Content Comparison

Miscommunication between facility personnel and the patient/resident or patient/resident’s family contributed to the event.

Includes

• Incorrect information regarding condition, medications, etc., provided to or by patient/resident or patient/resident’s family

Excludes

• Misunderstood or incorrect discharge instructions (select “Understanding discharge instructions or plan”)

Patient/resident does not use call light to communicate needs with staff.

Includes

• Any reason a patient/resident does not use a call light (e.g., patient/resident cannot remember to use call light, patient/resident desire for privacy or independence, patient/resident does not want to bother staff)

Excludes

• Call light not available (select “Device , equipment, or supply availability”)

• Call light not working (select “Device, equipment, or supply Function (e.g., defective, non-working)”)

• Call light alarms turned off (select ““Device, equipment, or supply Use or selection by healthcare provider or staff” or “Device, equipment, or supply Use by patient”error”)

• Patient/resident not provided instruction for using call light (select “Miscommunication”)

Patient/resident’s physical inability to communicate contributed to the event.

Includes

• Nonverbal patientPatient/resident nonverbal

• Patient/resident unable to communicate due to clinical condition (e.g., ventilated, comatose)

Excludes

• Patient/resident provides incorrect information or fails to disclose information to care team (select “Miscommunication”)

• Patient/resident is difficult to understand (select “Miscommunication”)

• Patient/resident has language barrier (select “Language”)