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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - systems of care do not
provide adequate coverage or offer necessary resources for urgent clinical situations … psychiatric inpatient facilities resist admitting any new patient who “may have” underlying medical
condition … foot,
by car, via ambulance, voluntarily, involuntarily), to be evaluated for an emergency medical condition … An EMC is “a medical condition manifesting itself by acute symptoms of sufficient severity
(including … to emergency
departments (EDs), even when the risk of a contributing medical condition or an alcohol
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.128_slideshow.ppt
July 01, 2006 - intrahospital transport
Case: Moving Pains
A 90-year-old woman, whose son was a prominent non-clinical … Case (cont.): Moving Pains
Over the next hour, the patient’s condition continued to worsen. … Hospital did have system for assessing and communicating a patient’s clinical stability, but assessment … Does the assessment take into account the possibility of decline in clinical condition and the need for … Are the transporters qualified or adequately trained for this?
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - For perforations greater than 3 cm, with low confidence of closure, or any clinical instability, the … Prompt discussion with the patient and family to update them on the complication and treatment plan should … plan can confidently follow through on their responsibility during the post-procedure monitoring period … characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition … and Poor Communication at Discharge Leads to a PICC without a Plan.
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - for future appointments to ensure timely re-assessment of a patient’s
condition.”13 Furthermore, safety … This collaborative defined an ambulatory
care setting as any outpatient setting or any place where a … Create an implementation plan. … between a
radiologist and the referring provider, what they called a collaborative care plan for the … Electronic clinical surveillance to improve outpatient care:
diverse applications within an integrated
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - Moreover, the attending physician's oversight of the new care plan is unclear. … American Association of Clinical Endocrinologists and American College of Endocrinology—clinical practice … guidelines for developing a diabetes mellitus comprehensive care plan—2015. … Poster presented at: American Association of Clinical Endocrinologists 23rd Annual Scientific and Clinical … Karsh BT, Holden RJ, Alper SJ, Or CKL.
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psnet.ahrq.gov/web-mm/moving-pains
August 17, 2017 - due to sudden changes in clinical condition) of intrahospital transport for patients in acute medical … Over the next hour, her condition continued to worsen. … What are the contingency plans if the patient's condition changes en route? … School of Nursing Clinical Nurse Specialist, Adult Critical Care, UCSF Medical Center Robert M. … Does the assessment take into account the possibility of decline in clinical condition and the need for
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - postpartum and can similarly lead to
failure to recognize clinical deterioration or serious illness … condition or do not receive the right care quickly
enough in an emergency. … Maternal sepsis is defined as a life-threatening condition with organ dysfunction resulting from infection … for implementation, including assessing
potential strategies for fit, developing an implementation plan … HRSA)
funds multiple initiatives to improve maternal health outcomes34 and has developed a strategic plan
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - I am interested in developing and using new technology to improve clinical care such as RPM or using … RPM allows you to better monitor or manage an acute or chronic health condition from a distance over … falling hazards, or other issues at home that might impact care. … plan, and the ability to expand physician reach and easily provide care to patients without the need … inadequate cellular data to support video-based care or frequent connectivity.
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - systems of care do not provide adequate coverage or offer necessary resources for urgent clinical situations … psychiatric inpatient facilities resist admitting any new patient who “may have” underlying medical condition … An EMC is “a medical condition manifesting itself by acute symptoms of sufficient severity (including … to emergency departments (EDs), even when the risk of a contributing medical condition or an alcohol … and Clinical Psychology)
View More
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psnet.ahrq.gov/node/865412/psn-pdf
March 27, 2024 - balance, independence and objectivity in all its CME activities to promote improvements in health care … managing the patient was uncertain as to whether the psychosis was due to a “primary”
psychiatric condition … (e.g., schizophreniform disorder, schizophrenia) or a systemic medical condition, so
two consultations … It may well have been that this patient could have had a favorable
result with this management plan. … In this context,
the lack of a primary care physician to coordinate post-discharge care may have contributed
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psnet.ahrq.gov/node/49502/psn-pdf
February 01, 2006 - This includes information
about the nature of the patient’s medical condition and prognosis, as well … professionals the plan of care based on the patient’s decision. … include the basis for the patient’s decision, the patient’s
capacity to understand and communicate, the plan … This practice would provide an additional safety measure to ensure that important clinical decisions … settings, followed by
cycles of re-design until the system works well in the clinical setting with
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psnet.ahrq.gov/node/49401/psn-pdf
May 01, 2003 - recurrent episode of major
depression, a bipolar condition, or dysthymia. … Although residents must learn to care for patients within the entire spectrum of psychiatric illness, … Based on his or her greater knowledge, experience, and clinical responsibility for the patient, the supervisor … Although no guideline exists for predicting suicide, the
standard of care requires that adequate suicide … However, the standard of care requires that patients at risk for suicide
be adequately assessed.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - This could improve recall of clinical details and allow better involvement of the patient in the care … plan. … Moreover, point-of-care documentation or order entry may also improve efficiency. … This is particularly important because the clinical condition of hospitalized patients so often changes … Also, the hospital information system could have had a standard order set/care plan that ensured INRs
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
September 27, 2023 - ensure balance, independence and objectivity in all its CME activities to promote improvements in health care … practitioner managing the patient was uncertain as to whether the psychosis was due to a “primary” psychiatric condition … (e.g., schizophreniform disorder, schizophrenia) or a systemic medical condition, so two consultations … It may well have been that this patient could have had a favorable result with this management plan. … In this context, the lack of a primary care physician to coordinate post-discharge care may have contributed
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psnet.ahrq.gov/issue/digital-clinical-safety-strategy
March 01, 2023 - Book/Report
Digital Clinical Safety Strategy
Citation Text:
Digital Clinical … Digital clinical technologies hold promise for care improvement while contributing to potential failures … Copy URL
Cite
Citation
Citation Text:
Digital Clinical … April 14, 2021
High Quality Care for All: NHS Next Stage Review Final Report. … November 27, 2013
Health IT Patient Safety Action and Surveillance Plan.
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - and collaborate with the clinical care team to
recommend a response. … The condition often occurs with hospital or community-acquired pneumonia, bloodstream
infections, and … or phone call
to inform them of the observations and a recommended response. … and other alerts, remote nurses are better equipped to respond to alerts, assess the patient’s
condition … Crit Care Med.
2018;46(12):1889-1897.
5. Shankar-Hari M, Rubenfeld GD.
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psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
December 21, 2018 - The plan was for him to continue to be weaned from the ventilator and receive physical and occupational … Diagnoses, Comorbidities, and Complications Admission, Discharge, & Expiration Complexity of patient condition … Supplemental Items include condition-specific data collection with the goal to increase standardization … April 30, 2014
Treatment patterns and clinical outcomes after the introduction of the … Cases
Lost in Sign Out and Documentation
April 1, 2016
Clinical
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - patients enrolled in fee-for-service Medicare, in support of CMS programs that include: Hospital-Acquired Condition … As another example, the American Society for Clinical Laboratory Science has proposed a patient safety … or ambulatory setting. … The World Health Organization’s Global Patient Safety Action Plan 2021–2030 calls on governments to … and partnering with AHRQ and the Institute for Healthcare Improvement (IHI) on the National Action Plan
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - Commentary by Jeanna Blitz, MD The preanesthetic evaluation is a critical element of providing care … and organize all of the necessary resources for the patient's care.( 1 ) The primary responsibility … Team-based models of care may lend "another pair of eyes" and reduce the time constraints associated … All patients must be reevaluated immediately prior to administering anesthesia as a condition of participation … Jeanna Blitz, MD Medical Director, Pre Admission Testing Department of Anesthesiology, Perioperative Care
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - execution of the plan, and finally, self-evaluation of their plan or practice. … Many other clinical operations must be addressed in the cyberattack plan. … IT allows the clinical staff to deliver patient care efficiently. … Identifying a clinical point person to partner with the IT lead and pull together a response plan for … Provide Medical Care Is in Critical Condition: Analysis and Stakeholder Decision Support to Minimize