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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - Well, here's the operative plan and here's plan B. … A frontline nurse in Unit X doesn't really care what the hospital says, so much as how his or her actions … bedside and the clinical outcome. … You have to tackle the clinical issues? … includes all patients on the service, their diagnoses, hospital location, key lab results, and updated condition—its
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psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it
November 30, 2016 - Sections include guidelines , clinical decision support, electronic prescribing , and prescription … November 30, 2016
Goals and Priorities for Health Care Organizations to Improve Safety … December 18, 2013
Health IT Patient Safety Action and Surveillance Plan. … 27, 2011
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See More About The Topic
Hospitals
Ambulatory Care … Health Care Providers
Health Care Executives and Administrators
Medicine
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psnet.ahrq.gov/issue/mandatory-presuit-mediation-5-year-results-medical-malpractice-resolution-program
February 02, 2022 - study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical … home health referrals and Centers for Medicare and Medicaid Services home health certification and plan … of care and their potential to affect safety of vulnerable elderly adults. … July 26, 2023
Diagnosis of physical and mental health conditions in primary care during … April 8, 2019
Learning from lawsuits: using malpractice claims data to develop care transitions
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psnet.ahrq.gov/issue/sign-safety
April 15, 2020 - April 18, 2018
Digital Clinical Safety Strategy
October 20, 2021 … January 31, 2018
Outsourcing health-care services to the private sector and treatable … May 18, 2018
Diagnostic error in acute care. … May 20, 2015
Open for Better Care. … April 30, 2014
Harm Free Care.
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - a health care proxy or completed a living will prior to admission. … probability that after several days she would be extubated and eventually restored to her baseline clinical … condition. … Elicit patients’ values and overall goals of care, and then present CPR or DNR as a way of matching appropriate … Thus, if a patient with a reversible condition refuses resuscitation, the physician should ascertain
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Minimal other clinical details were discussed. … None of
the notes or clinical documentation from the referring hospital arrived with the patient other … a clinical escort) occurred over a 1-year
period in Scotland (population 5.1 million).(4) Of these, … personnel are not
adequate for the patient's condition.(10,11) Once the patient arrives at the receiving … coordination and
communication
Receiving clinician is provided with full details of the patient's condition
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - He was treated with antibiotics and bowel
rest and discharged three days later with a plan to follow … of sepsis or worsening clinical symptoms. … Errors in Clinical Judgement
Clinical decision making is a complex process which depends on the ability … While the patient’s clinical evaluation did
not necessitate admission or emergency surgery at this point … and clinical outcomes: a systematic review and meta-
analysis.
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psnet.ahrq.gov/issue/hemolyzed-physical-examination-situational-challenges-accurate-bedside-diagnosis
May 31, 2023 - December 18, 2019
Use of "Doctor" badges for physician role identification during clinical … September 11, 2019
Principles for Patient and Family Partnership in Care: An American … November 7, 2018
Ten principles for more conservative, care-full diagnosis. … November 8, 2012
Evaluating physician performance at individualizing care: a pilot study
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - The
monitoring and analysis functions involved in recognizing and responding to such a challenge - or … condition involving
patient harm. … due to patient flow or turnover.
2. … Artificial intelligence for the prediction of in-
hospital clinical deterioration: a systematic review … Systematic review and longitudinal analysis of
implementing Artificial Intelligence to predict clinical
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psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - To LP or Not LP
October 1, 2003
Landrigan CP. To LP or Not LP. PSNet [internet]. 2003. … https://psnet.ahrq.gov/web-mm/lp-or-not-lp
The Case
A 4-month-old male infant was seen in the office … The plan to refer the patient was sound, but the provider made errors in executing this plan,
which … The combination of these failures left the family inappropriately responsible for conveying
crucial clinical … Does housestaff discontinuity of care increase
the risk for preventable adverse events?
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - discharge
Understand the provider’s role in reducing adverse events at discharge
Create an action plan … by severe dehydration or sepsis. … Recognize vulnerable patients
Those on multiple or high-risk meds, with multiple diagnoses, or in … Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial … Dictated versus database-generated discharge summaries: a randomized clinical trial.
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - or delayed diagnosis of
a non-COVID-19 condition because of the presumption that the patient has contracted … In addition to telehealth,
frontline teams are considering how electronic clinical decision support … tools can better position their
clinical teams for care for COVID-19 patients. … Delay or avoidance of medical care because of COVID-
19-related concerns--United States, June 2020. … -19-delay-care-idUSKCN24E143
https://psnet.ahrq.gov/issue/delay-or-avoidance-medical-care-because-covid
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psnet.ahrq.gov/node/33737/psn-pdf
September 01, 2012 - /preparing-health-reform-federal-government-and-nursing-workforce
Perspective
The nation's health care … While often overlooked, the
foundation of the health care delivery system is its workforce. … government has long been involved with the nursing profession, the largest component of the
health care … will
distribute tens of millions of dollars to eligible hospitals to help them offset the costs of clinical … Students will acquire new skills in primary care, preventative care, transitional care,
chronic care
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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - High-dose steroids were administered and the patient's condition rapidly improved. … She ultimately returned to her baseline condition and was discharged home with her caretaker. … information identified as key by physicians includes medication data, laboratory data, imaging files, clinical … Am J Manag Care. 2011;17:e121-e147. … March 4, 2015
Unit-based clinical pharmacists' prevention of serious medication errors
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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - February 9, 2012
Repurposing clinical decision support system data to measure dosing … errors and clinician-level quality of care. … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan … May 16, 2008
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Hospitals
Health Care
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psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states
August 04, 2021 - August 4, 2021
Implementation of the I-PASS handoff program in diverse clinical environments … Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan … use, medication adherence, and chronic condition control.
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - plan, and then consistently
implementing the plan. … and their plan, fall rates increase. … Through this clinical trial,
we created a simple personalized plan for each patient and posted it in … hospital or inpatient setting? … because we know which factors go into the person's score, and we
can use that to inform a care plan
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psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists
November 16, 2022 - Commentary
Transition of care for hospitalized elderly patients—development of a … Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists … Resources From the Same Author(s)
Implementation of the I-PASS handoff program in diverse clinical … May 8, 2017
Promoting effective transitions of care at hospital discharge: a review of … February 8, 2017
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for
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psnet.ahrq.gov/issue/development-and-validation-tool-improve-paediatric-referralconsultation-communication
May 25, 2011 - November 25, 2009
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022
How communication "failed" or "saved the day": counterfactual accounts … May 15, 2013
Health plan members' views about disclosure of medical errors. … December 23, 2008
Implementation of the I-PASS handoff program in diverse clinical environments … May 1, 2006
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Ambulatory Clinic or
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psnet.ahrq.gov/node/49670/psn-pdf
November 01, 2012 - No heart or lung abnormalities were noted on exam. … signs as symptoms to pneumonia ultimately found to be caused by another condition. … A thorough history and physical exam must be combined with sound clinical judgment to
differentiate … A mindful approach to patient care requires full evaluation of all serious abnormalities encountered, … Semin Respir Crit Care Med. 1995;16:269-278.
[Available at]
10.