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Contributing factor(s) for event


Data Element ID: DE105
Name: Contributing factor(s) for event
Version: 1.1
Data Element ISO Name: Event-Contributing factor(s),CD
Synonym: None defined at this time
Definition: Determination if any contributing factor(s) to the event are known.
Question: What factor(s) contributed to the event?
Conditionality: Reserved for future use
Multiple Choice: Not Applicable
Form Name: Summary of Initial Report (SIR)
Data Set: Reserved for future use
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Comments: None defined at this time
Description of Change: Maximum Length has been updated from the previous value, which was ´4´.
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: Answer this question only if you are reporting an incident or near miss.
Format: Not Applicable
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 4 (500 for free text associated with ´Other: Please Specify´ response.)
Answer Code Answer ID Answer Value Code System Code System Name
A384 a Environment: Culture of safety, management 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A387 b Environment: Physical surroundings (e.g., lighting, noise) 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A390 c Staff qualifications: Competence (e.g., qualifications, experience) 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A393 d Staff qualifications: Training 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A396 e Supervision/support: Clinical supervision 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A399 f Supervision/support: Managerial supervision 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A402 g Policies and procedures, includes clinical protocols: Presence of policies 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A405 h Policies and procedures, includes clinical protocols: Clarity of policies 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A408 i Equipment/device: Function 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A411 j Equipment/device: Design 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A414 k Equipment/device: Availability 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A417 l Equipment/device: Maintenance 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A420 m Data: Availability 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A423 n Data: Accuracy 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A424 o Data: Legibility 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A426 p Communication: Supervisor to staff 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A429 q Communication: Among staff or team members 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A432 r Communication: Staff to patient (or family) 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A435 s Human Factors: Fatigue 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A438 t Human Factors: Stress 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A441 u Human Factors: Inattention 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A444 v Human Factors: Cognitive factors 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A447 w Human Factors: Health issues 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A66 x Other: Please specify 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: 03/31/2010
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: John C. Moquin
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: No specific reference at this time
Rationale for Change: Not Applicable
Administrative Status: Final
Administrative Status Date: 03/31/2010
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