Patient factors (ASC, Hospital, Pharmacy)
Description
Determination of which contributing factor(s) related to patients are known.
If the patient was non-compliant, please consider WHY the patient may not have complied.
On-Screen Instructions
Field Type
Responses
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
Dementia (select “Mental status”)
Cognitive impairment (select "Mental status")
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
Relationships or dynamics between staff and patient's family (select applicable Communication Factors)
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
Well-controlled multiple diagnoses (list in “Comorbidities”)
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
Behavioral problems (select "Behavioral status")
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")
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
Physical limitations (select "Physical limitations")
Cognitive impairment (select "Mental status")
Other (please describe)
Any other factor related to the patient, not included in the list above, which contributed to the event.
Guide for Use
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 |
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