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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/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - transmitted to a clinician, and then the final step—the clinician and patient executing a treatment plan—does … These important results were not communicated to his parents or his primary care physician, who were … be effected—which includes contacting the patient and ensuring the patient carries out the treatment plan … care provider or facility would do in the same circumstances. … (or expected condition if action is not taken).
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - Errors involving high-risk medications have the potential to cause serious harm or death. … the potential "gaming" of technology wherein a patient enters falsified data to suggest a worsening condition … justifiability of disclosure, determination of requisite effort for notification, and execution of notification plan … This set of quality indicators supports the epidemiological or research program use of billing or claims … Despite treatment with diuretics and antihypertensives, her condition deteriorated, leading to intubation
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - trigger tools, patient reports, and administrative or claims data. … enrolled in fee-for-service Medicare, in support of CMS
programs that include:
Hospital-Acquired Condition … As another example, the American Society for
Clinical Laboratory Science has proposed a patient safety … /global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
https://psnet.ahrq.gov … programs to include new metrics focused on diagnostic accuracy and hospital harms, captured as
electronic clinical
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - Genitourinary examination was again "deferred," and the treatment plan continued. … Rarely is the patient thoroughly reexamined by the physician completing the treatment plan. … care. … The chief complaint of these patients is often secondary to an underlying condition that resulted from … Necrotizing fasciitis is a perfect example of a clinical condition in which one might make the diagnosis
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - treatment
outcomes.(7) Providers must communicate key information required for patients to manage their
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 … Post-hospital syndrome–an acquired, transient condition of generalized risk.
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - However, the ED staff were
not informed of the incoming patient or the orthopedic surgeon’s plan for … No ED physician or nurse was assigned to evaluate or care for the patient because the
transfer of care … medical condition (EMC), that person becomes a patient, and their care is
regulated by the federal … is to follow all applicable standards of care most appropriate to that presenting condition. … centers or primary care clinics, or do not require care at all.
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - The PT's plan of care focuses on interventions to improve or restore mobility and function. … The
resulting plan of care may include exercises that foster beneficial physical adaptations through … in a patient's condition, which may indicate or prompt the
need for additional medical evaluation. … Developing clinical
guidelines (or criteria and triggers for referral) is a recommended approach to … Take-Home Points
A PT's plan of care focuses on interventions to improve or restore mobility and function
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - For perforations greater than 3 cm, with low confidence of closure, or any clinical instability, the … Prompt discussion with the patient and family to update them on the complication and treatment plan should … plan can confidently follow through on their responsibility during the post-procedure monitoring period … characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition … and Poor Communication at Discharge Leads to a PICC without a Plan.
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - were critical to success:
Funding is required to support the inclusion of a dedicated APRN on the clinical … 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. … Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - This could improve recall of clinical details and allow
better involvement of the patient in the care … plan. … Moreover, point-of-care documentation or order entry
may also improve efficiency. … This is particularly important because the clinical condition of hospitalized patients
so often changes … Also, the hospital
information system could have had a standard order set/care plan that ensured INRs
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - patient's history of bleeding and prior transfusions, slow response to the patient's deteriorating condition … was performed; whether this delayed care or contributed to additional hemorrhage in this patient is unclear … Maternity Care. … A stage-based emergency management plan should be implemented in the case of hemorrhage. … November 16, 2022
Effect of clinical decision-support systems: a systematic review.
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Defining the clinical standard of care for a homeless IV drug user is complex. … clinical standards of care and would
be vulnerable to a malpractice claim. … Sadly, but not surprisingly, the patient's condition worsened. … Hospitals should
plan in advance how to deal with that risk. … Sabin, MD Director, Ethics Program, Harvard Pilgrim Health Care Clinical Professor,
Departments of Population
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - The internist's plan was to contact the local cardiologist who would be available the next day. … A similar approach to standardizing care should be applied to other low-frequency, high-risk clinical … a rural hospital has the capacity to care for a patient can be difficult with evolving clinical conditions … Take-Home Points
Emergency department clinical care protocols and enhanced teamwork may improve care … The commentary does not include information regarding investigational or off-label use of products or
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - The PT's plan of care focuses on interventions to improve or restore mobility and function. … Each plan is customized to approach the limits of the patient's strength or metabolic capacity. … in a patient's condition, which may indicate or prompt the need for additional medical evaluation. … Developing clinical guidelines (or criteria and triggers for referral) is a recommended approach to optimize … Take-Home Points A PT's plan of care focuses on interventions to improve or restore mobility and
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - Patient charts contain detailed clinical data including information about patient safety events and … The National Action Plan to Advance Patient Safety, developed by
the National Steering Committee for … psnet.ahrq.gov//#_edn10
https://psnet.ahrq.gov//#_edn11
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety … Michelle Schreiber, MD
Deputy Director of Center for Clinical Standards and Quality (CCSQ)
Director … Hospital-Acquired Condition Reduction Program (HACRP).
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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/865655/psn-pdf
April 24, 2024 - “Thus, clinicians facing patients at risk of [acute compartment syndrome] must choose a treatment plan … Educate the patient and family in plain language about the patient’s condition, the discharge process … Assess how well doctors and nurses explain the diagnosis, condition, and next steps in the patient’s … care to the patient and family and use teach back. … In a study of 30,727 members of a
commercial health plan, patients discharged after hospitalization
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - For high-risk handoffs, tools (including I-PASS) are available to help structure clinical information … Each hospital should have a formal intrahospital transfer plan ( 15 ) for each phase of a transfer: pretransfer … The clinical team, particularly the physician, should evaluate the patient's condition and the availability … Intrahospital transfers to radiology should be treated as a formal handoff, with a summary of clinical … and Poor Communication at Discharge Leads to a PICC without a Plan.
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - Defining the clinical standard of care for a homeless IV drug user is complex. … clinical standards of care and would be vulnerable to a malpractice claim. … Sadly, but not surprisingly, the patient's condition worsened. … Hospitals should plan in advance how to deal with that risk. … Sabin, MD Director, Ethics Program, Harvard Pilgrim Health Care Clinical Professor, Departments of Population