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(How likely is this to occur?)(What would be the most likely?)(Will new treatment/care be needed for resident/staff?)(Are processes/resources in place to identify/address this event?)ScoreHighMed.LowNoneSerious Harm Moderate HarmTemp. HarmNoneHighMed.LowNonePoor3210321032103Facility-onset Infections(s)Device- or care-relatedCatheter-associated urinary tract infection (CAUTI)Central line-associated bloodstream infection (CLABSI)Tracheostomy-associated respiratory infectionPercutaneous-gastrostomy insertion site infectionWound infectionOther (specify):Resident-relatedSymptomatic urinary tract infection (SUTI)PneumoniaCellulitis/soft tissueClostridioides difficileinfectionTuberculosis*Other (specify):Outbreak-relatedInfluenza*Other viral respiratory pathogens*Norovirus gastroenteritis*Bacterial gastroenteritis (e.g.,Salmonella, Shigella)ScabiesConjunctivitisGroup A Streptococcus*MDROOther (specify):* Risk assessment should take into account the frequncy of this disease in the community as part of determining probability of occurrence. Data from State/local health department may be informative.Date Prepared: Adapted from ................
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