| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | review level | 0;1 | POINTER | 741.2 | B | This is the type of review being entered or edited. Multiple Peer and Management reviews are allowed, but only one Clinical review may be entered. |
| .02 | name(+) | 0;2 | POINTER | 200 | This is the name of the person who has performed this review. | |
| .03 | reviewing service | 0;10 | POINTER | 49 | This field is used to enter the service/section that is conducting the Peer review of this occurrence. Once the FINAL PEER REVIEW PER SERVICE field has been answered Y(es) this field may no longer be edited. To change the service, change FINAL PEER REVIEW PER SERVICE to N(o); the service may then be edited. | |
| 1 | date review completed(+) | 0;3 | DATE-TIME | This is the date the reviewer completed the review. | ||
| 2 | reason for exception | 1;0 | MULTIPLE | 741.12 | This is where the screen exception data is entered. | |
| 3 | primary reason clin referral | 0;4 | POINTER | 741.4 | This is the field the Clinical reviewer enters to describe the primary reason the occurrence was referred to the next level of review. | |
| 4 | findings | 0;5 | POINTER | 741.6 | This is the finding of the reviewer at this review level. | |
| 5 | action | 2;0 | MULTIPLE | 741.15 | This is where the action to be taken data is stored. | |
| 6 | *severity of outcome | 0;6 | POINTER | 741.8 | This is the severity of outcome of this occurrence, enter the one that best describes the occurrence. | |
| 7 | *comments | 0;7 | FREE TEXT | This is where the reviewer may enter a short comment about the occurrence or the review of the occurrence. | ||
| 8 | elapsed days | 0;8 | NUMERIC | This is the elapsed days from the date of the occurrence to the date the reviewer finished the review. | ||
| 9 | final peer review per service | 0;9 | BOOLEAN | 1:YES 0:NO | This question should be answered Y(es) if the Peer review for this service contains the final findings. If this prompt is answered Y(es) the data from this peer review will be used on the Summary of Occurrence Screen (Semi-Annual) report. | |
| 10 | comments | 3;0 | WORD-PROCESSING | This is where the reviewer may enter a comment about the occurrence or the review of the occurrence. |
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