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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/primer/burnout
November 20, 2024 - described by the World Health Organization as an occupational phenomenon and is not classified as a medical condition … exhaustion; increased mental distance from one’s job, or feelings of negativism or cynicism related … HHS announces $103 million from American Rescue Plan to strengthen resiliency and address burnout in … and Poor Communication at Discharge Leads to a PICC without a Plan. … Health Care Executives and Administrators
Mental Health Care (Psychiatry and Clinical Psychology
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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/node/49674/psn-pdf
December 01, 2012 - Once the PICC is placed, a plan should be initiated to provide for daily site assessment, routine flushing … present case, the patient required intravenous immunoglobulin (IVIG) to treat her underlying
neurologic condition … It requires the establishment of a plan and education for providers and patients to safely reach the … Establish a plan for PICC management with patients that require management outside the insertion
facility … The clinical effectiveness and cost-effectiveness of central
venous catheters treated with anti-infective
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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/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - Packing the wound in this case may have been an appropriate plan to start, but the lack of further intervention … Presumably the patient’s condition improved temporarily with volume expansion but given the need for … when it became clear that the surgical team was not being sufficiently responsive, and the patient’s condition … When bleeding is brisk, laboratory results are typically not available fast enough to help guide clinical … August 1, 2006
WebM&M Cases
Correct Treatment Plan
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - distributing health care goods or services consumed by, or used on patients” and relevant financial … is aware of them in the event the patient’s condition deteriorates. … hands and not address acute changes in condition. … Other clinical skills are certainly important, but these conversations around advance care planning and … the designated health care agent (sometimes also called surrogate, representative, decision-maker, or
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psnet.ahrq.gov/node/49500/psn-pdf
January 01, 2006 - should
target individual providers and parents, medication labeling practices, and broader health care … Physicians’ office personnel, pharmacists, and
all health care providers play an important role in educating … Lastly, requiring pharmacies or drug manufacturers
to prepare a “handout” (or display) at the point … Points
Acetaminophen hepatotoxicity after multiple supratherapeutic doses is a rare and preventable
condition … Always screen for concurrent use of cough/cold preparations containing acetaminophen if you plan
to
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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - only briefed on the initial respiratory distress and did not have a complete picture of
the child's condition … Yet, if that is all that happened, the next child in this same condition in this same institution will … At the moment of this first transition of care (i.e., the OR to the ICU), the surgeon clearly has the … of a complex patient to formulate the mental model and care plan. … Physician staffing patterns
and clinical outcomes in critically ill patients: a systematic review.
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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/issue/5-most-commonly-misdiagnosed-conditions-icu
August 18, 2010 - This article discusses five conditions often associated with diagnostic errors in intensive care units … April 29, 2020
Using the web or an app instead of seeing a doctor? … December 5, 2012
Dangerous infections are more likely in pediatric intensive-care units … August 18, 2010
View More
See More About The Topic
Intensive Care Units … Patients
Critical Care
Geriatrics
Clinical Misdiagnosis
View More
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - must be entered into the EHR so everybody on the team is
aware of them in the event the patient’s condition … • Best practice is to explore individual patient preferences, providing all
options based on their condition … teams will not address acute changes in condition
– Overestimation of CPR success rates
• Hospital … might be the
patient’s preference
• Clinicians should not allow concerns about metrics to color clinical … • Communication among clinical specialties, nursing, and the entire
interprofessional team is critical
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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/74121/psn-pdf
November 30, 2021 - , 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 … California Maternal Care Quality Collaborative (CMQCC). Accessed November 19, 2021.
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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/node/50754/psn-pdf
December 18, 2019 - distributing health care goods or services consumed by, or
used on patients” and relevant financial … is aware of them in the event the patient’s condition deteriorates. … certainly attempt to), it is critically important to
identify an agent who will consider specific clinical … hands and not address acute
changes in condition. … Other clinical skills are certainly important, but these conversations around
advance care planning
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - The following morning, his condition worsened and he had a respiratory arrest. … of other men in the clinic or of home physicians are not belittled by word or look. … One can imagine clinical situations in which the rationale for mandatory disclosure of another health … Respectful Management of Serious Clinical Adverse Events. … that a plan to prevent recurrences will be developed 7.
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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/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/node/49624/psn-pdf
May 01, 2011 - The following
morning, his condition worsened and he had a respiratory arrest. … of other men in the clinic or
of home physicians are not belittled by word or look. … One can imagine clinical situations in which the rationale for mandatory disclosure of another health … Respectful Management of Serious Clinical Adverse
Events. … the patient what will be done differently to make recurrences less likely, or that a plan to prevent