Name of the Procedure:

Safety Concerns Screen Provided and If Positive Then Documented Mitigation Recommendations (HCPCS Code G9922)

Summary

This procedure involves screening for safety concerns in a healthcare setting. If any concerns are identified, appropriate recommendations to mitigate these risks are documented.

Purpose

The purpose is to enhance patient safety by identifying potential risks early and taking steps to mitigate them, thereby preventing adverse events and improving patient outcomes.

Indications

• Presence of known risk factors for safety incidents.
• History of previous safety concerns.
• New admissions or changes in patient condition that may introduce new risks.

Preparation

• Patient should provide a complete medical history.
• Any recent changes in medications, lifestyle, or conditions should be reported.
• No specific fasting or medication adjustments, unless otherwise instructed.

Procedure Description

1. A healthcare professional conducts a thorough safety concerns screening with the patient.
2. Data collection using a standardized safety concerns checklist.
3. Identification of any positive safety concerns that could affect patient health or treatment outcomes.
4. Documentation and development of recommendations to mitigate identified risks.
5. Communication of findings and recommendations to the care team and patient.

Duration

The procedure typically takes 20-30 minutes.

Setting

The procedure is usually performed in a hospital, outpatient clinic, or primary care office.

Personnel

• Nurse or healthcare provider performing the screen.
• Doctor or specialist may be consulted for specific risk mitigation recommendations.

Risks and Complications

There are minimal risks associated with the screening itself. However, failure to identify and mitigate risks can lead to:

• Medication errors
• Falls and injuries
• Infections
• Complications from pre-existing conditions

Benefits

• Improved patient safety and reduced risk of adverse events.
• Personalized risk mitigation strategies.
• Enhanced communication among healthcare providers.

Recovery

No recovery is required post-screening. Patients can immediately resume normal activities.

Alternatives

• No screening, which increases the risk of undetected safety concerns.
• Using different risk assessment tools or methods, though they may not be as comprehensive or standardized.

Patient Experience

• Patients may need to answer detailed questions about their health and lifestyle.
• Typically, the procedure is non-invasive and involves no physical discomfort.
• Risks and mitigation plans are discussed to keep the patient informed and involved in their care.