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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
January 01, 2011 - condition
Greater risk of surgical delays and readmission
due to LEP patients’ greater difficulty … understanding instructions, such as:
Preparing for a procedure
Managing their condition
Taking … their medications
Knowing which symptoms should prompt a return
to care or when to follow up … as situations related to:
Patient comprehension of medical condition
Treatment plan
Discharge … Errors in medical interpretation and their potential clinical
consequences in pediatric encounters.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
November 09, 2017 - plan decisions … of the report date;
referred to in On-Time Falls Prevention as high-risk change
of condition or HRCC … Certain changes or suspected changes in the resident’s condition,
which represent a potential decline … condition within 7 days of the
report date or clinical conditions that exist. … Resident Care Plan
c. Postfall Assessment
d.
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monahrq.ahrq.gov/challenges/data-visualization/index.html
February 01, 2024 - care gaps. … Plan for incorporating the patient perspective. … Implementation and evaluation plan, including plan for sustainability or further research after the project … Proven or expected clinical impact, sustainability plan, and recommendations for how the data visualization … Shall not be required to purchase liability insurance as a condition of participation in this competition
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
January 01, 2013 - by
Providing instruction on TeamSTEPPS tools and strategies
Providing an opportunity to develop and plan … instructions, such as:
Preparing for a procedure
Managing their condition
Taking their medications
Knowing … which symptoms should prompt a return to care or when to follow up
TEAMSTEPPS 05.2
Mod 1 05.2 Page … related to:
Patient comprehension of medical condition
Treatment plan
Discharge instructions
Complications … and follow-up
Inaccurate and incomplete medical history
Ineffective or improper use of medications or
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - coordinated approach.
· Team members—
· Use callouts with fetal condition per National Institute for … scenarios or “drills” related to cord prolapse; many of these focus on technical/clinical skills of … team members who arrive to support a rapid response, and
· when regrouping to discuss plan of care if … Use of transition communication techniques assures a shared mental model of plan of care and perceived … Umbilical cord prolapse: a plan for an OB emergency.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
October 01, 2016 - The SCC practice is a service of the health plan and offers care to high-risk, high-
cost plan members … Pharmacist/Certified Diabetes
Educator
Performs both condition management and
patient education … model by the care coordinator
• A 60-minute clinical visit with a physician
• A 30-minute action-oriented … with a care coordinator
• A 30-minute clinical visit with a physician
• A 15-minute “close-the-loop … condition, the CC and MD can search for an answer.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - based on unit preferences, best
practices, or emerging clinical evidence. … L&D Unit Safety 6
SAY:
The preoperative briefing reviews the plan
ahead for patient care and the … patient condition, errors in dosing, etc.) will be
caught by a check or team alert when it
occurs … or maternal distress,
and knowing the plan for a timely
response to prevent further
deterioration … • Communicating during transitions of
care helps to assure a shared mental
model of the plan of
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - • Identify which family or friends will provide care
at home and include them in conversations. … Who: All clinical staff
Explain medicines to the patient and family
(for example, print out a list … Who: All clinical staff
Discuss the patient, family, and clinician goals
and progress toward discharge … Who: All clinical staff
Involve the patient and family in care practices
to improve confidence in … Who: All clinical staff
Guide to Patient and Family Engagement :: 4
Prior to discharge planning
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - New Contributing Risk Factors ADL Decline and Other Clinical Information
… Falls High-Risk Report
Calculation Details
Displays the following contributing ADL Decline and Other Clinical … captured from multiple data sources within the facility’s EMR and represent changes in a resident’s clinical … condition within how many days of the report date? … Nurses’ notes
Resident Care Plan
Postfall Assessment
Physician Progress Notes
October 2017
On-Time
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monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - based on unit preferences, best practices, or emerging clinical evidence. … patient condition, errors in dosing, etc.) will be caught by a check or team alert when it occurs. … For fetal condition.
As each clinical maneuver is attempted. … or maternal distress, and knowing the plan for a timely response to prevent further deterioration. … Communicating during transitions of care helps to assure a shared mental model of the plan of care and
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - Identify which family or friends will provide care at home and include them in conversations. … Who: All clinical staff
Explain medicines to the patient and family (for example, print out a list every … Who: All clinical staff
Discuss the patient, family, and clinician goals and progress toward discharge … Who: All clinical staff
Involve the patient and family in care practices to improve confidence in caretaking … Who: All clinical staff
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
February 16, 2011 - When a change in condition occurs
Does your hospital’s policy state that a skin assessment … plan for patients who have been found to be at risk or who have a pressure ulcer. … AHRQ Pressure Ulcer Prevention Program
Module 2 Tools 13
Assessment of Pressure Ulcer Care Plan
Does … the care plan for pressure ulcers address all the areas below (as they apply)? … Decide what items of pressure ulcer prevention should be in your bundle
Clinical staff members
Within
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monahrq.ahrq.gov/sites/default/files/publications/files/postdisphone.pdf
February 14, 2013 - Using clinical judgment, use this conversation to determine if further
recommendations, teaching, or … If patient
has lost care plan, offer to send a new copy of AHCP by mail or email. … It
should be on the care plan on the appointments page. … Do you need me to mail or email
you another copy of your care plan? … If no, ask: Would you like me to email or mail a copy of your care plan to them?
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Tool 3M: Sample Care Plan.
Tool 3N: Post-Fall Assessment, Clinical Review. … Reassessment should be done whenever there is a change in a patient’s condition, or when he or she is … personalized care plan. … It is an active document that ensures continuity of care and changes as the patient’s condition changes … Do: Write “Revise care plan for fall prevention” or “No need to revise current care plan” on the “Best
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - · Care provider calls out concern for or diagnosis of shoulder dystocia, reducing error through an … anticipated and coordinated approach.
· Team members—
· Use callouts with fetal condition per National … · Cognitive aids such as checklists, algorithms, or protocols may improve clinical team response and … team members who arrive to support a rapid response, and
· when regrouping to discuss plan of care if … Use of transition communication techniques assures a shared mental model of plan of care and patient
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - ” or other clinical readmission risk
Identify the “learner” or care plan partner to include in education … PLAN TEMPLATE
Patient Name
Patient MRN
DOB / Age / Gender
Care plan date
Date care plan created … or life-threatening condition]
• [Attempt to treat symptomatic pain without the use of narcotics] … PLAN EXAMPLE 2
This is an example of a “Complex Care Plan” (ED Care Plan) that is currently in use … Patient:
Age/Sex:
MRN#:
DOB:
[Acute or ED] Care Plan
Care Plan Date:
• [date plan was created
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
October 01, 2016 - (2) who have a follow-up plan. … condition
• printing and discussing the patient summary, which the patient takes home
MTM pharmacists … Patients are referred to the SW for home safety or financial concerns and to the
RN for clinical concerns … plan with the patient. … The provider reviews the plan with the patient and prints it for the
patient to take home.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - paths, or
protocols for the full continuum of care for the prevention of pressure ulcers in children … of patient mobility.7
• Maintain head of bed at the lowest point consistent with patient’s medical condition … the individual’s tissue
tolerance, his/her level of activity and mobility, his/her general medical condition … , overall
treatment objectives, and assessments of the individual’s skin condition.7, 9
Toolkit … effectiveness of new processes, determine gaps, modify processes as needed, and
reimplement.11
• Develop a plan
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - Okay, the first meeting listed is the care plan meeting. … care decisionmaking or QAA. … plan meetings
Weekly review of resident care plans. … Reports help care plan change decisions.
Multidisciplinary team. … status and residents’ care plan interventions for CNA followup.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - Work
among clinical and nonclinical team members should include clearly delineated, explicit roles … • Print and review the care plan with the patient and family to ensure they understand it and
address … who interact with the patient; pay particular attention to changes to the care plan,
changes to medications … , and changes in the patient’s condition … if they are having any problems following their care plan.