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Description
Determination of which contributing factor(s) related to communication are known.
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Communication factors may be related to any spoken or written communication between anyone in a facility, including, but not limited to, providers, staff, patients, and patient families. Ineffective communication is communication that was inaccurate, incomplete, ambiguous, misunderstood by the recipient, or not timely. |
On-Screen Instructions
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Field Type
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Healthcare Team Member Factors
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Ineffective communication among staff in a single pharmacy location contributed to the event.
Includes
Communication among pharmacists, pharmacy technicians, pharmacy interns, other pharmacy staff
Misinterpreted communication
Incomplete, not timely, or inaccurate communication
Excludes
Communication between staff of different pharmacies within the same system or corporation (select “With prescribing providers or other outside organizations”)
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Ineffective communication between managers and staff or pharmacists and staff in a pharmacy contributed to the event.
Includes
Pharmacist-in-charge or lead pharmacist and staff
Misinterpreted communication
Incomplete, not timely, or inaccurate communication
Excludes
Communication between provider and pharmacy staff working within the same health system (select “With prescribing physician or other outside organizations”)
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Hard to read handwriting or a hard to read fax contributed to the event.
Includes
Illegible printing or handwriting
Printing too light to read clearly
A healthcare professional’s temporary notes to self
Notes transcribed from a phoned-in prescription
Excludes
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Includes
ExcludesMissing or incomplete prescription details.
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Ineffective communication with prescribing providers or outside organizations contributed to the event.
Includes
Different pharmacy or location within the same healthcare system
External healthcare professionals
Excludes
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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
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Ineffective communication related to cultural differences between facility personnel and the patient or patient’s family contributed to the event.
Includes
Failure to recognize cultural prohibitions and preferences
Excludes
Language barriers (select “Language”)
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A component of language that impacted the communication between patients and facility personnel contributed to the event.
Includes
Spoken language
American Sign Language (ASL)
Pronunciation or accent
Lack of or inappropriate translation services
Excludes
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Ineffective communication between staff and patient contributed to the event.
Includes
Incorrect information regarding condition, medications, etc., provided to or by patient or patient’s family
Excludes
Directions were misinterpreted by patient, family or caregiver (select “Misinterpreted directions”)
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Misinterpretation by the patient, patient’s family, or patient’s caregiver of the directions provided by pharmacist (either written or verbal) during counseling contributed to the event.
Includes
Directions were misinterpreted by patient, family or caregiver
Excludes
Providing incorrect or contradictory directions to the patient, their caregiver or family member (select “Between staff and patient”)
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Any other factor related to communication between facility staff or providers and the patient or patient's family not included in the list above, which contributed to the event.
Guide for Use
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History
Start Date | 2006 |
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End Date | n/a |
Change History | 2013: PSRP Implementation |
Field Name | cf_comm_f |