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Total Results: 245 records

Showing results for "palliative comfort harm".

41. A demonstration project: Assessing the significance and impact of utilizing a novel telemedicine application in the delivery of community based palliative care in a rural seriously ill population - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs026565-bull-final-report-2021.pdf
    January 01, 2021 - Community-based palliative care: the natural evolution for palliative care delivery in the U.S. … Hospice and palliative care access issues in rural areas. … Comfort in the last 2 weeks of life: relationship to accessing palliative care services. … Development of an ambulatory palliative care pharmacist practice. … : TapCloud for Palliative Care.

42. 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.

43. Slide 1
    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

44. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
    www.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.

45. 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.

46. 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.

47. 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

48. Closing the Quality Gap Series: End-of-Life and Hospice Care | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/quality-gap-palliative-hospice/research-protocol
    December 01, 2019 - report from the IPAL-ICU Project (Improving Palliative Care in the ICU). … National Hospice and Palliative Care Organization. … report from the IPAL-ICU Project (Improving Palliative Care in the ICU). … National Consensus Project for Quality Palliative Care. … Clinical practice guidelines for quality palliative care. 2nd ed.

49. 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

50. 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.

51. Final Progress Report: Profiling the Needs of Dying Children (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
    January 01, 2024 - First do no harm--to err is human. Eff Clin Pract 2000;3(6):294-6. 7. … Ethics and communication: does students' comfort addressing: ethical issues vary by specialty team? … Palliative care for infants, children, and adolescents : a practical handbook. … Palliative care for infants, children, and adolescents : a practical handbook. … Pediatric palliative, end-of-life, and bereavement care.

52. 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.

53. 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.

54. 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.

55. "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.

56. 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.

57. 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

58. 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

59. Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/studies/index.html?page=287
    January 01, 2024 - This study describes the use of early comfort care for patients with heart failure (HF), and whether … hospitals that more commonly initiate comfort care have higher 30-day mortality rates. … It found that hospital use of early comfort care for HF varies, has not increased over time, and on average … Keywords: Cardiovascular Conditions, Elderly, Heart Disease and Health, Inpatient Care, Mortality, Palliative … intravenously and use has increased over the span of the study, despite lack of evidence of benefit or harm

60. Developing Quality Indicators for Cancer End-of-Life Care: Proceedings From a National Symposium | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/cancer-end-of-life-indicators-symposium/research
    September 08, 2010 - Pain assessment tools: is the content appropriate for use in palliative care? … National Consensus Project for Quality Palliative Care. … Palliative care quality measurement project. … Quality indicators for palliative and end-of-life care in vulnerable elders. … Improving comfort and communication in the ICU: a practical new tool for palliative care performance