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Total Results: 66 records

Showing results for "palliative comfort harm".

21. Code Status vs. Care Status | PSNet
    psnet.ahrq.gov/web-mm/code-status-vs-care-status
    September 30, 2020 - They called the palliative care team for clarification about the plan of care. … DNR/comfort care or restorative vs supportive care path are not polar opposites.  … If your mental model was that home with hospice meant “discontinue everything, except comfort focused … analysis or other quality improvement models, to create clearer policies and protocols for supportive and comfort … Care inconsistent with a patient’s goals of care is a preventable harm.

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49813/psn-pdf
    January 01, 2018 - POLST forms include preferences about code status, as well as general level of medical interventions (comfort … After communication with the family, the patient's care was transitioned to a focus on comfort and the … Despite the ultimate transition to comfort care, many would agree that this patient's death was less … Palliative care model. … Palliative care is initiated when patients are diagnosed with serious illness.

23. A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet
    psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
    November 30, 2023 - Following his wishes, he transitioned to comfort-focused end-of-life care but remained in an inpatient … inconsistent with well-established and widely recognized standards of care, 7,8 resulting in significant harm … The complexity of health care can be a source of risk or harm to patients in other ways as well. … Comfort Care Guidelines for Providers -- Penn Medicine. 2018. … A New Generation of Comfort Care Order Sets: Aligning Protocols with Current Principles.

24. Dying in the Hospital With Advanced Dementia | PSNet
    psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
    November 01, 2016 - POLST forms include preferences about code status, as well as general level of medical interventions (comfort … After communication with the family, the patient's care was transitioned to a focus on comfort and the … Despite the ultimate transition to comfort care, many would agree that this patient's death was less … Palliative care model. … Palliative care is initiated when patients are diagnosed with serious illness.

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72586/psn-pdf
    December 23, 2020 - DNR/comfort care or restorative vs supportive care path are not polar opposites.  … And communication failures often lead to patient harm, as they did in the care of this patient.  … If your mental model was that home with hospice meant “discontinue everything, except comfort focused … analysis or other quality improvement models, to create clearer policies and protocols for supportive and comfort … Care inconsistent with a patient’s goals of care is a preventable harm.

26. Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
    January 01, 2020 - CARE STATUS A case describing how care inconsistent with patient goals can lead to preventable harm … — However, if the mental model was that “home with hospice” meant “discontinue everything, except comfort … health care worker fatigue and burnout. — The repurposed functionality of the EHR also leads to patient harm … in this case once he left the ICU — The repurposed functionality of the EHR also leads to patient harm … • Care inconsistent with a patient’s goals of care is a preventable harm.

27. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences | PSNet
    psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
    December 18, 2019 - The family was alerted, and the palliative medicine service was consulted to assist with transition. … The palliative medicine consultant visited the patient and determined that he did not have capacity to … Potential harm to the patient was averted by the careful capacity assessment and action of the palliative … care consultant, as discharging the patient home on hospice with comfort-focused treatment before all … Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865467/psn-pdf
    March 27, 2024 - The family was alerted, and the palliative medicine service was consulted to assist with transition. … The palliative medicine consultant visited the patient and determined that he did not have capacity … Fortunately, the palliative care consultant carefully assessed the patient’s decisional capacity and … Potential harm to the patient was averted by the careful capacity assessment and action of the palliative … care consultant, as discharging the patient home on hospice with comfort-focused treatment before all

29. How surgical trainees handle catastrophic errors: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
    March 19, 2019 - May 10, 2023 Feasibility of prospective error reporting in home palliative care: a mixed … Patient Safety Innovations Reducing Preventable Patient Harm

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836794/psn-pdf
    March 31, 2022 - The palliative care service was consulted to clarify goals of care. … Patients with delusions may believe a doctor is trying to harm the patient instead. … The term “palliative care” is often confused with “end-of-life care” or “terminal care” or “comfort care … Outpatient or home-based palliative care programs should be utilized to avoid gaps in palliative care … The multidisciplinary team in palliative care: a case reflection.

31. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
    January 01, 2022 - – Patients with delusions may believe a doctor is trying to harm the patient instead. … care” or “terminal care” or “comfort care … • Outpatient or home-based palliative care programs should be utilized to avoid gaps in palliative … The multidisciplinary team in palliative care: A case reflection. … Palliative Care: the World Health Organization's global perspective.

32. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
    psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
    July 08, 2022 - Patients with delusions may believe a doctor is trying to harm the patient instead. … The term “palliative care” is often confused with “end-of-life care” or “terminal care” or “comfort care … Outpatient or home-based palliative care programs should be utilized to avoid gaps in palliative care … The multidisciplinary team in palliative care: a case reflection. … Palliative Care. J Natl Compr Canc Netw . 2012;10(10):1284-1309.

33. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-316
    November 30, 2021 - These strategies primarily target reductions in suicide, self-harm, violence, and falls. … Spotlight Case Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative … Further discussions of the goals of care revealed that the patient desired to focus on comfort and on … This case represents a perceived delay in palliative radiation, an “error” in care. … delay was lessened by the hospice team who role modeled integration of disease directed therapy with palliative

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49805/psn-pdf
    September 01, 2017 - The patient was transitioned to comfort care and died that evening. … humans will occasionally make errors, while modifying our systems of care to protect patients from harm … clinical settings, from acute myocardial infarction and stroke to routine cosmetic surgery (8) to palliative … Creating safeguards and redundancies in provision of care can help protect patients from harm. … Silent night: retrospective database study assessing possibility of "weekend effect" in palliative care

35. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-274
    January 29, 2021 - Organizational policies should focus on reducing sleep-related impairment in order to reduce harm to … is built on local, real-time approaches that involve services designed to consider patient needs and comfort … Upon consultation with the palliative care team about goals of care, the patient with telephonic support … of his long time caregiver, expressed his wish to go home and the palliative care team, discharge planner … Unfortunately, the patient was transferred out of the ICU after the palliative care team left for the

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49560/psn-pdf
    April 01, 2008 - Increasingly, nursing homes are utilizing "Do Not Hospitalize (DNH) Unless for Comfort" orders in frail … Smith, your goal is to focus on your comfort, not interventions that would prolong your life." … However, if that is not possible, care should focus on comfort even if it shortens life. … Such a focus on comfort may lead to a decision to forego further hospitalizations. … Such clarification may result in the use of a "Do Not Hospitalize Unless for Comfort" order.

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49832/psn-pdf
    June 01, 2018 - and incorrect dosing in patients with decreased renal and hepatic function can lead to significant harm … PDQ Supportive and Palliative Care Editorial Board. Bethesda, MD: National Cancer Institute. … NCCN clinical practice guidelines in oncology: palliative care.

38. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-318
    November 30, 2021 - and treatment during life-threatening emergencies such as strokes can result in irreversible patient harm … Spotlight Case Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative … Further discussions of the goals of care revealed that the patient desired to focus on comfort and on … This case represents a perceived delay in palliative radiation, an “error” in care. … delay was lessened by the hospice team who role modeled integration of disease directed therapy with palliative

39. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
    January 01, 2019 - In the end, they believed the third option best respected her wishes and minimized harm, so her code … status without their or surrogate’s knowledge is problematic – Ethically fraught area – Potential to harm … a patient if an unexpected complication occurs • In this case, there was no harm, but patient preferences … Journal of palliative medicine. 2015 May 1;18(5):457-60. … BMC palliative care. 2018 Dec;17(1):114.

40. The Forgotten Radiographic Read | PSNet
    psnet.ahrq.gov/web-mm/forgotten-radiographic-read
    June 07, 2016 - The patient was transitioned to comfort care and died that evening. … humans will occasionally make errors, while modifying our systems of care to protect patients from harm … clinical settings, from acute myocardial infarction and stroke to routine cosmetic surgery ( 8 ) to palliative … Creating safeguards and redundancies in provision of care can help protect patients from harm. … Silent night: retrospective database study assessing possibility of "weekend effect" in palliative care