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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - antibiotics are necessary to treat many bacterial infections, antibiotics can also be associated with harm … This could lead to her getting a medicine she does not need—which may cause harm.” … decision to start antibiotics in someone who is approaching the end of life may be associated with harm … Her goal is comfort care. … Slide 23
Solutions and Reassurance
SAY:
It is helpful to provide alternative palliative or comfort
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Saint has described this eloquently in 2002 as a “one point restraint” affecting patient rights, comfort … , cases with CAUTI resulted in $1,300 to $1,600 in additional cost per patient.8
Urinary Catheter Harm … , cases with CAUTI resulted in $1,300 to $1,600 in additional cost per patient.8
Urinary Catheter Harm … measures/
Hospice/Palliative Care
Required immobilization for
trauma/surgery
Chronic indwelling … measures/
Hospice/Palliative Care
Required immobilization for trauma/surgery
Chronic indwelling catheter
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Infections
Preamble and Summary
Epidemiology of Invasive Devices and Complications
Examples of Patient Harm … End-of-life care (hospice/comfort/palliative care). This addresses patient comfort at end of life.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
May 01, 2017 - of a Doula3
A doula accompanies a woman in labor to—
Provide emotional and physical support
Suggest comfort … Communicating about episodes of harm to patients. In: Leonard M, ed. … Palliative Care Perspectives. 1st ed. New York: Oxford University Press; 2003.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
January 01, 2017 - Explain preventable harm to staff
Share stories about patients
Develop a business case
Include executive … Not applicable – patient at highest possible level of mobility
Bed rest orders
Patient on comfort/palliative
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
July 01, 2023 - Suggest comfort measures.
Provide support and suggestions for the partner. … Communicating about episodes of harm to patients. In: Leonard M, ed. … Palliative Care Perspectives. 1st ed. New York: Oxford University Press; 2003.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
January 01, 2017 - Explain what preventable harm means and share success stories about how patient harms were prevented. … The other numbers are as follows: 1 – bed rest orders, 2 – patient on comfort/palliative care measures
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
February 01, 2017 - Explain preventable harm to staff.
Share stories about patients.
Develop a business case. … Patient on comfort/palliative care measures.
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - Hospice/comfort/palliative care —This is an acceptable indication for catheter use in end-of-life care … when it facilitates meeting patient and family goals in a dying patient or helps with patient comfort … An exception would be for patients who are receiving end-of-life or palliative care and in whom a catheter … Patient request for external catheter to manage urinary incontinence while hospitalized
Improvement in comfort
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - should also be noted that for patients with limited English proficiency, who are at higher risk of harm … patient’s broader care needs related to mobility, nutrition, independent living, and, potentially, comfort … or palliative care.
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - Implement teamwork tools
|
Improve
Measure
|
How Often Do We Harm? … Hospice/comfort/palliative care = 4.
Required immobilization for trauma or surgery = 5.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module3-transcript.pdf
June 01, 2017 - FCCP
Patient Safety & Clinical Effectiveness Officer
Director, Critical Care Medicine
Director, Palliative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - of harm … after date/time of hospital
discharge
Clinical Exclusion
� Deceased at discharge or code
status of comfort … Transfers for postprocedure care
� >2 prior hospitalizations in the
past year
� Transfer to hospice or palliative … Pediatric clinician comfort discussing
diagnostic errors for improving patient safety: a survey. … We want to know: patient comfort
speaking up about breakdowns in care and patient experience.
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - Explain what preventable harm means and share success stories about how patient harms were prevented. … The other numbers are as follows: 1 – bed rest orders, 2 – patient on comfort/palliative care measures
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Harm reduction.
Meet "where they are."
Patient priorities first.
Relationship-based. … prioritize engagement, outreach, provision of social and behavioral health care needs, and referral to palliative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - errors are treated as an opportunity to learn
about root causes and prevent future errors and risks of harm … Hospice/comfort/palliative care—This is an acceptable indication for catheter use in end-
of-life care … when it facilitates meeting patient and family goals in a dying patient or helps
with patient comfort … An exception would be for patients who are receiving end-of-
life or palliative care and in whom a catheter … Frontline
staff will have daily information about how well they are doing to prevent this patient harm
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - errors are treated as an opportunity to learn
about root causes and prevent future errors and risks of harm … Hospice/comfort/palliative care—This is an acceptable indication for catheter use in end-
of-life care … when it facilitates meeting patient and family goals in a dying patient or helps
with patient comfort … An exception would be for patients who are receiving end-of-
life or palliative care and in whom a catheter … Frontline
staff will have daily information about how well they are doing to prevent this patient harm
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - Complications ............................................................... 4
Examples of Patient Harm … AHRQ Safety Program for Reducing CAUTI in Hospitals Resident Physicians 6
Examples of Patient Harm … End-of-life care (hospice/comfort/palliative care). This addresses patient comfort at
end of life. … Cultures from nonsterile sites may trigger inappropriate antimicrobial use and risk patient
harm. … ill patients, assist healing of sacral and perineal
wounds in those with incontinence, or improve comfort
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - Complications ............................................................... 4
Examples of Patient Harm … AHRQ Safety Program for Reducing CAUTI in Hospitals Resident Physicians 6
Examples of Patient Harm … End-of-life care (hospice/comfort/palliative care). This addresses patient comfort at
end of life. … Cultures from nonsterile sites may trigger inappropriate antimicrobial use and risk patient
harm. … ill patients, assist healing of sacral and perineal
wounds in those with incontinence, or improve comfort
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … involvement
■ A mucosal, arterial or venous ulcer
■ A diabetic foot ulcer
■ A pressure ulcer related to palliative … DVT and/or PE identified on screening exam or incidentally)
VTE occurring in a patient receiving palliative … or comfort care
Thrombosis involving another venous system such as intracranial veins or sinuses,