specify WPV: Restricted movement of public WPV: Security devices PR101 PR102 PR199 Specify in field for Injury Prevention Text. WPV: Other, please specify General: Safety training General: Higher staff-to-patient ratios Other, please specify Unknown PR399 PR401 PR501 PR999 UNK OHSN Data Elements and Value Sets - *Indicates Required; others are optional Notes AC331 AC332 AC341 AC342 AC343 PR201 PR202 PR299 PR301 PR302 Specify in field for Injury Prevention Text. For example, metal detectors, cameras, panic button. Specify in field for Injury Prevention Text. Staffing patterns. Specify in field for Injury Prevention Text. A proper value is applicable, but not known. 19 Published November 2012 OHSN Data Elements and Value Sets - *Indicates Required; others are optional 20
| File Type | application/pdf |
| File Title | OHSN Data Upload file (XML format) |
| Author | National Institute for Occupational Safety and Health |
| File Modified | 2016-02-03 |
| File Created | 2014-02-06 |