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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/node/49820/psn-pdf
February 01, 2018 - To develop a transition plan
of care addressing this broad array of needs, SNF nurses, social workers … and (ii) delineates the domains of a complete
transition plan of care, such as medications, advanced … A
common barrier to implementing transitional care in SNFs is the scarcity of clinical staff for delivering … for managing activities of daily living or medical
care at home. … The case did not include any details of discharge planning or transitional care provided in the
SNF.
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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/node/845473/psn-pdf
March 15, 2023 - access to the internet
and medical devices have enabled healthcare to move outside of traditional clinical … plan, and the ability
to expand physician reach and easily provide care to patients without the need … Considerations for RPM Implementation
Patient safety concerns when implementing RPM include the risk of clinical … infrastructure.
10
Because RPM processes rely on biometric data transferred by the patient, another risk for clinical … inadequate cellular data to
support video-based care or frequent connectivity.
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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/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/850361/psn-pdf
June 14, 2023 - As such, the patient’s condition progressed while at a SNF until he developed fever and
https://psnet.ahrq.gov … by using providers
dedicated to transitions of care, or patient navigators. … Professional patient navigators may carry out
more advanced clinical tasks14 thereby helping to ensure … healthcare organizations develop reliable processes for
effective communication about a patient’s current condition … Critical findings should be communicated to the primary care team or test-ordering provider either
verbally
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psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases-delay-critical
November 30, 2022 - Related Resources From the Same Author(s)
Complexity and challenges of the clinical … , 2022
Clinician-identified problems and solutions for delayed diagnosis in primary care … December 16, 2020
Diagnosis of physical and mental health conditions in primary care … December 30, 2014
WebM&M Cases
A Seasonal Care Transition … January 1, 2009
View More
See More About The Topic
Ambulatory Clinic or
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psnet.ahrq.gov/issue/language-barriers-and-understanding-hospital-discharge-instructions
July 07, 2010 - Speak Different Languages
April 1, 2018
Do professional interpreters improve clinical … care for patients with limited English proficiency? … View More
Related Resources
Hospitalized patients' understanding of their plan … of care. … June 29, 2011
Introduction of discharge plan to reduce adverse events within 72 hours
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - matter of
seconds.(1) While the fetus is often the provocateur of such chaos, changes in the mother’s condition … JCAHO issued several recommendations to health care organizations that care for pregnant women and
newborns … The first two concern conducting team training, clinical drills, and debriefings. … One
should endeavor to develop an implementation plan that is “win-win” and communicate that effectively—ie … The providers of bedside care are all trainees
with varying degrees of clinical experience enrolled
-
psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - back and knee osteoarthritis, which severely limits physical activity and makes most forms of simple, clinical … The plan was to use general anesthesia supplemented by use of an epidural catheter for postoperative … Normally, combining general and epidural anesthesia is an acceptable plan for any patient undergoing … should begin with a list of each medical comorbidity and what steps have been taken to optimize that condition … The morbidly obese patient presents a complex clinical challenge, and continuous ongoing medical education
-
psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical … condition for errors and harm. … tools were useful, none were subjected to rigorous research that captured key elements of context, clinical … interprofessional care for community-dwelling patients identified as high risk
for readmission or death … , there were no differences between the
virtual ward and usual care in readmissions or death.
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psnet.ahrq.gov/issue/effort-human-factors-performance-and-decision-making
August 31, 2022 - June 8, 2022
Assessment of programs aimed to decrease or prevent mistreatment of medical … non-clinical areas safely and efficiently. … June 22, 2016
Clinical decision support for atypical orders: detection and warning of … July 27, 2016
Governing board, C-suite, and clinical management perceptions of quality … July 23, 2008
Effects of reducing or eliminating resident work shifts over 16 hours:
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psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
November 09, 2022 - May 12, 2021
Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022
Deficiencies in provider-reported interpreter use in a clinical trial … Best practices: an electronic drug alert program to improve safety in an accountable care … 2015
Diagramming patients' views of root causes of adverse drug events in ambulatory care … January 12, 2011
View More
See More About The Topic
Ambulatory Care
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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
-
psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - transport samples from patient
care facilities to multiple laboratories. … and laboratory
facilities may be spread across a wide geographic area – creating a condition where … Controversies affecting the future practice of clinical
microbiology. … Specimen labeling errors: A Q-Probes analysis of 147
clinical laboratories. … Cost of adverse events in intensive care units. Crit Care Med
2007;35:2479-2483.
15. Green SF.
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psnet.ahrq.gov/issue/healthcare-411-special-report-national-patient-safety-awareness-week
October 18, 2006 - May 25, 2016
Making Health Care Safer in Ambulatory Care Settings and Long Term Care … March 14, 2007
Health IT implementation stories: HANDS care plan tool seeks to improve … Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition … December 9, 2015
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings … and Poor Communication at Discharge Leads to a PICC without a Plan.
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psnet.ahrq.gov/issue/er-doctor-discusses-role-ebola-patients-initial-misdiagnosis
October 15, 2014 - February 26, 2014
The impact of health care strikes on patient mortality: a systematic … September 29, 2010
Medication Safety: A Guide for Health Care Facilities. … The Topic
Emergency Departments
Patients
Emergency Medicine
Infectious Diseases
Clinical
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psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-you-find-out
November 23, 2016 - Same Author(s)
Safety Is Personal: Partnering With Patients and Families for the Safest Care … November 23, 2016
Investigating Clinical Incidents in the NHS. … August 10, 2016
Rating hospitals by the stars: the feds' latest plan to measure quality … October 2, 2013
Why doesn't medical care get better when doctors rest more?
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - 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 … During these calls, we helped teams plan their next steps or discuss how to remove obstacles to change