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Total Results: 66 records

Showing results for "palliative comfort harm".

41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50754/psn-pdf
    December 18, 2019 - multiple opportunities for improvement, which will be discussed in the next section; thankfully, no harm … In this case, no harm was done by the somewhat utilitarian decision to suspend the patient’s partial … But there was certainly the potential to harm a patient in this situation by not respecting her wishes … Journal of palliative medicine. 2015 May 1;18(5):457-60.  [Full free text] 3. … BMC palliative care. 2018 Dec;17(1):114.  [Free full text] 4.

42. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-319
    November 30, 2021 - Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm … used to accurately classify the free text of medication incident reports causing serious or moderate harm … Pediatric medication errors during anesthesia can lead to significant harm and are largely preventable … 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.

43. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-320
    November 30, 2021 - Patient falls represent a significant cause of patient harm. … on the tapering of pain medications that have had unintended consequences for patients resulting in 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.

44. The Wrongful Resuscitation | PSNet
    psnet.ahrq.gov/web-mm/wrongful-resuscitation
    October 12, 2012 - 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.

45. "Do You Want Everything Done?": Clarifying Code Status | PSNet
    psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
    March 27, 2024 - the end, they believed the third option from above best respected the patient’s wishes and minimized harm … multiple opportunities for improvement, which will be discussed in the next section; thankfully, no harm … In this case, no harm was done by the somewhat utilitarian decision to suspend the patient’s partial … But there was certainly the potential to harm a patient in this situation by not respecting her wishes … BMC palliative care. 2018 Dec;17(1):114.  [Free full text] POLST Paradigm on the POLST Website.

46. Febrile Neutropenia and an Almost Fatal Medication Error | PSNet
    psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
    February 01, 2012 - 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.

47. Engaging Seriously Ill Older Patients in Advance Care Planning | PSNet
    psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
    December 22, 2018 - Concerned about the possible harm the patient could experience, the intern and his supervisor engaged … care that was strongly associated with their preferences, and the majority preferred limited care or comfort … See More About The Topic Ambulatory Care Physicians Primary Care Geriatrics Palliative

48. Are long physician working hours harmful to patient safety? | PSNet
    psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
    June 24, 2020 - June 16, 2021 Aligning patient safety and stewardship: a harm reduction strategy for … March 30, 2022 Association between hospital acquired harm outcomes and membership in … February 12, 2020 Safety in pediatric hospice and palliative care: a qualitative study … July 28, 2021 Ethical challenges in child abuse: what is the harm of a misdiagnosis? … September 29, 2021 Association between parent comfort with English and adverse events

49. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-317
    November 30, 2021 - Medication dosing errors can lead to serious patient harm. … , and vascular events (the “big three”) account for nearly half of all serious misdiagnosis-related 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.

50. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-349
    July 08, 2022 - Commentary Reducing administrative harm in medicine - clinicians and administrators … applying safety system improvement approaches to examine managerial choices that contribute to patient harm … patient complaints and staff incident reports allows hospitals to better understand causes of patient harm … The advanced care planning team, in consultation with palliative care and ethics experts, determined … transitions of care and the importance of active communication and standardized documentation during palliative

51. Challenging the status quo: focusing on patient safety and joy at work. | PSNet
    psnet.ahrq.gov/issue/challenging-status-quo-focusing-patient-safety-and-joy-work
    December 01, 2021 - Hastened death due to disease burden and distress that has not received timely, quality palliative … physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm … October 10, 2018 We want to know: patient comfort speaking up about breakdowns in care

52. The Empty Bag | PSNet
    psnet.ahrq.gov/web-mm/empty-bag
    June 01, 2018 - patient's family chose not to put her through surgery, and she was placed on the hospice service for comfort … needs, hospitals can choose IV infusion equipment that enhances safety.( 9 ) In another example, many palliative … Unreliable numbers: error and harm induced by bad design can be reduced by better design. … Falling Through the Crack (in the Bedrails) May 1, 2016 Measuring harm … More See More About The Topic Hospitals Health Care Providers Engineers Palliative

53. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-375
    December 14, 2022 - Patient misidentification can lead to serious medical errors and patient harm. … medication regimens, access barriers, changing prescribing providers) and subsequent medication-related harm … A goals-of-care discussion was led by the palliative care service; the patient and his designated decision-makers … condition worsened, signaling failure of non-operative management; following his wishes, he transitioned to comfort-focused … The palliative care team spent many hours with the family helping them to manage their grief and dissatisfaction

54. WebM&M Cases & Commentaries | PSNet
    psnet.ahrq.gov/Webmm
    May 01, 2021 - developed signs of stroke and required ongoing resuscitation overnight before being transitioned to comfort … Upon consultation with the palliative care team about goals of care, the patient with telephonic support … Unfortunately, the patient was transferred out of the ICU after the palliative care team left for the … associated commentary describes how care inconsistent with patient goals and wishes is a form of preventable harm … inter-professional handoffs and closed-loop referrals in reducing diagnostic delays and associated harm

55. Webmm
    psnet.ahrq.gov/webmm
    May 01, 2021 - developed signs of stroke and required ongoing resuscitation overnight before being transitioned to comfort … Upon consultation with the palliative care team about goals of care, the patient with telephonic support … Unfortunately, the patient was transferred out of the ICU after the palliative care team left for the … associated commentary describes how care inconsistent with patient goals and wishes is a form of preventable harm … inter-professional handoffs and closed-loop referrals in reducing diagnostic delays and associated harm

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49789/psn-pdf
    April 01, 2017 - Concerned about the possible harm the patient could experience, the intern and his supervisor engaged … care that was strongly associated with their preferences, and the majority preferred limited care or comfort

57. The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. | PSNet
    psnet.ahrq.gov/issue/incidence-adverse-events-swedish-hospitals-retrospective-medical-record-review-study
    August 05, 2009 - August 4, 2021 Balancing safety, comfort, and fall risk: an intervention to limit opioid … Can routinely collected data be repurposed to predict avoidable patient harm? … September 16, 2020 Expert consensus on currently accepted measures of harm. … Hastened death due to disease burden and distress that has not received timely, quality palliative

58. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-374
    December 14, 2022 - A goals-of-care discussion was led by the palliative care service; the patient and his designated decision-makers … condition worsened, signaling failure of non-operative management; following his wishes, he transitioned to comfort-focused … The palliative care team spent many hours with the family helping them to manage their grief and dissatisfaction

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49779/psn-pdf
    January 01, 2017 - patient's family chose not to put her through surgery, and she was placed on the hospice service for comfort … needs, hospitals can choose IV infusion equipment that enhances safety.(9) In another example, many palliative … Unreliable numbers: error and harm induced by bad design can be reduced by better design.

60. Continuing Education | PSNet
    psnet.ahrq.gov/continuing-education
    February 26, 2025 - Nursing (6) Obstetrical Nursing (4) Psychiatric Nursing (1) Palliative … she suffered from ischemic stroke and intracranial hemorrhages, ultimately leading to a transition to comfort … the misinterpretation of a common laboratory complication can lead to incorrect treatment and patient harm