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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - different healthcare levels, settings, or between team members or shifts handoffs within a hospital. … when a patient moves between departments or when transitioning between different care teams or when … during a patient’s transition between locations or when care is handed off between shifts can enhance … Anna Satake PhD, MSN, GCNS, RN Geriatric Clinical Nurse Specialist Assistant Clinical Professor Department … July 8, 2020
Applying the Medications at Transitions and Clinical Handoffs Toolkit in
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psnet.ahrq.gov/issue/driving-out-errors
December 15, 2011 - March 22, 2023
Managing competing organizational priorities in clinical handover across … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan … October 4, 2020
Clinical impact and economic burden of hospital-acquired conditions following … impact on the US health care system.
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - underlying condition) that reaches a patient and results in death, severe harm (regardless of duration … measures. 3 Current policies emphasize developing and implementing a comprehensive corrective action plan … There are expanded time-outs that include more extensive information depending on team needs and clinical … the importance of a proper time-out and making sure all team members are on board with the patient plan … When “never events” or sentinel events occur, the impact on the health care providers should be taken
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - jhmi.edu
Date First Implemented
2005-01-01
Problem Addressed
Deep vein thrombosis (DVT) is a medical condition … Defect-free care included
receiving appropriate VTE prophylaxis care such as prescriptions and administration … of medication or
compression socks. … Use a clinical decision support tool. … clinicians/guidelines-and-quality-care/clinical-practice-guidelines/venous-thromboembolism-guidelines
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - coaches, social workers, or
other clinical staff) use software-based protocols to screen older clients … The care manager or nurse (sometimes supported by clerical staff)
enters the client's clinical information … The care manager contacts a consultant pharmacist, asking him or her to review
the client's clinical … Plan logistics:?Plan for program implementation at a detailed level. … A Collaboration Among Primary Care-Based Clinical Pharmacists
and Community-Based Health Coaches.?
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psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
July 08, 2021 - Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017. … Facebook
Twitter
Linkedin
Copy URL
January 27, 2016
Leeds, UK: Clinical … Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017. … March 14, 2018
Managing the Costs of Clinical Negligence in Trusts. … September 25, 2024
DOD Should Improve Its Process for Clinical Adverse Actions against
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - During these calls, we helped teams plan their next steps or discuss how to remove obstacles to change … The second thing is that organizations or health care providers are not organized around teams and do … Every patient is receives care from a lot of people, no matter what condition they come in, and there's … The way health care pays clinical care providers is also a problem. … But in health care a team might have 20 or 30 people, very fluid, and it might be a clerk who has to
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - RW : I was very interested in your analogy to clinical medicine. … Those things are all built on a large body of information about the physiology of the condition and about … A standard of care might emerge, the data about whether you do it or not might be publicly reported, … a metamorphosis during the clinical trial as a result of the patient himself or herself. … Interview
In Conversation With...Amy Helwig about Health Plan
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psnet.ahrq.gov/issue/planning-and-implementing-systems-based-patient-safety-curriculum-medical-education
June 29, 2009 - June 29, 2009
Intensive care unit safety incidents for medical versus surgical patients … June 15, 2011
Supporting the emotional well-being of health care workers during the COVID … August 5, 2020
Implementation of the I-PASS handoff program in diverse clinical environments … September 17, 2010
Implementation of the World Health Organization Trauma Care Checklist … Program in 11 centers across multiple economic strata: effect on care process measures.
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - or delayed diagnosis of a non-COVID-19 condition because of the presumption that the patient has contracted … can better position their clinical teams for care for COVID-19 patients. … For example, artificial intelligence (AI) could be a beneficial tool to support clinical decision-making … are unable to move or turn when hemodynamically unstable and on a ventilator or extracorporeal life … Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020.
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psnet.ahrq.gov/issue/impact-duty-hour-regulations-medical-students-education-views-key-clinical-faculty
May 20, 2019 - Study
Impact of duty hour regulations on medical students' education: views of key clinical … Impact of duty hour regulations on medical students' education: views of key clinical faculty. … Classification of health information technology safety events in a pediatric tertiary care … June 7, 2023
The quality of pharmacologic care for vulnerable older patients. … Resources
Association of residency work hour reform with long term quality and costs of care
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psnet.ahrq.gov/issue/project-jessica
September 16, 2020 - This video chronicles how an undiagnosed heart condition led to a teenager's death and offers tips … May 1, 2019
Reported clinical incidents of children with intellectual disability: a qualitative … June 15, 2022
The second victim phenomenon in health care: a literature review. … November 25, 2020
Communication with health care workers regarding health care-associated … 26, 2011
View More
See More About The Topic
Patients
Cardiology
Clinical
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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/improving-end-rotation-transitions-care-among-icu-patients
September 23, 2020 - Journal Article
Improving end-of-rotation transitions of care among ICU patients … Improving end-of-rotation transitions of care among ICU patients. … that the intervention was feasible to implement with high fidelity and did not improve length of stay or … Improving end-of-rotation transitions of care among ICU patients. … July 10, 2017
Association of clinical specialty with symptoms of burnout and career choice
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psnet.ahrq.gov/issue/mistakes-even-good-doctors-make
October 12, 2022 - Getting the whole story: integrating patient complaints and staff reports of unsafe care … July 28, 2021
Long-term care healthcare-associated infections in 2021: an analysis of … August 30, 2017
Using the web or an app instead of seeing a doctor? … July 20, 2016
Clues to better health care from old malpractice lawsuits. … Patients
Medicine
Clinical Misdiagnosis
View More
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psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit
December 24, 2008 - Health care–associated infections are a known contributor to adverse events among patients on dialysis … the Same Author(s)
Preventable Hospitalizations: A Window Into Primary and Preventive Care … June 21, 2016
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings … December 11, 2013
View More
See More About The Topic
Ambulatory Clinic or … Office
Health Care Providers
Nephrology
Epidemiology of Errors and Adverse Events
Quality
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psnet.ahrq.gov/node/861881/psn-pdf
January 31, 2024 - plan. … Care to me or care delivered in the acute care setting, in which healthcare professionals are
primarily … together a care plan that is tailored for that
individual patient. … So how you integrate those
determinants of care and the patient’s health habits in a plan is very much … up on the care and treatment
plan.
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - The kidney was explanted, and the patient was transferred to the intensive care unit in critical condition … without adequate fidelity to the underlying principles or customization for the health care context. … Once a risk control or other safety solution is introduced, health care organizations need to monitor … Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. … UK: Clinical Human Factors Group; July 2013. [Available at] 11.
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psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions
April 01, 2010 - April 1, 2010
Deploying Six Sigma in a health care system as a work in progress. … January 5, 2017
Competition and health plan performance: evidence from health maintenance … January 14, 2011
Hospital financial condition and the quality of patient care. … September 9, 2013
The economics of health care quality and medical errors. … May 27, 2009
Hospital financial condition and the quality of patient care.
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psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
November 16, 2022 - reporting systems (VERS) are an indispensable tool for identification, analysis, and prevention of clinical … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan … December 13, 2023
Impact of leadership walkarounds on operational, cultural and clinical … Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care