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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
September 01, 2015 - , joint swelling, joint stiffness, joint pain
Skin: denies rashes, itching, lumps, sores, lesions, color … Musculoskeletal: denies back pain, joint swelling, joint stiffness, joint pain
Skin: denies rashes … , dysphagia, nausea, vomiting, diarrhea, constipation
Musculoskeletal: denies back pain, joint swelling … Musculoskeletal: denies back pain, joint swelling, joint stiffness, joint pain
Skin: denies rashes … : denies back pain, joint swelling, joint stiffness, joint pain
Skin: denies rashes, itching, lumps,
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ce.effectivehealthcare.ahrq.gov/questions/resources/going-home/index.html
November 01, 2020 - _____________________
___ My test results ________________________________________________
___ My pain … _____________________
___ My test results ________________________________________________
___ My pain … _____________________
___ My test results ________________________________________________
___ My pain … _____________________
___ My test results ________________________________________________
___ My pain … _____________________
___ My test results ________________________________________________
___ My pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
September 01, 2022 - Diagnosis
• First, ask about symptoms
o Acute cystitis: dysuria, frequency, urgency, suprapubic pain … o Pyelonephritis: fever, flank pain
o Sending a urine culture in the absence of symptoms is indicated … should seek further medical care if symptoms are not improving by day 3 or if patients
develop flank pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdf
March 01, 2017 - confusion or functional decline (with NO alternative
diagnosis AND leukocytosis)
■ New suprapubic pain … or costovertebral angle pain or tenderness
■ New, very low blood pressure (with no alternate
noninfectious … cause)
■ Acute pain, swelling or tenderness of testes, epididymis, or prostate
■ Pus around the catheter
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cp31307.html
May 01, 2013 - Conditions addressed include diabetes, hepatitis C, heart failure, and chronic pain. … The curriculum for chronic pain management is a joint effort between the VA and the Department of Defense … Walter Reed National Military Medical Center has implemented Project ECHO around the world for chronic pain … "For instance, pain experts will still see their own patients, but they will also apply their new knowledge … For example, how is pain being managed?
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ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
March 01, 2023 - The pain that healthcare workers experience is our pain, too. … Showing them concern by listening can help heal the pain and grief they are suffering.
Dr.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/biliary-tract-one-page.docx
November 01, 2019 - Cholangitis
Cholecystitis and Cholangitis
Diagnosis
· Cholangitis: right upper quadrant (RUQ) pain … patients with jaundice or non-obstructing gallstones do not require antibiotics
· Acute cholecystitis: RUQ pain … gallstones
· In the absence of signs and symptoms of infection, patients with biliary colic (i.e., RUQ pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-introducing.pdf
March 01, 2020 - Most patients walk in
~15% arrive by ambulance
Common reasons for ED visit:
Stomach/abdominal pain … , Chest pain, Cough
Fever, Headache, Back symptoms
Shortness of breath, Pain, Vomiting
Throat
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
May 01, 2017 - Trigger #1
Patient moans with every contraction, requests pain medication. … Distractors
Partner gets back from dinner, appears anxious about his wife’s pain. … Partner asks nurse for pain medication for his wife.
Partner asks when the baby will be delivered. … Trigger #1
Patient moans with every contraction, requests pain medication. … Distractors (Trigger # 1)
Partner gets back from dinner, appears anxious about his wife’s pain.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/communication_2012_04_01_transcript.pdf
January 01, 2012 - Imagine that a patient says to you and exclaims to you, “I’m
in terrible pain, I want more medicine … or “you can have more medicine in 20 minutes” or “where is your pain exactly?” … pain, I want to help.” … And then ending with heart: “I really want to ease your pain.” … Slide 13
You’ll see improvements in response to pain, did people do everything to help pain, did they
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/postfall-assessment.html
January 01, 2013 - Activity
Score
Eye opening
None
1 = Even to supraorbital pressure
To pain … 2 = Pain from sternum/limb/supraorbital pressure
To speech
3 = Nonspecific response, not necessarily … Spontaneous
4 = Eyes open, not necessarily aware
Motor response
None
1 = To any pain … 3 = Withdrawal response or assumption of hemiplegic posture
Withdrawal
4 = Arm withdraws to pain … , shoulder abducts
Localizes pain
5 = Arm attempts to remove supraorbital/chest pressure
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/rounding-protocol.html
January 01, 2013 - #
Item
1
Assess patient pain levels using a pain-assessment scale (if staff other than RNs are … doing the rounding and the patient is in pain, contact an RN immediately so the patient does not have … to use the call light for pain medication).
2
Put medication as needed on RN's scheduled list of
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
July 01, 2023 - Trigger #1
Patient moans with every contraction, requests pain medication . … Distractors
Partner gets back from dinner, appears anxious about his wife’s pain. … Partner asks nurse for pain medication for his wife. … Trigger #1
Patient moans with every contraction, requests pain medication. … Partner asks nurse for pain medication for his wife.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-one-pager.pdf
September 01, 2022 - :2-5
‒ Analgesics (acetaminophen and nonsteroidal anti-inflammatory drugs): help reduce fever and pain … analgesic combinations: may reduce
congestion; combinations with analgesics may also reduce fever and pain … develop a high fever (above 102°F), confusion, difficulty breathing
or swallowing, severe headache, pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pdf
May 24, 2013 - by
breakdowns in communication
– Patient outcomes, including emotional health,
functioning, and pain … want family or friends to support them
• Are busy and under a lot
of stress
• Are often in pain … is very happy about finally getting through
the surgery and being on this unit, but he is still in pain … initial nursing assessment, but Jack interrupts to ask her
who she is and what can she do about his pain … Vignette 2
• The attending physician, John Gladstone, after hearing
from Angela about Jack’s pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-e.pdf
December 29, 2017 - concerns 54.0% 60.4% <.001
Call button 57.0% 70.3% <.001
Child comfort 67.1% 67.6% .63
Child pain … and concerns 55.5% 58.9% .002
Call button 58.2% 69.0% <.001
Child comfort 66.6% 68.1% .14
Child pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
May 01, 2015 - patients with a specific need for consistent high-quality care across providers (patients with chronic pain … monitoring program before prescribing controlled substances]
· [An oral or written agreement for chronic pain … out any emergency medical condition or life-threatening condition]
· [Attempt to treat symptomatic pain … medication treatment is indicated, attempt regimen, above]
· [Contact case management, social work, and pain … management on admission]
· [Patient has primary care provider, pain management contract, hospital case
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/goinghomeguide.pdf
April 01, 2010 - __________________________________
My test results ___________________________________________
My pain … __________________________________
My test results ___________________________________________
My pain … __________________________________
My test results ___________________________________________
My pain … __________________________________
My test results ___________________________________________
My pain … __________________________________
My test results ___________________________________________
My pain
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/ambulatory/improve/six-building-blocks-guide.html
December 01, 2021 - Care (6BBs or Building Blocks ) program provides a roadmap to improve care for patients with chronic pain … Toolkit (How-To-Implement Toolkit) to provide evidence-based resources for care of patients with chronic pain
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ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - still describe heart attack onset symptoms in the way we would expect for men,” such as crushing chest pain … Some updated materials may include symptoms more commonly described by women, such as pain in the neck … a new, lower-strength prescription, and worried there would be a lack of communication about their pain … Patients receive weekly text messages that ask about their pain level, how it varies over time, and offers