Patient management factors (ASC)
Description
Determination of which contributing factor(s) related to patient management are known.
On-Screen Instructions
Field Type
Responses
Initial diagnosis
The initial diagnosis contributed to the event.
Includes
Misdiagnosis
Incomplete diagnosis
Patient self-diagnosis
Initially following incorrect diagnostic path, missed diagnosis
Diagnoses based on incorrect or inaccurate laboratory values, test results, or missing communication from outside sources
Excludes
Patient self-diagnosis
Response to changing condition or delay in care
Provider or staff response to changing condition or a delay in care contributed to the event.
Includes
Delays in treatment related to failure to recognize significance of signs and symptoms, lack of test results, or incorrect or missing information
Excludes
Treatment or care plan
The treatment or care plan contributed to the event.
Includes
Accuracy of plan
Plan development
Plan implementation
Following the plan
Accuracy of plan
Planned delegation of clinical care
Excludes
Patient consent process (select “Other patient management factors”)
Patient assessment
The patient assessment contributed to the event.
Includes
Inaccurate assessment
Incomplete assessment
Untimely assessment
Omitted assessment
Excludes
Follow-up care
The follow-up care, or lack thereof, contributed to the event.
Includes
Care related to discharge information relayed to other care facility or home
Inadequate or inappropriate follow-up care or patient tracking
Excludes
Other (please describe)
Any other factor related to patient management, not included in the list above, which contributed to the event.
Includes
Issues related to DNR and POLST
Patient consent process
Excludes
Two or more prescriptions filled at the same time (captured in medication event additional questions)
Guide for Use
History
Start Date | 2006 |
---|---|
End Date | n/a |
Change History | Spring 2012: PSRP implementation |
Field Name | cf_ptmgmt_f |
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