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Description

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

On-Screen Instructions

Check all that apply.

Field Type

Checkbox (multiselect)

Responses

Healthcare Team Member Factors

Among pharmacy staff

 Definition

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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Between manager or pharmacist and staff

 Definition

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 “Communication with prescribing physician or other outside organizations”)

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Hard to read fax or handwriting

 Definition

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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Unclear prescription

 Definition

[DEFINITION MISSING]

Includes

Excludes

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With prescribing provider or other organizations

 Definition

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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Other healthcare team member factors (please describe)

 Definition

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

Culture

 Definition

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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Language

 Definition

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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Between staff and patient

 Definition

text

Includes

  • text

Excludes

  • text

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Misinterpreted directions

 Definition

text

Includes

  • text

Excludes

  • text

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Other patient and family factors (please describe)

 Definition

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.

Includes

Excludes

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Additional Guidance

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.

History

Start Date

2006

End Date

n/a

Change History

Spring 2012: PSRP Implementation

January 2016: added “patient did not use call light” and “patient unable to communicate”

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