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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/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/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/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/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - Face-to-face meeting with PCP to gain plan approval: Once the care plan is developed, the support team … her home to review the care plan and patient goals. … condition(s) recognized or diagnosed, receive a specialty consultation, and be provided with appropriate … a health plan affiliated with either or both of these programs). … opportunity for a health plan or health care system to realize cost savings through the implementation
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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/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - organization or health care professional level. … Encounter and claims data indicate if a health plan member is seen in a clinic, a hospital, or even if … that specializes primarily in young adults or a plan with a large number of pediatric members. … the emergency department or urgent care. … emergency or urgent or next day appointments that are appropriate depending on their condition.
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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/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/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/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
View More
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - Discuss a strategy for communicating the tailored fall prevention plan to all care team members,
including … not.(8) Falls that are not preventable are caused
by a new or previously unrecognized medical condition … prevention plan is communicated to all care team members (including patients
and families) and that … Patient falls in the ICU
are less frequent than on acute care or intermediate care units, but they still … Clinical guidance for the assessment and implementation of bed rails
in hospitals, long term care facilities
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - A front office staff member who did not have any clinical training answered the patient's phone call. … A rich body of research
demonstrates that a diagnosable psychiatric condition contributes to death in … 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.
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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/node/865467/psn-pdf
March 27, 2024 - 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 … is assumed that with appropriate treatments, he would recover from this treatable acute medical
condition—which … 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
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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/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - The team likely noted the patient’s DNR code status and plan
for home hospice care and felt no further … delay, a patient may not be in a
condition to make decisions about their care … After presenting information about a patient’s
condition and care choices, a provider should check the … , his
original plan for discharge relied on continuing to receive intensive care
— Hospital systems … team advocated for the patient by establishing a plan of
care with the weekday ICU team, but once
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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