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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
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
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - physician assistant), nurse, care
manager, or social worker), quality improvement (QI) facilitator, … These include general clinical conditions since
discharge, medication reconciliation, and follow-up … errors; prescription-related
issues; and follow-up plan and access issues. … discharge process, but the
time will be well spent, as it will enhance patients' understanding of their condition … Available at: https://www.hospitalmedicine.org/clinical-topics/care-transitions/
SHM Project Boost
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - We know that one of the primary drivers of unsafe care or unfortunate outcomes is communication. … Because of that, the focus of the clinical conditions bundles has expanded. … It is challenging when people cannot access care or pay for care. … they may be working multiple jobs or do not have transportation to receive care. … There often is very little way to tie someone's outcome or mental health condition back to a pregnancy
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - postpartum and can similarly lead to failure to recognize clinical deterioration or serious illness. … Thus, patients are at risk for underuse or omission if they do not receive the right care for their condition … or do not receive the right care quickly enough in an emergency. … for implementation, including assessing potential strategies for fit, developing an implementation plan … funds multiple initiatives to improve maternal health outcomes 34 and has developed a strategic plan
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psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment
November 08, 2023 - Commentary
Financial incentives to promote health care quality: the hospital acquired … Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy … Interview
In Conversation With...Amy Helwig about Health Plan … September 9, 2013
The economics of health care quality and medical errors. … October 27, 2010
Hospital financial condition and the quality of patient care.
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psnet.ahrq.gov/issue/standardise-educate-harmonise-commissioning-conditions-safer-surgery
August 02, 2023 - Examining risks in surgical care such as deviation in practice, this report outlines strategies to … improve outcomes, including better adoption of care standards, determining organizational safety policies … April 14, 2021
Review into the Quality of Care and Treatment Provided by 14 Hospital … August 7, 2013
Digital Clinical Safety Strategy
October 20, 2021 … April 20, 2016
Rules and guidelines in clinical practice: a qualitative study in operating
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psnet.ahrq.gov/node/49808/psn-pdf
October 01, 2017 - For high-risk handoffs,
tools (including I-PASS) are available to help structure clinical information … Interdisciplinary communication protocols seldom consider the need for transmitting clinical information … Each hospital should have a
formal intrahospital transfer plan (15) for each phase of a transfer: pretransfer … The
clinical team, particularly the physician, should evaluate the patient's condition and the availability … Intrahospital transfers to radiology should be treated as a formal handoff, with a summary of clinical
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psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
July 26, 2023 - Tools/Toolkit
Adverse Events Toolkit: Clinical Guidance for Identifying Harm … Citation Text:
Adverse Events Toolkit: Clinical Guidance for Identifying Harm Maxwell A. … July 26, 2023
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose … August 9, 2017
National Action Plan for Adverse Drug Event Prevention. … September 10, 2014
Health IT Patient Safety Action and Surveillance Plan.
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - were critical to success:
Funding is required to support the inclusion of a dedicated APRN on the clinical … Included within INTERACT are educational trainings for providers as well as clinical and education tools … stop and watch” early warning tool, and templates for progress notes and documenting acute changes in condition … This will inform a plan to ensure that all nursing home staff understand any workflow adjustments. … Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - ; many hospital programs (such as the Hospital Readmission Reduction Program, the Hospital-Acquired Condition … Patient’s conditions were more complicated; many patients stayed on ventilators or in intensive care … information and to create a lifelong learning cycle that ties to clinical guidelines and to clinical … Can we effectively look at data by race, or ethnicity, or language, or many other factors? … Hospital-Acquired Condition Reduction Program (HACRP). Accessed June 28, 2022.
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - , confusion, dyspnea, and/or non-remitting headache. … Fortunately, the actual source of the patient’s condition was recognized in time, but heroic interventions … protocols that have proven to be effective interventions. 15,16 A key element in the CMQCC response plan … The strength of this checklist is that it clearly spells out a plan that avoids missing critical elements … of women in labor experiencing clinical deterioration.
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - discharge Understand the provider's role in reducing adverse events at discharge Create an action plan … is required so that when patients need to be closely followed after discharge, either because their condition … Lastly, they need to have a back-up plan for when things go wrong. … care organization. … Dictated versus database-generated discharge summaries: a randomized clinical trial.
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psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
November 29, 2017 - Maternal safety is compromised by a range of social , cognitive, and clinical factors. … It recommends screening, a care safety plan, and the warm handoff as strategies to improve safety. … November 13, 2019
Drug diversion and impaired health care workers. … View More
See More About The Topic
Labor and Delivery
Ambulatory Clinic or … Office
Health Care Providers
Gynecology
Mental Health Care (Psychiatry and Clinical Psychology
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psnet.ahrq.gov/web-mm/deciphering-code
November 16, 2022 - 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 … practices: a randomized clinical trial.
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - Typically, physicians or advanced practitioners visit complex SNF patients once or twice a week depending … vocational nurse (LPN or LVN). … have a Quality Assurance Performance Improvement (QAPI) plan; this plan must outline how the facility … The program resources are free for clinical use at http://interact.fau.edu/ . … ; (ii) managing some changes in condition without transfer when safe and feasible (was our patient unstable
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - Reassessment
• The patient was not reassessed for >5 hours.
• Staff could have identified her condition … coordinators
• EDs could consider more frequent waiting room reassessment
intervals based on patient condition … Communication
• When boundaries defining clinical responsibility blur,
organizational communication … staff could collaborate to create specific workflows
and clinical pathways to improve the efficiency … teams would have accelerated OR readiness and established
a clear plan for ED-to-OR transit
32
24
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - intern night float, who was cross-covering this patient, to come to the bedside to assess the patient's condition … The signout did not provide a contingency plan explaining what course of action to take should the patient … While these factors may promote clinical growth among trainees, they simultaneously increase risk for … A randomized trial of nighttime physician staffing in an intensive care unit. … to care home transitions: a retrospective content analysis.
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psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - distributing health care goods or services consumed by, or used on patients” and relevant financial … plan. … Pulmonary embolism (PE) is serious condition that also causes dyspnea. … , clinical decision rules, D-Dimer measurement, and/or
diagnostic imaging such as ultrasound (US), CT … on several clinical variables: clinical signs or symptoms of DVT, heart rate > 100,
immobilization
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psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - evaluation, requires physicians to ask what gaps might exist in their understanding of the patient's
condition … she has
the knowledge and skill to care for a condition outside his or her primary scope of practice … care activities. … Clinical reasoning. In: Norman GR, van der Vleuten CPM, Newble DI, eds. … health plan.
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - setting already upset about their health condition. … difficult and emotionally charged clinical encounters. 9,10 These techniques highlight the importance … Amy A Nichols, RN EdD CNS CHSE ANEF
Associate Editor, PSNet
Associate Dean of Academics, Clinical Professor … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan