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Showing results for "palliative comfort harm".

  1. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. | PSNet

    psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within
    February 08, 2017 - December 21, 2017 WebM&M Cases Palliative Care: Comfort … Harm November 1, 2017 Medication errors by caregivers at home in neonates discharged

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. Family-Facilitator-Guide (doc file)

    www.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

  9. Family-Facilitator-Guide (doc file)

    www.qualitymeasures.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

  10. Family-Facilitator-Guide (doc file)

    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

  11. 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

  12. 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

  13. 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

  14. 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.

  15. 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.

  16. 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.

  17. 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

  18. 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

  19. 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

  20. Slide 1

    www.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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