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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - Positive answers to these survey items prompt further action or follow-up. … (should any modifications be made to the version tested in this innovation) and the implementation plan … or developer of the innovation. … Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes … Care (Psychiatry and Clinical Psychology)
Public Health
Diagnostic Errors
Provider-Patient
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - Case Objectives
Recognize acute colonic pseudo-obstruction and implement a medical management plan … recognition and management of ACPO is important to minimize morbidity and mortality of this serious condition … or diarrhea). … competence in a wide variety of clinical scenarios. … condition.
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psnet.ahrq.gov/issue/analysis-hospital-readmission-rates-after-implementation-hospital-readmissions-reduction
October 12, 2022 - Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan … September 13, 2023
Effects of a multimodal transitional care intervention in patients … at high risk of readmission: the TARGET-READ randomized clinical trial. … The Topic
Hospitals
Quality and Safety Professionals
Policy Makers
Medicine
Nurse Care
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - We develop or
maintain measures ourselves or utilize measures developed by other “measure stewards” … 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?
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - Study
Safety management within the scope of teaching practical clinical skills: … Study
Safety management within the scope of teaching practical clinical skills: … The authors use their experience developing a machine learning-based clinical decision support tool to … (CMS) has developed a three-point plan to guide efforts toward zero preventable harm for the patients … Despite treatment with diuretics and antihypertensives, her condition deteriorated, leading to intubation
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psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system
November 16, 2022 - October 14, 2016
The best medical care in the world. … April 21, 2015
Developing an action plan for patient radiation safety in adult cardiovascular … : a cross-sectional study using the Clinical Practice Research Datalink (CPRD). … January 2, 2017
Clinical triggers: an alternative to a rapid response team. … January 2, 2017
Implementation of Condition Help: family teaching and evaluation of family
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - ulcers but eating or swallowing possible). … The ultimate clinical outcome was unchanged, possibly reinforcing the provider’s clinical reasoning that … diagnosis of oral mucositis will lead to appropriate therapy and improvement of the patient’s overall condition … Cross-cover care is a core activity for all inpatient providers and there are clinical competencies that … and Poor Communication at Discharge Leads to a PICC without a Plan.
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - facilities should implement obstetric
hemorrhage risk assessment, manage and treat iron deficiency anemia, plan … anytime their condition changes.7,8 The patient’s hemorrhage risk should be embedded in the EHR, easy … Oxygen saturation <93%
Heart rate >110 or <50 beats/min (bpm)
Respiratory rate >24 or <10/minute … and postpartum processes, and plan appropriate precautions. … A systematic review of the relationship between blood
loss and clinical signs.
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - The plan was for the patient to follow up with his primary care physician in 2 weeks. … plan, including any pending test results. … or forwarded to his primary care physician. … However, because, more often than not, microbiology TPADs do not alter the care plan, physicians have … Improving communication between the discharging physician and the provider or care team assuming care
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - of those patients did not understand
the next steps after leaving the ED, including what to do if a condition … gets worse or doesn’t improve. … approaches bring together clinicians with the goal of sharing
patient information and collaborating on a plan … impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
https://psnet.ahrq.gov/issue/annals-clinical-decision-making-avoiding-cognitive-errors-clinical-decision-making … As usual care resumes, institutions may find that many or all of these examples have the potential to
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psnet.ahrq.gov/node/73515/psn-pdf
August 01, 2022 - 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. … were critical to success:
Funding is required to support the inclusion of a dedicated APRN on the clinical … staff across the
nursing home of roles and responsibilities
The establishment and communication of a plan
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psnet.ahrq.gov/issue/relationship-between-hospital-patient-safety-culture-and-performance-centers-medicare
December 11, 2024 - Health Care Manage Rev. 2024;49(4):281-290. doi:10.1097/hmr.0000000000000414. … Health Care Manage Rev . 2024; 49 (4) :281-290 . … Health Care Manage Rev. 2024;49(4):281-290. doi:10.1097/hmr.0000000000000414. … Interview
In Conversation With...Amy Helwig about Health Plan … Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition
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psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
February 01, 2012 - prior to the extubation to confirm the plan. … procedural expertise and competence as other common ICU interventions.( 9 ) Checklists have improved clinical … checklist include summary of discussions with the family and their goals and specific preferences; plan … huddle would have allowed the resident to know who to reach out to communicate the change in plan. … University of California, San Francisco Susan Barbour, RN, MS Clinical Nurse Specialist Division of
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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/node/72563/psn-pdf
December 07, 2020 - implementation and maintenance
of the dental antimicrobial stewardship program in their strategic plan … The Associate Dean of Clinical
Affairs, who oversaw the clinical enterprise, sent out a “Monday Minute … We provided the patients with a contingency plan and
information about what really bad pain was like … KH: What about the use of clinical decision support? … have some other kind of immunocompromised condition.
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - distributing health care goods or services consumed by, or used on patients” and relevant financial … aortic
stenosis is a known risk for anesthesia,5 and the high relative mortality conferred by this condition … Optimal care of frail patients hinges on a plan with the least possible perioperative stress, both
surgical … No simple fix for fixation errors: cognitive processes and their clinical
applications. … Design of a Novel
Multifunction Decision Support Display for Anesthesia Care: AlertWatch® OR. ?
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - ; an update on the patient’s current condition; a
review of medications; and discussions of the ongoing … care plan, including any challenges. … They found that the majority of transition of care breakdowns involved discharge
communication or coordination … Identify one or two individuals who can serve as the primary point (or points) of contact at each site … Identify individuals to serve in key innovation clinical roles.
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - Innovator
Summary
Venous thromboembolism (VTE) is a serious but preventable medical condition … Implemented
2005
Problem Addressed
Deep vein thrombosis (DVT) is a medical condition … Defect-free care included receiving appropriate VTE prophylaxis care such as prescriptions and administration … https://www.hematology.org/education/clinicians/guidelines-and-quality-care/clinical-practice-guidelines … care and validity.
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - Our study showed that they cannot recount the basic facts of their condition or what happened to them … People come in the hospital with a condition. … Oftentimes, the patient or caretaker assumes full responsibility of all patient care postdischarge. … communication with providers via telemedicine to mobile applications that help patients follow a postdischarge plan … Katherine Liang Clinical Informatics UMass Memorial Health Care Medical Student University of Massachusetts
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
April 27, 2022 - 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