-
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.
-
www.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.
-
www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - Explain what preventable harm means and share success stories about how patient harms were prevented. … The other numbers are as follows: 1 – bed rest orders, 2 – patient on comfort/palliative care measures
-
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
-
cdsic.ahrq.gov/sites/default/files/2025-03/Copy%20of%20Final_MO_Patient%20Preference%20Inventory_6.7.24_508.xlsx
January 01, 2025 - American Journal of Hospice and Palliative Medicine®. 2019;36(1):5-12. doi:10.1177/1049909118797077 … for an invasive procedure, prescription drugs, or medical devices that could pose a risk of avoidable harm … Clinical notes in EHR Used in clinic/health system Palliative care Palliative care End of life No N/A … care consultation notes
Palliative care team progress notes
Palliative care initial encounter notes … Paper-based medical form Used in clinic/health system Palliative care Palliative care End of life No
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
January 01, 2017 - Explain what preventable harm means and share success stories about how patient harms were prevented. … The other numbers are as follows: 1 – bed rest orders, 2 – patient on comfort/palliative care measures
-
www.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
-
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
-
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
-
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.
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - errors are treated as an opportunity to learn
about root causes and prevent future errors and risks of harm … 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 … Frontline
staff will have daily information about how well they are doing to prevent this patient harm
-
www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - errors are treated as an opportunity to learn
about root causes and prevent future errors and risks of harm … 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 … Frontline
staff will have daily information about how well they are doing to prevent this patient harm
-
digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2021-year-in-review.pdf
January 01, 2021 - Transitions of Care for COPD Patients (TELE-
TOC), will let patients talk virtually with pharmacists, in the comfort … parent
engagement in the care of their hospitalized children, to improve patient care and
prevent harm … Identifying EHR usability issues and potential harm to patients
The research team developed algorithms … Explicit language was
identified to associate possible patient harm with an EHR usability
issue, in … These combined factors increase the likelihood of clinician
error, which in turn can harm patients.
-
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
-
psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - a series of services provided to people in their homes that may include physical, psychosocial, or palliative … increasing demand for home-based care programs. 57 As more patients prefer to receive care in the comfort … Prevalence and nature of medication errors and medication-related harm following discharge from hospital … Interprofessional collaboration within fluid teams: community nurses' experiences with palliative home
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Complications ............................................................... 4
Examples of Patient Harm … AHRQ Safety Program for Reducing CAUTI in Hospitals Resident Physicians 6
Examples of Patient Harm … End-of-life care (hospice/comfort/palliative care). This addresses patient comfort at
end of life. … Cultures from nonsterile sites may trigger inappropriate antimicrobial use and risk patient
harm. … ill patients, assist healing of sacral and perineal
wounds in those with incontinence, or improve comfort
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - Complications ............................................................... 4
Examples of Patient Harm … AHRQ Safety Program for Reducing CAUTI in Hospitals Resident Physicians 6
Examples of Patient Harm … End-of-life care (hospice/comfort/palliative care). This addresses patient comfort at
end of life. … Cultures from nonsterile sites may trigger inappropriate antimicrobial use and risk patient
harm. … ill patients, assist healing of sacral and perineal
wounds in those with incontinence, or improve comfort
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - Complications ............................................................... 4
Examples of Patient Harm … AHRQ Safety Program for Reducing CAUTI in Hospitals Resident Physicians 6
Examples of Patient Harm … End-of-life care (hospice/comfort/palliative care). This addresses patient comfort at
end of life. … Cultures from nonsterile sites may trigger inappropriate antimicrobial use and risk patient
harm. … ill patients, assist healing of sacral and perineal
wounds in those with incontinence, or improve comfort
-
psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - a series of services provided to people in their homes that may include physical, psychosocial, or
palliative … to increasing demand for home-based care programs.57 As more patients prefer to
receive care in the comfort … Prevalence and nature of medication errors and medication-
related harm following discharge from hospital … Interprofessional collaboration within fluid teams:
community nurses' experiences with palliative home