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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/node/49733/psn-pdf
May 01, 2015 - 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/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/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/after-visit-confusion
August 21, 2007 - accompanied her and expressed concern that this could be "thrush"—based on her own understanding of that condition … explained that this was likely herpetic gingivostomatitis and provided related information about the condition … and its treatment plan. … After returning home, the patient's mother continued searching her daughter's condition online, remained … infection was correct, apologized for the error on the after-visit summary, and reassured her that the condition
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psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
November 01, 2017 - the rate of three PSIs (iatrogenic pneumothorax, postoperative sepsis, and postoperative physiologic or … March 21, 2012
Large language model influence on diagnostic reasoning: a randomized clinical … Interview
In Conversation With...Amy Helwig about Health Plan … February 5, 2020
Better Safer Care Victoria. … January 29, 2020
Are teaching hospitals treated fairly in the Hospital-Acquired Condition
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psnet.ahrq.gov/web-mm/it-safe-be-direct
September 30, 2015 - The patient's condition rapidly stabilized, and, after 3 days of treatment for his fluid overload and … The patient in this case aptly demonstrated just how dynamic a patient's clinical condition can be and … Create a nurse-supervised care initiation unit, or its equivalent, to expedite the initial admission … Related Resources From the Same Author(s)
Hospitalized patients' understanding of their plan … September 1, 2005
Patterns of nurse–physician communication and agreement on the plan
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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/node/49749/psn-pdf
December 01, 2015 - Moreover, the attending physician's
oversight of the new care plan is unclear. … American Association of Clinical Endocrinologists
and American College of Endocrinology—clinical practice … guidelines for developing a diabetes mellitus
comprehensive care plan—2015. … Poster presented at: American Association of Clinical Endocrinologists 23rd Annual Scientific and Clinical … Karsh BT, Holden RJ, Alper SJ, Or CKL.
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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
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - 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
-
psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - They called the palliative care team for clarification about the plan of care. … developmental delay, a patient may not be in a condition to make decisions about their care. … After presenting information about a patient’s condition and care choices, a provider should check the … plan. … bedside staff and providers, receive communication about plan of care.
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - Understand that clinical experience and seniority may reduce the risk of errors associated with
emergency … their
underlying surgical condition. … Several studies have
demonstrated very poor adherence to basic clinical and organizational processes … case
study above, may have increased awareness of the risk of sudden deterioration of this patient's condition … Basic processes of care for these patients are frequently incomplete or omitted.
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Understand that clinical experience and seniority may reduce the risk of errors associated with emergency … their underlying surgical condition. … case study above, may have increased awareness of the risk of sudden deterioration of this patient's condition … Basic processes of care for these patients are frequently incomplete or omitted. … Utilization of simple interventions such as checklists, formal job descriptions, and Plan-Do-Study-Act
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - This collaborative defined an ambulatory care setting as any outpatient setting or any place where a … Create an implementation plan. … between a radiologist and the referring provider, what they called a collaborative care plan for the … Electronic clinical surveillance to improve outpatient care: diverse applications within an integrated … Health Care Providers
Clinical Technologists
Physicians
View More
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - The mother was taken to the recovery room in stable condition. … unit in critical condition. … and
concealed obstetric hemorrhage as well as those obscured by confounding diagnoses and provide clinical … Maternity Care. … ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76,
October
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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/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - The mother was taken to the recovery room in stable condition. … unit in critical condition. … routine and concealed obstetric hemorrhage as well as those obscured by confounding diagnoses and provide clinical … Maternity Care. … ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - plan and participate in their own care coordination activities, including
adhering to complicated medication … The coach does not provide
skilled care or fix problems. … 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
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - about the care and postdischarge plan. … primary care record after an ED visit or a hospitalization. … plan.( 3 ) It is now possible for health systems to purchase acute-care instructions in multiple languages … The result is that an updated record of the patient's care plan is available to the primary care team … plan.