-
www.qualitymeasures.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.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - You tell the clinician about Clara’s pain with urination, or dysuria, and urgency. … Residents without urinary catheters, who develop new pain with urination, or dysuria, should be evaluated … Change in urine color or odor, or incontinence or urgency alone—in the absence of pain with urination—are … Clara did report new pain with urination, so we should obtain a urine specimen. … He develops a fever with flank pain, and you are concerned about a urinary tract infection.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - caused by breakdowns in communication
Patient outcomes, including emotional health, functioning, and pain … they do
May 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 … in his care
Learns that his wife can visit him anytime
Gets some initial support for relieving his pain
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/CG/pwmi/suppl-PWMIaccess-items-cgpwmi-survey30-adult.html
February 01, 2021 - In the last 6 months, how often did pain limit your ability to do the things you needed to do? … In the last 6 months, did this provider ask about the impact of pain on your life?
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-asymptomatic-bacteriuria.pdf
June 01, 2021 - symptoms of a urinary
tract infection (UTI) such as dysuria, frequency, urgency, fever, or flank pain … Assess for
dehydration, pain, change in medications, poor sleep, constipation, and mood disorders.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/questionnaire-overview.pdf
March 20, 2017 - communication with doctors, communication with
nurses, hospital environment, age-appropriateness of care, pain … Responsiveness to the call button
• Helping your child feel comfortable
• Paying attention to your child’s pain … 29 --
Providers told parents
how to report mistakes
-- 30 --
Providers asked about
child’s pain … -- 32 --
-- Patient got help using
bathroom or bedpan
-- 11
-- Patient’s pain was well
controlled … -- 13
-- Provider helped with
pain
-- 14
Hospital had things
available that were right
for
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www.qualitymeasures.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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/nft-state-simulation.xlsx
February 19, 2021 - , [0.7 - 0.84] 0.67 (0.13), [0.44 - 0.75] 0.77 (0.13), [0.51 - 0.87] 0.75 (0.1), [0.58 - 0.87]
Pain … [0.28 - 0.82] 0.76 (0.08), [0.61 - 0.88] 0.73 (0.09), [0.44 - 0.86] 0.76 (0.11), [0.51 - 0.87]
Pain … call button 0.06926(0.01998) 0.001981(0.01049) 0.06811(0.01845) 0.003632(0.007875)
pain 0.05188(0.01942
-
www.qualitymeasures.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsummccarthy.html
October 01, 2014 - phases of the research project that is related to evaluating the quality of emergency care of chest pain … and abdominal pain patients.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-guide.docx
September 01, 2022 - If considerable throat pain is present, consider a treatment course of no more than 3–5 days of azithromycin … Counseling about analgesics for pain should be part of your recommendation. … If the patient has continued fevers or worsening throat pain, he or she should be advised to return to … Patients should be instructed to return to medical care if they have continued fevers or worsening throat pain
-
www.qualitymeasures.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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
March 01, 2017 - She was admitted 7 days ago for acute abdominal pain, which proved to be appendicitis. … Killbug: Bladder pain! We definitely need to get her on some antibiotics. … Nurse Nohai: No, I didn’t mean bladder pain. I think it’s just pulling on her leg.
Dr. … Killbug: You think she’s got leg pain? I really wish you would be more clear.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
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:
Hydrochlorothiazide … 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.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-slides.pptx
June 01, 2021 - One or more symptoms that localize to the genitourinary tract
(frequency, urgency, bladder or pelvic pain … 1: Question 2
9
Ask about urinary urgency, frequency, dysuria, chills,
and pelvic or bladder pain … change in mental status, malaise or lethargy without another identified cause
Specific signs:
Flank pain
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - heart failure
Is wheelchair bound
For the past 2 days, she reports:
Feeling stuffy
Headache
Muscle pain … went home for a weekend
Two days later he reports—
Feeling “lousy”
Coughing up green sputum
Scratchy pain … tissue
Cause: ~75% bacteria, ~25% viral
Symptoms:
Cough, fever, sputum production common, chest wall pain
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
March 01, 2017 - New confusion or functional decline
(with NO alternative diagnosis AND leukocytosis)
New suprapubic pain … or costovertebral angle pain or tenderness
New onset hypotension
(with no alternate noninfectious … cause)
Acute pain, swelling, or tenderness of the testes, epididymis, or prostate
Purulent (pus) discharge … New pain or tenderness in the suprapubic region (above the pubic bone in the abdomen) or costovertebral … onset of hypotension with no alternative non-infectious cause (e.g., i.e., medications, trauma)
Acute pain
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-mobilityimpairments-healthplan-adult-2157-9a.docx
September 25, 2017 - In the last 12 months, how often did pain limit your ability to do the things you needed to do? … In the last 12 months, did your personal doctor ask about the impact of pain on your life?
-
www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=field_short_title&page=6&search_api_fulltext=&sort=asc
Clinician & Group
People with mobility impairments
C-IM5
Pain … People with mobility impairments
C-IM6
Provider asked about impact of pain
-
www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=title&page=7&search_api_fulltext=&sort=asc
understand
Adult
Hospital
Health literacy
C-IM5
Pain … Clinician & Group
People with mobility impairments
P-IM6
Pain
-
www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/cancer/survey-measures.html
March 01, 2017 - Effects of Their Cancer and Treatment
Q28 Patient and cancer care team talked about cancer-related pain … Q30 Cancer care team advised patient or helped patient deal with pain
Q31 Patient and cancer