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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/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/node/867986/psn-pdf
March 24, 2025 - Edwin Boudreaux: I am a clinical psychologist by training. … Instead, they get care there, or they get
connected to other care, and they can be diverted from the … Often, when we make a
discharge plan with a patient in the facility, they are not in a good condition … health condition. … It is a stigmatized
condition, and people often feel rejected.
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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - The plan was for a home health nurse to evaluate the
skin breakdown later in the week. … However, the patient’s worsening condition probably justified a follow-up video or in-
person visit … the next day to assess how she was doing and to decide whether the plan established during
the first … develops new symptoms or deterioration in the overall condition. … resolving condition.
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - As the patient’s agitation and CIWA scores improved
with initial treatment, the physicians’ plan (communicated … Communication Orders
The clinician in this case used a free text order to communicate the medication titration plan … Documentation
In this case, it is unclear why the dexmedetomidine infusion rate was not reduced according to plan … their willingness to seek care.37 Health care providers are also
susceptible to conscious or unconscious … , that they have “complete control” over the AUD,
and/or have “character flaws”.38 Health care providers
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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/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - The plan was for a home health nurse to evaluate the skin breakdown later in the week. … However, the patient’s worsening condition probably justified a follow-up video or in-person visit the … Gathering a patient’s history is still the most important aspect of the clinical diagnostic process. … develops new symptoms or deterioration in the overall condition. … resolving condition.
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - Encounter and claims data indicate if a health plan member is seen in a clinic, a hospital, or even if … that specializes primarily in young adults or a plan with a large number of pediatric members. … the emergency department or urgent care. … emergency or urgent or next day appointments that are appropriate depending on their condition. … , we often think of strategies that can be implemented at the health care organization or health care
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - clinic, or the hospital, are critical, high-risk moments during which patients and families assume care … of a medical condition that is often new and unfamiliar. … opportunities to review, such as a teach-back, which have been shown to improve patient adherence and clinical … Plan, follow-up phone calls to reinforce home care instructions, and enhanced coordination of care between … inpatient projects can serve as meaningful models for the enhancement of discharge processes in other clinical
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psnet.ahrq.gov/node/865413/psn-pdf
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/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/49688/psn-pdf
August 21, 2013 - care of a medical condition that is often new and unfamiliar. … typically reduced) may also facilitate the acquisition of new and complex information about a medical
condition … opportunities to review, such as a teach-
back, which have been shown to improve patient adherence and clinical … Plan, follow-up phone
calls to reinforce home care instructions, and enhanced coordination of care … inpatient projects can serve as meaningful models for the
enhancement of discharge processes in other clinical
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psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - and its treatment plan. … After returning home, the patient's mother continued searching her daughter's condition online, remained … urgent care setting. … family members and other providers (e.g.,
nurses or medical assistants) or staff (e.g., front desk … care.
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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/node/60242/psn-pdf
March 01, 2021 - 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/node/867035/psn-pdf
October 30, 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 … delirium due to a medical
condition, increasing the risk for falls due to poor situational and safety … 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/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/web-mm/failure-latch
November 27, 2012 - 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 … Office
Health Care Providers
Health Care Executives and Administrators
Obstetrics
View
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - Edwin Boudreaux : I am a clinical psychologist by training. … Instead, they get care there, or they get connected to other care, and they can be diverted from the … Often, when we make a discharge plan with a patient in the facility, they are not in a good condition … health condition. … It is a stigmatized condition, and people often feel rejected.
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - Edwin Boudreaux : I am a clinical psychologist by training. … Instead, they get care there, or they get connected to other care, and they can be diverted from the … Often, when we make a discharge plan with a patient in the facility, they are not in a good condition … health condition. … It is a stigmatized condition, and people often feel rejected.