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Initial Build

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SE, 9/2

Staff Review

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Linda Lancaster (Unlicensed)

Approval Status

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6/28

Description

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

Info

If the patient was non-compliant, please consider WHY the patient may not have complied.

On-Screen Instructions

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Field Type

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Responses

Table of Contents
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excludeDescription|On-Screen Instructions|Field Type|Responses|Response Codes|OPSC Staff Notes|History|Guide for Use|Additional Support

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behavioralStatus
behavioralStatus
Behavioral status

The patient’s behavioral status contributed to the event.

Includes

  • Patient responds with inappropriate anger

  • Patient demonstrates lack of engagement in care plan

Excludes

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familyDynamics
familyDynamics
Family dynamics or relationships

The patient’s family dynamics or relationships contributed to the event.

Includes

  • Family contradicting staff instructions

  • Dysfunctional relationship between patient and patient's family

Excludes

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fragileHealthStatus
fragileHealthStatus
Fragile health status

The patient’s fragile health status (i.e., health status that resulted in the patient’s condition being less stable and more vulnerable to variations in care) contributed to the event.

Includes

  • Immunocompromised patients

  • Frail elderly

  • Multiple system failure

Excludes

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mentalStatus
mentalStatus
Mental status

The patient’s mental status contributed to the event.

Includes

  • Alzheimer's Disease and other dementias

  • Cognitive impairments impacting patient's understanding of care and treatment requirements

  • Any other condition impacting a patient's mental status

Excludes

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physicalLimitations
physicalLimitations
Physical limitations

The patient’s physical limitations contributed to the event.

Includes

  • Speech

  • Gait disorders

  • Other limitations that impact a patient's abilities

Excludes

  • Sensory impairment (including hearing, vision, smell, feeling, or other impairments) that impact a patient's ability to react to stimuli (select "Sensory impairment")

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sensoryImpairment
sensoryImpairment
Sensory impairment (vision, hearing, balance, etc.)

The patient’s sensory impairment contributed to the event.

Includes

  • Impairments such as hearing, vision, smell, feeling, or other impairments that impact a patient's ability to react to stimuli.

Excludes

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other
other
Other (please describe)

Any other factor related to the patient, not included in the list above, which contributed to the event.

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Guide for Use

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History

Start Date

2006

End Date

n/a

Change History

Spring 2012: PSRP implementation

January 2016: Added “(vision, hearing, balance, etc.)” to “sensory impairment”

Field Name

cf_patient_f