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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/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - of a condition requiring time-sensitive treatment” or “who has a potential threat to life, limb, or … ED staff are obligated to monitor patients in the waiting room, to escalate care when a patient’s condition … It is possible that staff would have identified the patient’s condition or deterioration earlier had … However, no team member verbalized a specific transportation plan or time expectation. … teams could have accelerated OR readiness and established a clear plan for ED-to-OR transit.
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - is poor communication amongst providers
Chronic condition(s)
Regardless of age, having … a chronic condition increases a patient’s risk for polypharmacy to address the condition(s) … Shannan Takhar, PharmD, BCACP
Clinical Pharmacist, Ambulatory Care
Department of Pharmacy Services … July 1, 2004
WebM&M Cases
Correct Treatment Plan … July 1, 2020
Use of an electronic clinical decision support system in primary care to
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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/primer/missed-nursing-care
September 15, 2024 - condition, that can be provided under a given staffing structure. … Moreover, nurses also plan, deliver, and evaluate nurse-initiated care to manage patients' symptoms and … The outcome of the clinical prioritization process in the face of resource or time scarcity is missed … The more routine consequences of missed nursing care can include delayed or omitted medications or treatments … May 12, 2021
Missed or Rationed Nursing Care.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - ‘evaluation’ before initiating action: identify and remedy gaps in one’s understanding of patient’s condition … Clinical reasoning. In: Norman GR, van der Vleuten CPM, Newble DI, eds. … Educational strategies to promote clinical diagnostic reasoning. … health plan
A physician most often requests privileges to a credentialing committee that makes the … care appears to be out of scope of normal practice
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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/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - plan and participate in their own care coordination activities, including adhering to complicated medication … plan across providers and settings. … Knowledge of “red flags”: The patient is knowledgeable of indicators that his or her condition is worsening … Plan for training: The Care Transitions Program has the exclusive authority to provide training on the … Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - Delirium in the intensive care unit: occurrence and clinical course in older patients. … Provision of care, treatment, and services. Standards 11.10-100. … Despite the patient’s deteriorating clinical condition, the patient’s worsening level of consciousness … Her condition did not significantly improve, and she died 2 weeks later. … and caregivers are crucial to the diagnosis and management of delirium; incorporating them into the plan
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psnet.ahrq.gov/sites/default/files/2020-05/webmm.ahrq_.gov_.392_slideshow.pptx
January 01, 2020 - A front office staff member without any clinical training answered the patient's phone call. … Prior suicide attempt
Family history of suicide
Family history of psychiatric condition
Chronic medical … the same patient
Not all patients with suicidal ideation are high-risk
Patients with intent, a clear plan … ideation in the preceding month
Asking patients about intent to self-harm, whether they have a viable plan … The suicide prevention contract: clinical, legal, and risk management issues.
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - However, the ED staff were not informed of the incoming patient or the orthopedic surgeon’s plan for … No ED physician or nurse was assigned to evaluate or care for the patient because the transfer of care … medical condition (EMC), that person becomes a patient, and their care is regulated by the federal … approach is to follow all applicable standards of care most appropriate to that presenting condition … centers or primary care clinics, or do not require care at all.
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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - of a condition
requiring time-sensitive treatment” or “who has a potential threat to life, limb, or … ED
staff are obligated to monitor patients in the waiting room, to escalate care when a patient’s condition … It is possible that staff would have identified the patient’s condition or deterioration earlier had … However, no team member verbalized a specific
transportation plan or time expectation. … teams could have accelerated OR readiness and established a clear plan for ED-to-OR transit.
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - However, the ED staff were
not informed of the incoming patient or the orthopedic surgeon’s plan for … No ED physician or nurse was assigned to evaluate or care for the patient because the
transfer of care … medical condition (EMC), that person becomes a patient, and their care is
regulated by the federal … is to follow all applicable standards of care most appropriate to that presenting condition. … centers or primary care clinics, or do not require care at all.
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - result in modification to the plan of care.( 10 ) Among other concerns, because the resident's functional … Third, many nursing homes do not have the clinical resources necessary to effectively assess and manage … With each transfer her condition worsened until her death in the hospital. … As potential problems are identified, each resident's plan of care can be modified and immediately communicated … This information provides an opportunity for organizational systems to be examined and/or care processes
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - 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/web-mm/transitions-adolescent-medicine
August 04, 2021 - This clinical vignette focuses on Marfan syndrome and congenital heart disease. … In addition, pediatric specialty- or primary care-based medical homes tend to be better resourced, which … Using quality improvement techniques to implement clinical improvements in care in transitions would … Take-Home Points The process of preparing or transitioning a youth with a chronic condition for the … It is critical that patients learn how to care for their condition while learning how to navigate the
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - Given her clinical condition, a fall risk armband was applied, and general safety and fall-prevention … While the clinician was relaying the care plan to the nurse at the nurses’ station, a thud was heard. … When the clinician came to the patient's room to describe the care plan, the patient was found on the … often distracted or under time pressure to respond to other patient care needs, limiting their ability … Using a tool like I-PASS not only ensures sharing of clinical information related to patient care but
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - Ankyloglossia (tongue-tie) is a condition in which the bottom of the tongue is tethered to the floor … The condition
is frequently familial and may result in feeding, speech, and swallowing problems. … Any intervention to increase infant intake should include a plan to protect or increase maternal milk … Donna Frye, RN, MN Clinical Director
Women's and Children's Clinical Services Hospital Corporation of … *HCA Women's and Children's Clinical Services Work Group.
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - Despite the patient's deteriorating clinical condition, the patient's worsening level of consciousness … Her condition did not significantly improve, and she eventually died 2 weeks later. … Incorporating their contribution into the plan of care is strongly recommended. James L. … Delirium in the intensive care unit: occurrence and clinical course in older patients. … Units
Health Care Providers
Geriatrics
Mental Health Care (Psychiatry and Clinical Psychology
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - Failure to rescue typically refers to a health system’s slow or ineffective response to clinical deterioration … resulting from an underlying illness or a medical or surgical care complication. … management of a common or esoteric surgical condition. … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan