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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
August 31, 2017 - Ulcer Prevention Pathway for Acute Care
Background: This tool is an example of a clinical pathway, detailing … pressure ulcers and plan the care accordingly. … Physical condition
Mental condition
Activity
Mobility
Incontinent
Total Score
Good … Plan
Background: Developing a care plan specific to the needs of each individual patient is critical … Use: Individualize the care plan to address the needs of at-risk patients.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
September 01, 2022 - Earning rewards through MIPS (or avoiding penalties) is based on quality-of-care measures, use of electronic … codes—to determine if antibiotics were likely warranted for a condition—at regular intervals. … Moment Four is, “Does my patient understand what to expect and the followup plan?” … In addition, emails can be sent at standard intervals to provide reminders about the initiative and clinical … The sustainability plan should be reviewed with senior leadership.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - workflow, nursing home staff work with an On-Time
facilitator who adheres to a structured implementation plan … > Pressure Ulcer+Polypharmacy (3 active High-
Risk Diagnoses+1 Clinical Condition+Polypharmacy)
o … Changes in Condition = abnormal
lab results or anemia, then display X in
Abnormal Labs or Anemia column … Primary care
physician
2 1 1 4
Total 5
Franklin, B Primary care
physician
2 1 1 4
Franklin … Column Header Source Rule/Display for Reason for Transfer
1 Primary Care
Provider
Valid Primary Care
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/tools.html
July 01, 2023 - A framework for standardizing communications about clinical information. … Particularly useful during the transfer of responsibility of patient care to a different provider or … healthcare professional (handoff) or when describing a change in patient condition. … A mnemonic useful when sharing clinical information among clinicians and healthcare professionals. … A semistructured conversation among team members designed to improve patient care by formulating a plan
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
November 20, 2014 - of new/modified
prevention practices at the clinical care level.
‹#›
Implementation Planning Goals … Example:
Perform comprehensive fall risk assessment on admission, daily, or if condition deteriorates … provide daily direct care:
Nurse
Nurse assistant
Treating medical provider
Pharmacist
Physical or … Keep clinical staff informed about progress with the Fall Prevention Program.
‹#›
Staff Education … and Training
Develop an education plan.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
January 01, 2013 - 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 … The post-fall clinical review focuses on immediate risk of injury or complications.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
July 01, 2016 - Okay, the first meeting listed is the care plan meeting. … to facilitate 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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/igessentials.pdf
March 11, 2014 - condition. … adjusting the plan
based on known or anticipated changes. … of care; and
• Psychosocial condition (e.g., patient’s stress level). … Peters’ status and
plan of care. … Peters’ status,
so that she could modify the plan of care.
– Mrs.
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preventiveservices.ahrq.gov/health-literacy/improve/precautions/tool10.html
February 01, 2024 - : Tool 2
Primary Care Health Literacy Assessment
Plan-Do-Study-Act Worksheet, Directions, and Examples … "Your condition is very serious. … Is there anyone else you would like me to talk to about your condition?" … Do not make assumptions based on group affiliations or how people look or sound. … To increase understanding about cultural diversity:
Hire clinical and other staff who reflect the demographics
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
December 15, 2016 - Does your investigation include a review of changes to the resident’s clinical status that may
have … warranted a change in pressure ulcer care approaches? … if a change in pressure ulcer care approaches is needed? … Change in condition
Weight loss
Change in meal intake
Change in fluid intake
… (Y = yes, N = No)
Care plan meeting
Shift report or “brief” with CNAs
Report or brief with
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preventiveservices.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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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-CCC-items-hp-survey5-child.html
April 01, 2022 - choice for your child’s treatment or health care? … or daycare center about your child’s health or health care? … Is this because of any medical, behavioral, or other health condition? … Is this because of any medical, behavioral, or other health condition? … Is this because of any medical, behavioral, or other health condition?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
January 29, 2015 - potential
ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical … the change team and the
facilitator will continue to work together to reengineer existing meetings or … Other
Resident Clinical, Functional, and Intervention Profile Report –
4-Week View
1. … Resident change in condition reviews
2. Weekly nutrition-at-risk meetings
3. … Care plan meetings
4. Weekly wound review meetings
5. Restorative care review
6.
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preventiveservices.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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preventiveservices.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6m-group-visits.html
March 01, 2020 - of one or more clinicians; participation in this group becomes part of their regular clinical treatment … social and psychological support for the participants and help motivate them to follow their treatment plan … A few considerations are worth mentioning:
First, choose an appropriate condition. … mini-lecture or discussion
A break during which clinicians conduct clinical work (e.g., review medication … refill needs, check blood pressures and other clinical measures)
A discussion or question-and-answer
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preventiveservices.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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preventiveservices.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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preventiveservices.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.