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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - All clinical staff
Explain medicines to the patient and family and use teach back
All clinical staff … Discuss progress toward goals
All clinical staff
Involve the patient and family in care practices … needs after they leave the hospital.9 Hospital staff cannot plan discharge in isolation from the patient … concerns
Daily during hospital stay
Manage the patient’s condition
Assign a case manager or discharge … Plan the IDEAL Discharge Planning training for clinicians. Decide who will conduct the training.
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monahrq.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2013 - All RED patients should be called 2 to 3 days after discharge by a member of the clinical staff. … Understanding of how to manage any medical changes or whether he or she needs to seek medical care for … Advising the patient to go to urgent care or the emergency department. … When a patient has chosen not to take a medicine that is part of the discharge plan or insists on taking … When a patient is not following the treatment plan due to difficulty understanding the plan or an inability
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - of a number of conditions for which hospitals do not receive the higher payment for
cases when the condition … • Mandate that all personnel follow the safety protocols developed by the team and develop a
plan … Preadmission treatment plan with history of blood glucose
monitoring. … lity_measures/
Staff Required
• Physicians and other providers, nurses, pharmacists, dietitians, clinical … KDOQI Clinical Practice Guideline for Diabetes and CKD:
2012 update.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
August 08, 2012 - Follow your health care provider through his or her daily activities and again at the end of the day: … Why or why not? … (That is, did the outgoing care team debrief the oncoming care team regarding the patient’s condition … (That is, did the team leader quickly explain and direct the team regarding the plan of action?) … Now that you have shadowed a person in another profession, what will you do differently in your clinical
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monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6htools.html
April 01, 2023 - Access to this information enables patients to:
Better understand their condition and treatment plan … received to date, functional health status, clinical health status, and health risk status. … The clinical team can then use that information to design and deliver a treatment plan that is appropriate … Coaching sessions may also address common misconceptions regarding a condition. … These materials can be ordered or downloaded from the Internet.
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monahrq.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
July 01, 2018 - All five are standing on blocks, with the Activator and Responder penguins on a block labeled 'Clinical … plan
Activators may become Responders and assist in stabilizing the patient
Image: Responders … Background—What is the clinical background or context? … location)
A handoff to a specialized team (cardiac team, code team, stroke team, etc)
A revised plan … What is the plan? Are there contingency plans?
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
January 01, 2008 - additional assistance from a specially trained
individual(s) when the patient’s condition appears … plan
Activators may become
Responders and assist in
stabilizing the patient
TEAMSTEPPS 05.2Mod … Background―What is the clinical background
or context?
Assessment―What do I think the problem is? … same location)
A handoff to a specialized team (cardiac team,
code team, stroke team, etc)
A revised plan … She did not note any
specific change in clinical status, though she agreed that the patient seemed lethargic
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
December 01, 2005 - condition. … client's, or resident's care, treatment and services, current condition, and any recent or anticipated … and circumstances
The plan of care, including contingencies
Both authority and responsibility are transferred … was maintained
Pain management was discussed
Medications were reviewed
Plan of care was discussed
High … was discussed, medications were reviewed, plan of care was discussed, high threats unique to Mrs.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - back
All clinical staff
• Explain medicines to the patient and family and use teach back All clinical … staff
• Discuss progress toward goals All clinical staff
• Involve the patient and family in care … needs after they leave the hospital.9 Hospital staff
cannot plan discharge in isolation from the patient … concerns
Daily during
hospital stay
• Manage the patient’s
condition
• Assign a case manager or … • Plan the IDEAL Discharge Planning training for clinicians. Decide who
will conduct the training.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
June 24, 2022 - work flow or patient experience data and on whether individual patients seek care for the condition … care settings? … planned clinical trials, or from patients having the medicine in clinical practice. … Pearson Data_source Curate real world data and/or develop the plan for data acquisition sufficient answer … planned clinical trials, or from patients having the medicine in clinical practice.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - It is a shared partnership where we listen to each other and decide on the best plan of action. … We bring our clinical judgment to the table – it is important perspective as part of the health care … with skilled or unskilled home care. … practices
15
Strategy 4: IDEAL Discharge Planning (Tool 4)
All clinical staff need to:
Educate the … .1 For example, working with patients and families to plan for discharge ensures that clinicians have
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monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - Patients want to hear from their care providers and/or the organization an explanation of what happened … Empathy—the ability to understand another person’s condition from their perspective. … This apology is a regretful acknowledgement of the event by the care provider and/or the organization … What would the cost of defending this claim be versus a well-thought-out compensation plan? … Clinical (medical/nursing and other caregiver staff).
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monahrq.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
December 01, 2012 - been held liable for LEP patient safety events caused by poor patient comprehension of their medical condition … , treatment plan, discharge instructions, complications, and followup; inaccurate and incomplete medical … history; ineffective or improper use of medications or serious medication errors; improper preparation … make medical interpretation errors, and these errors are significantly more likely to have potential clinical … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.
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monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
November 01, 2019 - Background covers clinical background such as patient history related to the current situation, signs … SBAR can be modified for use by the patient or family caregivers to communicate with the care team. … to ask the care team about their care. … The recommendation was initiated by the nurse for additional labs, and a plan was discussed for future … care.
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monahrq.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
December 01, 2012 - condition. … Managing their condition.
Taking their medications. … Knowing which symptoms should prompt a return to care or when to follow up. … situations related to:
Patient comprehension of medical condition. … Treatment plan.
Discharge instructions.
Complications and followup.
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monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module2/slteamstruct.html
July 01, 2018 - of the people in your immediate work area or unit who contribute to successful patient care. … Comply with the prescribed plan of care (e.g., schedule and attend appointments as directed). … Ask questions and/or voice any concerns regarding the plan of care. … Monitor and report changes in the patient's condition.
Manage family members. … Follow instructions of the clinical team.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
January 01, 2008 - treatment plan. … Performance: You can adapt to changes in the plan of care. … •A revised plan of care. … What is
the plan? Are there contingency plans? … •
Evolving patient condition.
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monahrq.ahrq.gov/teamstepps/simulation/traininggd.html
July 01, 2016 - Condition(s)—Specifies the conditions under which the behavior occurs. … Referring to Handout 3 (H-3), ask them to develop learning objectives for a simulation course that they plan … Allow about 10 minutes for participants to develop learning objectives for the skills on which they plan … All event sets consist of a trigger—the condition under which the event becomes fully activated or the … TeamSTEPPS tool or strategy.
Learning objective(s).
Clinical context.
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monahrq.ahrq.gov/talkingquality/resources/comparative-reports/physicians.html
October 01, 2022 - Clinical quality measures are reported for asthma care, cancer screening, diabetes care, mental health … Subject: Primary and specialty care clinics
Developer: HealthPartners
Developer Type: Health plan … The cost ratings take into account the total cost of care for treating a whole person or specific conditions … , or both. … performance of over 200 medical groups who provide care to commercial HMO health plan members in California
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monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - If so, do these teams conduct Briefs to review any safety or care concerns? What does it look like? … B ackground—What is the clinical background?
A ssessment—What do I think the problem is? … The recommendations for additional labs and a revised plan of care was clearly communicated by the … to experience higher levels of satisfaction and also follow their care plan. … condition of the resident.