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DO NOT RESUSCITATE (DNAR) ORDER SAMPLE (Please Type or Print)School___Students Name___Date of Birth___/___/___Gender [] Male [ ]FemalePhysicians Name: ___Telephone: ___Physicians Address: ___(School
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The DOH-3474PDF is a form used in New York State for reporting certain health care-associated infections and outcomes in hospitals and other health care facilities.
Hospitals and health care facilities in New York that are required to report health care-associated infections and outcomes are responsible for filing the DOH-3474PDF.
To fill out the DOH-3474PDF, complete each required section with accurate patient data, infection details, and ensure all fields are filled according to the guidelines provided by the New York State Department of Health.
The purpose of the DOH-3474PDF is to collect and analyze data on health care-associated infections to improve patient safety and reduce infection rates in health care settings.
The information that must be reported includes patient demographics, details of the infection, treatment provided, and any outcomes related to the infection.
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