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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - ’s electronic medical record and represent changes that
occurred in a resident’s clinical condition … • A resident with hospital admission within 90 days of report date and clinical
condition (or associated … Clinical Condition Contributing to Risk (Table 2, Row 9)
• Polypharmacy (Table 2, Row 10)
• At least … Transfer Risk Reports Users and Potential Uses
Users Potential Uses
Multidisciplinary team Care plan … plan meetings
Dietary Department staff Dietary Department internal review
Charge nurse or nurse manager
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
October 01, 2014 - Written Action Plan
Percentage of members with asthma who have a personal action plan for managing … √
√
12 mos
Seeing a change in clinical outcomes, such as cholesterol levels, might take … or more. … or more. … Cholesterol Management for Patients with a Cardiovascular Condition (HEDIS)
Percentage of members who
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - of a number of conditions for which hospitals do not receive the higher payment for
cases when the condition … • Mandate that all personnel follow the safety protocols developed by the team and develop a
plan … Preadmission treatment plan with history of blood glucose
monitoring. … lity_measures/
Staff Required
• Physicians and other providers, nurses, pharmacists, dietitians, clinical … KDOQI Clinical Practice Guideline for Diabetes and CKD:
2012 update.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - plan. … A sample of the Medication Monitoring Care
Plan is provided in Figure 3. … The Falls Medication Monitoring Care Plan
Advances in Patient Safety: Vol. 4
410
Figure 3. … Admission Medication Monitoring Care Plan—Delirium
and Flow Record contain specific MDS items that … Admission Medication Monitoring Care Plan—Delirium
<<
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simtool_guidance.docx
May 01, 2017 - If you plan to video record the simulation, consider the purpose of recording and be prepared to explain … or laboratory staff. … ’s condition. … You may request to move the patient to the operating room or intensive care unit if you feel this is … Plan for 3 to 5 minutes of debriefing for every minute of simulation.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
June 02, 2025 - List all the people (names or positions) responsible for directly or indirectly supporting the care of … Collaborating to create a care plan that they will follow (e.g., taking medications, scheduling and attending … Monitoring and reporting changes in the patient’s condition. … Apply the tools for leading teams to specific clinical scenarios.
21
Leadership
Team Leadership … strategy for sharing the plan.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - See
Clinical Laboratory Improvement Advisory Committee (CLIAC). … DLS is
now embarking on a communications plan to reach the nation’s
laboratories to education them … CMS • RFI-0872 [ACEP]
o Patients with symptoms consistent with a possible emergency
health condition … have an emergent or nonemergent
medical condition) based on the patient’s symptoms when they
first … The current plan is to prepare a
white paper on best practices for organizations and patients related
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
January 13, 2022 - plan (Ha & Longnecker, 2010).
… Background: what is the clinical background or context? … What is the clinical background and context?
What do I think the problem is? … Treatment plan.
… For example:
Patients with a specific chronic condition, such as asthma or diabetes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
March 01, 2017 - If so, do these teams conduct Briefs to review any safety or care concerns? What does it look like? … · Background—What is the clinical background?
· Assessment—What do I think the problem is? … · The recommendations for additional labs and a revised plan of care was clearly communicated by the … to experience higher levels of satisfaction and also follow their care plan. … condition of the resident.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - A defect is any clinical or operational event or situation that you would not want to have happen again … (Oncoming care team was debriefed by outgoing staff regarding patient’s condition.) … Was verbal or written communication during care clear, accurate, clinically relevant, and goal directed … (Team leader quickly explained and directed his or her team regarding the plan of action.) … Make an action plan for two to five of the highest scoring interventions.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.docx
October 01, 2016 - Target Audience
Nursing directors, nursing care team, registered nurses, licensed practical nurses or … It is an approach to providing healthier and safer care to residents. … Pharmacists need to know the resident’s condition to avoid medication errors. … about symptoms and the resident’s condition. … Assessment Input
The “assessment input” component identifies specific criteria needed to make a clinical
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6a-openaccess.html
March 01, 2020 - The Problem
Most patients report that they always or usually received care as soon as they needed it … care as soon as they wanted.
28 percent of women in fair or poor health reported delaying care or … equivalent to two short ones. 3
Develop a contingency plan for days (or parts of the day) when … This plan should identify who can supplement or substitute for each physician, if and when needed. … condition.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
June 02, 2025 - to include Hospital Compare, the Hospital Value-Based
Purchasing program, and the Hospital-Acquired Condition … an actual diagnosis of DVT or PE was established
for that patient. … • Implementation Plan (Tool D.6), which supported the design of a plan to implement
specific best … (Tool D.2)
• Best Practices for PSI 12
(Tool D.4b)
• Gap Analysis (Tool D.5)
• Implementation Plan … documentation concerns and
to review the care that was provided to identify opportunities for clinical
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/understand/index.html
June 01, 2020 - other than their clinical condition or preferences for care. … Getting help with managing an ongoing, chronic condition or dealing with a disability that affects function … Health plan or program.
Hospital.
Health care practitioner. … The experience with health care and/or the level of satisfaction with care. … Example: To assess the quality of a health plan or program in delivering health care to enrolled children
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
September 01, 2017 - The core team should minimally include clinical leadership (DON or assistant DON), nurse managers, and … Prevention Plan . … plan and/or make new referrals? … plan and/or make new referrals? … work with the program champion to investigate the issues and help him or her devise a plan to address
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www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
July 01, 2018 - If the intent is to capture all people with the condition, as advocated by many proponents of the chronic … care model, then health risk assessments or other screening mechanisms may be necessary to identify … A written care plan was made available to primary care and urgent care staff. … process indicators as performance of clinical diagnostic tests, lab tests, medication prescribing, or … if he or she feels more confident and able to handle an exacerbation of symptoms without using clinical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - coordinated approach.
· Team members—
· Use callouts with fetal condition per National Institute for … scenarios or “drills” related to cord prolapse; many of these focus on technical/clinical skills of … team members who arrive to support a rapid response, and
· when regrouping to discuss plan of care if … Use of transition communication techniques assures a shared mental model of plan of care and perceived … Umbilical cord prolapse: a plan for an OB emergency.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - Identify which family or friends will provide care at home and include them in conversations. … Who: All clinical staff
Explain medicines to the patient and family (for example, print out a list every … Who: All clinical staff
Discuss the patient, family, and clinician goals and progress toward discharge … Who: All clinical staff
Involve the patient and family in care practices to improve confidence in caretaking … Who: All clinical staff
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - • Identify which family or friends will provide care
at home and include them in conversations. … Who: All clinical staff
Explain medicines to the patient and family
(for example, print out a list … Who: All clinical staff
Discuss the patient, family, and clinician goals
and progress toward discharge … Who: All clinical staff
Involve the patient and family in care practices
to improve confidence in … Who: All clinical staff
Guide to Patient and Family Engagement :: 4
Prior to discharge planning
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6htools.html
April 01, 2023 - Access to this information enables patients to:
Better understand their condition and treatment plan … received to date, functional health status, clinical health status, and health risk status. … The clinical team can then use that information to design and deliver a treatment plan that is appropriate … Coaching sessions may also address common misconceptions regarding a condition. … These materials can be ordered or downloaded from the Internet.