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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/preventing/module3.docx
June 01, 2017 - FCCM, FCCP
Patient Safety & Clinical Effectiveness Officer
Director, Critical Care Medicine
Director, Palliative
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www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
January 01, 2024 - response
2
December 27, 2023
CaPSLL Final Report
PURPOSE
A common cause of preventable harm … with patient-reported outcome measures
(PROMs).52 Based on evidence from highly reliable care and palliative … Patients
demonstrated comfort and confidence actively reporting PROMS (90% data capture), including … a multi-national digital intervention, is being developed and validated (n=9 patients) to
improve palliative … completed a feasibility
study (n=30 patients) of a continuous monitoring system for cancer patients in palliative
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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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www.qualitymeasures.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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ahrqpubs.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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cahps.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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healthcare411.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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patientregistry.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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monahrq.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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talkingquality.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/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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www.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/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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pcmh.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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pbrn.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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/2010/moimpptsaf.pdf
January 01, 2010 - CAHPS® Improvement Guide
Change the Work Environment
Chasing Zero: Winning the War on Health Care Harm … These practices can be universally
adopted by all health care settings to reduce the risk of harm to … Chasing Zero: Winning the War on Health Care Harm
http://discoveryhealthcme.discovery.com/zero/media … aimed at providing a collective voice for individuals, families, and healers who want to
prevent harm … decrease the number of discrepant medication orders and the associated potential and actual
patient harm
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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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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/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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www.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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effectivehealthcare.ahrq.gov/sites/default/files/pdf/pwd-care-interventions-protocol.pdf
February 22, 2019 - reduction (e.g. driving, firearms)
Palliative care/hospice outcomes:
Completion of advanced directives … Comfort during dying process
Concordance with preferred location of
death
Social/Community level … isolation, loneliness,
perceived stigma, suicidal ideation or
suicide, elder abuse (e.g., physical
harm … in evidence tables and synthesize evidence for each unique
population, comparison, and outcome or harm … • Behavior management
• ADL support
• Home modifications
• Wandering and fall risk management
• Palliative