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psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
February 02, 2011 - Study
Use of board certification and recertification of pediatricians in health plan … Use of board certification and recertification of pediatricians in health plan credentialing policies … require board certification for general pediatricians at any time during their association with the plan … Use of board certification and recertification of pediatricians in health plan credentialing policies … February 15, 2017
Economic evaluation of the impact of medication errors reported by US clinical
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - at the bedside, where engaged patients, armed with information about their condition and available services … or the care of loved ones. … chronic condition. … planning and clinical teaching for trainees. … views about what happened and what didn't happen in the last 24 hours, and their perceptions about the plan
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - His complex health condition was known to his wife, and given the very complex nature of the surgery, … However, the surgeon identified an error in the team’s intraoperative care that may or may not have contributed … Unfortunately, in this case, there was no plan or commitment made to the widow to follow up with her … The patient’s clinical care should be explained and questions about it answered as extensively as possible … After the clinical care and recommended improvements are explained, the clinicians involved should excuse
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - the hospital to a home-based or community care environment. … living or residential care facility. … encounter within the 90 days prior to the start of care or within 30 days after the start of care, and … condition is expected to improve in a reasonable time. … Association of a bundled hospital-at-home and 30-day postacute transitional care program with clinical
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psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
July 31, 2013 - Study
Strategies for a safe interhospital transfer with an intubated patient or where … Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation … for patients who are intubated or who may require intubation. … adequate communication between providers prior to transport, stabilizing and optimizing the patient’s condition … November 16, 2022
Improving communication and response to clinical deterioration
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psnet.ahrq.gov/node/863747/psn-pdf
March 06, 2024 - "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety … "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety … These near-miss events generally occurred in five
clinical scenarios – high-risk social situations ( … education, high acuity conditions, interactions of physical
and mental health, and investigating subtle clinical … suspicions or red flags.
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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - In this commentary, we
address these issues and provide potential solutions for clinical practice. … prior to the intrahospital transfer, preferably using standardized protocols (e.g., a triage protocol
or … research has focused primarily on nurses and physicians, but failure to speak up is not limited
to clinical … Clinical incidents that may or may not result in patient harm frequently occur during intrahospital … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-and-childrens-health-insurance-program-hospital-inpatient
November 23, 2015 - and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care … Request for comments on the proposed measures and 2020 targets for the National Action Plan … January 16, 2025
Pulse oximeters for medical purposes - non-clinical and clinical performance … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-practice
August 16, 2023 - Citation Text:
Burnout in Primary Care: Assessing and Addressing It in Your Practice. … Burnout reduction in primary care is critical to patient safety. … 2023
Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or … May 13, 2020
Working conditions in primary care: physician reactions and care quality … March 23, 2011
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Ambulatory Clinic or
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - The lack of technology (e.g., electronic medical records, clinical decision support systems) to support … physician to engage in effective communication and collaboration related to the patient's assessment and plan … Collaborate with fellow clinicians to evaluate unusual assessment findings or plans of care. … Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American … care.
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - Plan delaying surgery if a corticosteroid injection has been given in the affected hand within 3 months … Choose an appropriate incision site and method (open vs. endoscopic) based on the patient's condition … Clinical care redesign to improve value in carpal tunnel syndrome: a before-and-after implementation … Management of Carpal Tunnel Syndrome Evidence-Based Clinical Practice Guideline. … and Poor Communication at Discharge Leads to a PICC without a Plan.
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psnet.ahrq.gov/issue/war-two-fronts-cancer-care-time-covid-19
March 12, 2025 - A war on two fronts: cancer care in the time of COVID-19. … The authors discuss the need to balance delays in cancer diagnosis or treatment against the harm of COVID … March 12, 2025
Implementation of the I-PASS handoff program in diverse clinical environments … bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical … 2020
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Hospitals
Ambulatory Clinic or
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psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
October 24, 2021 - Third are managed care residencies, and that's more specialized and looks at using clinical evidence … For example, think of a specialized psychiatry clinic, or a primary care and multi-specialty physicians … pharmacists practice and where community pharmacies can be found, but whenever you think of a patient condition … therapies. 2 Pharmacists may pursue community-based residencies or fellowships to enhance their clinical … review of the patient’s treatment plan.
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psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety
January 04, 2017 - May 12, 2010
The impact of power on health care team performance and patient safety: … 2023
Measurement matters: changing penalty calculations under the hospital acquired condition … December 4, 2016
Building a highway to quality health care. … power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical … and Administrators
Institutional Patient Safety Plan
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - fact that the five rights must be individualized, as they are affected by the patient's age, medical condition … and safety for each individual patient Individual consideration of "five rights" in light of patient condition … transitions Coordinate medication management across care transitions; assist with care coordination … Clinical trials are another area in which pharmacist leadership in designing safe protocols is critical … November 4, 2020
Fighting against COVID-19: innovative strategies for clinical pharmacists
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Eligible patients include those who require
hospitalization for a condition such as community-acquired … Nurses use
illness-specific, hospital-at-home care maps and clinical outcome evaluations to determine … When
patients refused to be admitted, the physicians found themselves patching together a care plan … organizations, integrated delivery systems like the VA, and systems that
have a health plan and providers … Association of a Bundled Hospital-at-Home and
30-Day Postacute Transitional Care Program With Clinical
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psnet.ahrq.gov/periodic-issue/periodic-issue-347
May 16, 2022 - Teaching clinical reasoning to medical students is a key strategy for reducing diagnostic errors. … Needed nursing care that is delayed, partially completed, or not completed at all is known as missed … nursing care (MNC). … Prescribing errors were reduced across three plan-do-study-act cycles, and improvements were maintained … researchers analyzed the variance between AHRQ pediatric quality indicators and CMS hospital-acquired condition
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psnet.ahrq.gov/issue/entangled-complexity-ethnographic-study-organizational-adaptability-and-safe-care-transitions
August 21, 2024 - for patients with complex care needs. … care needs. … March 12, 2025
A clinical pharmacist-led transitions of care program for veterans with … two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic … June 15, 2016
Developing a medical emergency team running sheet to improve clinical handoff
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psnet.ahrq.gov/issue/retrospective-review-emergency-response-activations-during-13-year-period-tertiary-care
August 26, 2020 - October 19, 2022
Complexity and challenges of the clinical diagnosis and management of … 2015
Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical … November 16, 2022
Clinical practice guideline: safe medication use in the ICU. … January 3, 2017
Implementation of Condition Help: family teaching and evaluation of family … February 1, 2011
A reduction in cardiac arrests and duration of clinical instability
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psnet.ahrq.gov/node/33744/psn-pdf
February 01, 2013 - chronic condition. … Sometimes a
patient with cancer wants to be very involved in his or her care in the beginning, but then … planning and clinical teaching for trainees. … views about what happened and what didn't happen in the last 24 hours,
and their perceptions about the plan … a trusted friend with them to a hospital or
clinic visit—family presence should not put health care