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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - This early detection allowed clinicians to devise and implement a care plan to prevent deterioration … of the patient’s condition and/or align the care plan with the goals of the patient. … care team, such as transfer to an ICU, to prevent further worsening of the patient’s condition or mortality … and implementing an appropriate care plan can prevent adverse events, unplanned ICU admissions, and … goals and wishes of the patient to develop a tailored care and escalation plan. 7
Context of the Innovation
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psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
December 21, 2022 - Citation Text:
Proposed 2022 CDC clinical practice guideline for prescribing opioids. … adherence, and chronic condition control. … November 17, 2021
Association of dose tapering with overdose or mental health crisis … when prescribing opioid pain relievers or medicines to treat opioid use disorder. … November 30, 2016
Solicitation for written comments on draft National Action Plan for
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psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - hand, comprehend the data, forecast what may happen based on the data, and formulate an appropriate plan … in turn, will need to respond respectfully, process and comprehend the new information, and devise a plan … condition, but each assumed the other was primarily managing the problem. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … None of the authors has any affiliation or financial involvement that conflicts with the material presented
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - The patient was initially treated in the intensive care unit with broad-spectrum antibiotics; his condition … – about the care plan. … Lack of understanding of the care plan on the part of an essential member of a clinical team, for example … If consensus about a care plan exists, and implementation of the care plan is still being blocked, or … plan, clinical management must reconfigure the team.
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psnet.ahrq.gov/issue/association-measured-quality-and-future-financial-performance-among-hospitals-performing
May 04, 2022 - Association between unmet nonmedication needs after hospital discharge and readmission or … March 2, 2022
A longitudinal study of clinical peer review's impact on quality and safety … Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition … 4, 2019
Changes in hospital safety following penalties in the US Hospital Acquired Condition … January 14, 2011
Geisinger Health System's plan to fix America's health care.
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psnet.ahrq.gov/node/850678/psn-pdf
June 14, 2023 - This early detection allowed clinicians to devise and implement a care plan to
prevent deterioration … of the patient’s condition and/or align the care plan with the goals of the patient. … and implementing an appropriate care plan
can prevent adverse events, unplanned ICU admissions, and … goals and wishes of the patient to develop a tailored care and escalation plan.7
Context of the Innovation … care team, such as transfer to an ICU, to prevent further worsening of the patient’s condition or
mortality
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psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
September 05, 2018 - Based on clinical judgement from four experts assessing 81 cases involving medication errors at discharge … or ED visits, hospital or ICU admissions) and additional costs. … Interview
In Conversation With...Amy Helwig about Health Plan … March 23, 2022
Economic analysis of the prevalence and clinical and economic burden of … 1, 2020
Changes in hospital safety following penalties in the US Hospital Acquired Condition
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psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - at home or at a board and care through hospice. … They must also agree to forgo treatments directed at curing the nominal terminal condition, “waiv[ing … It is not clear whether this patient had any form of advance health care directive or designated surrogate … It is important when discussing goals of care with patients (and/or their surrogates) to provide objective … Clinical Misdiagnosis
Delirium
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psnet.ahrq.gov/innovations
February 26, 2025 - organizational structures or business models implemented to improve or enhance quality of care and reduce … results enhancing quality of care or reducing patient harm? … looking at diagnostic errors across a disease or clinical condition. … This early detection allowed clinicians to devise and implement a care plan to prevent deterioration … of the patient’s condition and/or align the care plan with the goals of the patient.
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - It involves developing a step-wise plan to remain safe and can be kept in writing or via mobile application … The suicide prevention contract: clinical, legal, and risk management issues. … Available as a printable plan or mobile application. … February 1, 2012
Race and the clinical diagnosis of depression in new primary care … Health Care Providers
Primary Care
Mental Health Care (Psychiatry and Clinical Psychology)
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - The patient was initially treated in the intensive care unit with broad-spectrum antibiotics; his
condition … – about the care plan. … Lack of understanding of the
care plan on the part of an essential member of a clinical team, for example … If consensus about a care plan exists, and
implementation of the care plan is still being blocked, or … plan, clinical management must reconfigure the team.
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - As the patient’s agitation and CIWA scores improved with initial treatment, the physicians’ plan (communicated … Documentation In this case, it is unclear why the dexmedetomidine infusion rate was not reduced according to plan … their willingness to seek care. 37 Health care providers are also susceptible to conscious or unconscious … , that they have “complete control” over the AUD, and/or have “character flaws”. 38 Health care providers … Am J Respir Crit Care Med . 2014;190(11):1210-1216. [ Free full text ] The ASAM clinical practice guideline
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - • As the patient’s agitation and CIWA scores improved with initial treatment,
the physicians’ plan … )
• Computerized clinical decision support (CDS) can help identify patients at high
risk of clinical … Orders (6)
• The clinician in this case used a free text order to communicate the medication
titration plan … • In this case, it is unclear why the dexmedetomidine infusion
rate was not reduced according to plan … AUD have “chosen” their condition, that they have “complete control” over the
AUD, and/or have “character
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psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - and its treatment plan. … After returning home, the patient's mother continued searching her daughter's condition online, remained … urgent care setting. … family members and other providers (e.g.,
nurses or medical assistants) or staff (e.g., front desk … care.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - The plan was for a home health nurse to evaluate the skin breakdown later in the week. … However, the patient’s worsening condition probably justified a follow-up video or in-person visit the … Gathering a patient’s history is still the most important aspect of the clinical diagnostic process. … develops new symptoms or deterioration in the overall condition. … resolving condition.
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - As the patient’s agitation and CIWA scores improved
with initial treatment, the physicians’ plan (communicated … Communication Orders
The clinician in this case used a free text order to communicate the medication titration plan … Documentation
In this case, it is unclear why the dexmedetomidine infusion rate was not reduced according to plan … their willingness to seek care.37 Health care providers are also
susceptible to conscious or unconscious … , that they have “complete control” over the AUD,
and/or have “character flaws”.38 Health care providers
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical … The surgical team had difficulty controlling bleeding and the patient left the operating room (OR) with … Over the next 14 hours, the patient’s blood pressure remained at or below 90/60 with continued complaints … This early detection allowed clinicians to devise and implement a care plan to prevent deterioration … of the patient’s condition and/or align the care plan with the goals of the patient.
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - accompanied her and expressed concern that this could be "thrush"—based on her own understanding of that condition … explained that this was likely herpetic gingivostomatitis and provided related information about the condition … and its treatment plan. … After returning home, the patient's mother continued searching her daughter's condition online, remained … infection was correct, apologized for the error on the after-visit summary, and reassured her that the condition
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psnet.ahrq.gov/issue/when-hospital-fires-bullet
February 03, 2016 - treatment upon arriving at a hospital where staff failed to appropriately address his psychiatric condition … May 16, 2018
Resilient Health Care Series. … December 14, 2016
Using the web or an app instead of seeing a doctor? … May 25, 2011
Obama Administration introduces plan to reduce preventable medical errors … (Psychiatry and Clinical Psychology)
Epidemiology of Errors and Adverse Events
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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - The plan was for a home health nurse to evaluate the
skin breakdown later in the week. … However, the patient’s worsening condition probably justified a follow-up video or in-
person visit … the next day to assess how she was doing and to decide whether the plan established during
the first … develops new symptoms or deterioration in the overall condition. … resolving condition.