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healthcare411.ahrq.gov/teamstepps/instructor/scenarios/ancillarysvcs.html
October 01, 2014 - All Specialties
Setting:
Hospital
A patient presents to Triage complaining of severe upper back pain … While the patient waits for X Ray, he continues to complain of worsening chest pain. … The patient continues to complain of pain and becomes increasingly restless. … after the x rays are taken, the patient becomes diaphoretic and complains of severe chest and abdominal pain … who had a ruptured appendix 9 days previously presents at Triage with a complaint of back and neck pain
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healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=8
September 01, 2005 - Emergency Care
(5)
Human and Environmental Factors
(3)
Patient and Family Engagement
(3)
Pain … : R13 HS0 14208-01 Topic(s): Medication Safety Publication Date: February 2005
Improving Pain … Grant Number: U18 HS 11093 Topic(s): Nursing Homes, Pain Management Publication Date: December 2004
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/practice-facilitators-effectiveness-infographic.pdf
September 01, 2022 - Change Process
Assess practices’ readiness to change
Help practices think critically to
identify pain
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pptx
April 04, 2018 - Thomas – 78-year-old male with uncontrolled hypertension and knee pain
Visiting for knee pain, which … Thomas, has come in for a scheduled visit with his primary care clinician for knee pain. Mr. … Thomas is a fit and active man who is frustrated that his knee pain is preventing him from exercising … persistent cough, low-grade fever
for 3 days
Temp 38.1 C, BP 128/82,
weight 179 lbs
Tired, SOB on stairs, pain
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pdf
April 11, 2018 - Thomas – 78-year-old male with uncontrolled hypertension and knee
pain
• Visiting for knee pain, which … Thomas, has come in for a scheduled visit with his primary care clinician for knee pain. Mr. … Thomas is a fit and active man who is frustrated that his knee pain is preventing him from exercising … cough, low-grade fever
for 3 days
• Temp 38.1 C, BP 128/82,
weight 179 lbs
• Tired, SOB on stairs, pain
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healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.html
May 01, 2017 - New onset confusion/functional decline AND increased leukocytosis*
New costovertebral angle pain or … New or increased suprapubic pain or tenderness. … Acute pain, tenderness, or swelling of the testes, epididymis, or prostate.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
March 19, 2014 - All Specialties
Setting: Hospital
A patient presents to Triage complaining of severe upper back pain … While the patient waits for X Ray, he continues to complain of worsening
chest pain. … The patient continues to complain of pain and becomes increasingly restless. … the x rays are taken, the
patient becomes diaphoretic and complains of severe chest and abdominal pain … who had a ruptured appendix 9 days previously presents at Triage with a
complaint of back and neck pain
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - criteria:
· Category III fetal heart rate tracing
· Bright red vaginal bleeding
· Severe abdominal pain … prolapse
· Hypotension
· Consistently rising blood pressure
· Severe headache
· Inability to control pain … include—
· Category III fetal heart rate tracing
· Bright red vaginal bleeding
· Severe abdominal pain … BP) or systolic BP > 180 mm Hg or diastolic BP > 120 mm Hg
· Severe headache
· Inability to control pain … Seizure
Severe headache
Difficult to control pain/agitation
Mother unresponsive
Other (specify)
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - Upon entering the room, tell the patient you are there to do your rounds.
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 … with type 2 diabetes
Post-hip replacement
No recent history of falling
Difficulty walking due to hip pain … No ambulatory aid
No IV/heparin lock
Currently on pain medication, which makes him dizzy
Underestimates
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healthcare411.ahrq.gov/sites/default/files/publications/files/redtoolkitforms.pdf
September 01, 2012 - Chest Pain
When are my appointments?
Wednesday,
August 8
at 11:30 a.m. … Noncardiac chest pain is pain that is not caused by a heart
problem. … If your chest pain gets different or worse, call your
doctor. … Noncardiac chest pain is pain that is not caused by a heart problem. … If your chest pain gets different or
worse, call your doctor.
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healthcare411.ahrq.gov/cahps/surveys-guidance/hp/about/child-survey-measures.html
June 01, 2017 - Button
Q27 Parent or child got help after pressing call button
Paying Attention to Your Child’s Pain … Q32 Providers asked about child’s pain
Cleanliness of Hospital Room
Q33 Room and bathroom were
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healthcare411.ahrq.gov/prevention/guidelines/archive.html
July 01, 2018 - Acute Pain Management Clinical Guide / Quick Reference Guide: Adults / Pediatric
Consumer Version … Management of Cancer Pain Clinical Guide / Quick Reference Guide
Consumer Version: English / Spanish
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
April 10, 2018 - Thomas – 78-year-old male with uncontrolled
hypertension and knee pain
• Lifts weights, walks often … , rides stationary bike
• Visiting for knee pain that is keeping him from exercising
• EHR lists … Thomas, has come in for a scheduled visit with his primary care clinician for knee pain. Mr. … Having knee pain when riding or walking is a big concern.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - Upon entering the room, tell the patient you are there to do your rounds.
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 … , shoulder abducts
Localizes pain
5 = Arm attempts to remove supraorbital/chest pressure
Obeys … Severity of injury (check the most severe)
__None (skip to question 2.5)
__Minor (complaint of pain;
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-schlesinger.pdf
January 01, 2017 - Had a pain so severe in my back that I could hardly move. … Prescribed
some pain medication.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
June 04, 2013 - o “Tell us how your pain is.”
o “Tell us how much you walked today.”
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healthcare411.ahrq.gov/research/findings/ta/index.html
January 01, 2024 - PDF - 216 KB)
Therapeutic Options for Obesity in the Medicare Population (2014; PDF - 316 KB)
Pain … Management Injection Therapies for Low-Back Pain (2014; PDF - 77 KB)
Technology Assessment
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healthcare411.ahrq.gov/talkingquality/measures/setting/long-term-care/hospice.html
January 01, 2023 - Hospice care is highly related to palliative care, i.e., care intended to relieve symptoms such as pain … The patient received the right amount of medication for his/her pain.
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healthcare411.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Patient Care
Pain management/sedation (held to follow commands)? … Pain goal______/ 10 w/______
Cardiac
Review EKGs
Human Resources Goal_______
__ At
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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - Adam is discharged after 3 days and has mild, persistent abdominal pain. … The medical team attributes the pain to the surgical incision. … returns for his 2-week post-operative check at the surgeon's office, he reports increasing abdominal pain