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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - behavioral condition, who therefore have more frequent than usual interactions with the healthcare system … around transitions of care. … Clinical reasoning Clinical reasoning , the process of synthesizing raw clinical information and evaluating … The subsequent diagnostic plan is only as good as this story that providers tell themselves and each … Zack Chaffin, MD Health Sciences Assistant Clinical Professor Department of Pediatrics, Critical Care
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - 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/perspective/updates-role-health-it-patient-safety
January 31, 2020 - decision support when there is diagnostic uncertainty or complexity. … Clinical Decision Support and Increased Adherence with Evidence-based Care
CDS has the potential to … This may include, but is not limited to, notifications, alerts and reminders, condition-specific order … in oncology care increased clinical practice guideline use and concordance, improved care process measures … Health Information Technology Patient Safety Action & Surveillance Plan. July 2, 2013.
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psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - Since the release of the revised iteration of the tool (i.e.,
the Revised Safer Dx Instrument), use of condition-specific … team, the provider, and/or the patient. … develop and implement a rollout plan and goals for the initiative. … The tool could be used by a
single clinician or by a multidisciplinary team with clinical input, depending … Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction.
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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/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - , environmental latent conditions undermine system defenses, setting the stage for active failures or … ., replacing worn ceiling tiles with high-sound absorbing tiles to reduce noise, an error-provoking condition … Each patient safety improvement plan should consider environmental solutions. … Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316:1154-1157. … on Vincent ( 22 ) and Reason's ( 23 ) work showing the role of the physical environment as a latent condition
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - They called the palliative care team for clarification about the
plan of care. … developmental 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 … plan. … bedside staff and providers,
receive communication about plan of care.
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psnet.ahrq.gov/periodic-issue/periodic-issue-373
December 14, 2022 - The action plan proposed by this project includes ensuring a just culture so staff feel empowered to … been developed to assess learners’ clinical reasoning. … The action plan proposed by this project includes ensuring a just culture so staff feel empowered to … patients being underweight or overweight. … The condition worsened, signaling failure of non-operative management; following his wishes, he transitioned
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - There are no federal or state requirements for physicians or
advanced practitioners to be onsite in … 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/node/49636/psn-pdf
October 01, 2011 - The PT's plan of care focuses on interventions to improve or restore mobility and function. … The
resulting plan of care may include exercises that foster beneficial physical adaptations through … in a patient's condition, which may indicate or prompt the
need for additional medical evaluation. … Developing clinical
guidelines (or criteria and triggers for referral) is a recommended approach to … Take-Home Points
A PT's plan of care focuses on interventions to improve or restore mobility and function
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psnet.ahrq.gov/periodic-issue/periodic-issue-350
July 08, 2022 - Study
Long-term risk of overdose or mental health crisis after opioid dose tapering … Many interventions targeting healthcare-acquired condition reduction and prevention target a single condition … this is reflective of fewer infections or poor reporting practices at long-term care facilities, or … Special or Theme Issue
Compendium of Strategies to Prevent HAIs in Acute Care Hospitals … Clinical Advisor . June 29, 2022.
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psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
October 09, 2024 - Pay-for-performance (P4P) policies and programs (such as the Hospital-Acquired Condition [HAC] Reduction … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan … Improving Diagnostic Safety and Quality
April 26, 2023
Clinical … November 7, 2012
Computerized physician order entry with clinical decision support in
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - be argued that the patient in this case should not have been discharged without a better follow-up plan … a telemedicine visit utilizing self-taken blood pressure measurements, augmented by clinical pharmacist-led … Farrell, MD Assistant Professor of Medicine (Clinical) Adjunct Assistant Professor of Family Medicine … Post-hospital syndrome—an acquired, transient condition of generalized risk. … Medication Reconciliation Victory After an Avoidable Error
March 21, 2009
A clinical
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - decision support when there is diagnostic uncertainty
or complexity. … Clinical Decision Support and Increased Adherence with
Evidence-based Care
CDS has the potential to … This may include, but is not limited to,
notifications, alerts and reminders, condition-specific order … oncology care increased clinical practice guideline
https://psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol … Health Information Technology
Patient Safety Action & Surveillance Plan. July 2, 2013.
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - The patient's condition improved and he was discharged to home. … safely discharged from hospital.( 1 ) The developers of chlorpromazine were awarded the 1957 Lasker Clinical … been notified and included in the discharge process, it could have helped to coordinate the aftercare plan … Which comes first: atypical antipsychotic treatment or cardiometabolic risk? … Providers
Emergency Medicine
Mental Health Care (Psychiatry and Clinical Psychology)
Discontinuities
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psnet.ahrq.gov/periodic-issue/periodic-issue-374
December 14, 2022 - was associated with increases in self-reported preventable drug-drug interactions (but not ED visits or … This study focused on patient-identified diagnostic safety blind spots in ambulatory care clinical notes … to plan and prioritize patient safety work to generate improvements. … from the field to determine current interest and status in efforts aligned with the National Action Plan … The condition worsened, signaling failure of non-operative management; following his wishes, he transitioned
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - , or in the intermediate care setting, versus the general care setting. … So, if you use the condition-specific monitoring approach in the general care setting where the prevalence … Our research shows if you set up alerts at traditional ICU levels, or even a more condition-specific … We always find things we didn’t expect—you can’t plan it all. … Providers
Clinical Technologists
Health Care Executives and Administrators
View More
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psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - body of architects, researchers, and clinicians.(3) A
systems approach allows us to evaluate error or … replacing worn ceiling tiles with high-sound absorbing tiles to reduce noise, an error-
provoking condition … Each patient safety improvement plan should consider environmental solutions. … Framework for analysing risk and safety in clinical medicine.
BMJ. 1998;316:1154-1157. … based on Vincent (22) and Reason's (23) work showing the role of the physical
environment as a latent condition
-
psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - By clinical background, I am an internal medicine hospitalist. … Instead of a causal factor, we'll say condition/contributing factor. … This approach to patient safety is referred to as Safety-I , which defines safety as a condition where … absence of adverse events, where as few things as possible go wrong, Safety-II defines safety as a condition … Patient safety learning laboratory looks to enhance clinical communication.
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - behavioral condition, who therefore have more frequent
than usual interactions with the healthcare … around transitions of care. … Clinical reasoning
Clinical reasoning, the process of synthesizing raw clinical information and evaluating … The subsequent diagnostic
plan is only as good as this story that providers tell themselves and each … Zack Chaffin, MD
Health Sciences Assistant Clinical Professor
Department of Pediatrics, Critical Care