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ASC Communication Factors

Page Properties
hiddentrue

Field Label

Communication factors

Field Name

cf_comm_f

Question ID

Q049

Field Location

Contributing factors

Use Assumptions

Only appears if {cf_comm}=1 (yes)

If {cf_comm}=1 (yes), {cf_comm_f} ≠null

If {cf_comm}=2 (no), {cf_comm_f} must=null

Required

(error)

Setting

ASC, Hospital, Nursing Facility, Pharmacy

Data Type

Character

Old Field Name

Hospitals: [evnt_desc_anlys_chk_box].Contrib_factor_code=A

[evnt_desc_anlys_chk_box].Factor

ASC Among team members -> Among interdisciplinary teams

ASC Between center personnel & patient/family -> Miscommunication

AHRQ Mapping

DE102, DE105, DE96

OPSC Staff Notes

This was part of a more complex table structure in the old form.

Factors 1-9 should appear under the subheader “Healthcare team member factors.” Factors 10-13 should appear under the subheader “Patient/family factors.”

There are dummy contributing factors for this category because the old data does not map well to the new data. They have answer IDs, codes and values, but should not appear on the form. They are cataloged here.

Answer ID

Answer Code

Answer Value

AHRQ

A0532

18

Among hospital personnel

n/a

A0533

19

Available information

n/a

Change History

Jan 2016: added “Patient did not use call light”, “Resident /patient did not use call light”, “Patient unable to communicate”, “Resident/patient unable to communicate” and “Between staff and patient”. Creating a space for common “other” responses.

March 2013: added “Understanding discharge instructions/plan” for ASCs. Clear, unmet need in “other category.”

May 2013: added “Understanding discharge instructions/plan” for hospitals because “why not?”

Response Codes

Answer ID

Answer Code

Answer Value

A

H

N

P

A0451

1

Across units

(tick)

(tick)

(tick)

A0452

2

Among interdisciplinary teams

(tick)

(tick)

(tick)

A1114

14

Among pharmacy staff

(tick)

A1115

15

Between manager or pharmacist and staff

(tick)

A0453

3

Between providers and staff

(tick)

(tick)

A0454

4

Between supervisor and staff

(tick)

(tick)

(tick)

A0455

5

Handoffs, handovers or shift reports

(tick)

(tick)

(tick)

A0456

6

Hard to read fax or handwriting

(tick)

(tick)

(tick)

(tick)

A1262

20

Unclear prescription

(tick)

A0457

7

Within units

(tick)

(tick)

(tick)

A0458

8

With other organizations or outside providers

(tick)

(tick)

(tick)

A1116

16

With prescribing provider or other outside organizations

(tick)

A0459

9

Other  (please describe)

(tick)

(tick)

(tick)

(tick)

A0460

10

Culture

(tick)

(tick)

(tick)

(tick)

A0461

11

Language

(tick)

(tick)

(tick)

(tick)

A1117

17

Between staff and patient

(tick)

A0462

12

Miscommunication

(tick)

(tick)

(tick)

A1263

19

Misinterpreted directions

(tick)

A2637

21

Patient did not use call light

(tick)

(tick)

A2639

23

Patient/resident did not use call light

(tick)

A2638

22

Patient unable to communicate

(tick)

(tick)

A2640

24

Patient/resident unable to communicate

(tick)

A1151

18

Understanding discharge instructions or plan

(tick)

(tick)

A0463

13

Other (please describe)

(tick)

(tick)

(tick)

(tick)

Excerpt
hiddentrue

Healthcare Team Member Factors

Patient and Family Factors

Across units

Culture

Among interdisciplinary teams

Language

Between providers and staff

Miscommunication

Between supervisor and staff

Patient did not use call light

Handoffs, handovers or shift reports

Patient unable to communicate

Hard to read fax or handwriting

Understanding discharge instructions or plan

Within units

Other (please describe)

With other organizations or outside providers

Other (please describe)

Description

Determination of which contributing factor(s) related to communication are known.

...

Expand
titleDefinition

Any other factor related to communication among facility personnel, not included in the list above, which contributed to the event.

Includes

  • Inadequate available information that is not covered by one of the existing factors

Excludes

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Patient and Family Factors

Anchor
culture
culture
Culture

...