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psnet.ahrq.gov/node/49784/psn-pdf
February 01, 2017 - includes three phases spanning the entirety of
the testing process: risk assessment, quality control plan … Start with a plan/protocol (from the ordering of a test to result recording) that ensures test quality … IQCP: Individualized Quality Control Plan. Developing an IQCP—A Step-by-Step Guide. … Plan for quality to improve patient safety at the point of care. Ann Saudi Med.
2011;31:342-346. … The Conceptual Basis and Process Steps of an Individualized Quality Control Plan.
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan … Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan … Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan … Patients who do not receive enough information at discharge tend to adhere poorly to their treatment plan … Review with them their plan for follow-up care.
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psnet.ahrq.gov/issue/safety-numbers
November 11, 2015 - Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - adequate nurse staffing
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Hospital Staffing Plans
Hospital nursing departments develop a staffing plan … benchmarks, and nursing skill mix and experience
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*
Staffing Patient Care Units
Nursing care units plan … protected the patient and themselves
It also appears that the unit and hospital did not have a back-up plan … Take-Home Points (2)
Administer annual nurse satisfaction survey to assess whether nurses find staffing plan … events, and root causes
Evaluate patient satisfaction feedback closely and correlate with nurse staff plan
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - anesthesia in this case was appropriate and was likely the safest option, the anesthesia team failed to plan … Thus, a plan for acute resuscitation and possible mechanical support should have been discussed prior … Given these factors and the patient’s high risk for circulatory collapse, a plan for initiating VA-ECMO … A plan should be in place for rapid initiation of mechanical support in the event of circulatory collapse
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psnet.ahrq.gov/node/49841/psn-pdf
September 01, 2018 - Before the first administration of a new
chemotherapy regimen, chart documentation of the treatment plan … In this case, the lack of a standardized, transparent treatment plan was
compounded by separate medication … approved to prepare or administer chemotherapy should
perform independent verification of the treatment plan … or cycles of therapy) and unintentional
propagation (i.e., providers make a change within treatment plan … that may or may not be properly
propagated to remainder of plan).(1) All staff need to be constantly
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psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
July 14, 2021 - Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A
Pharmacist Intervention
March 1, 2017
Nelson SD. … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. … https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
The … The plan was to initiate the penicillin desensitization
protocol if she had an allergic reaction to … realized that neurosyphilis had been ruled out and
contacted the allergist to clarify the treatment plan
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psnet.ahrq.gov/issue/fixing-broken-healthcare-system
August 01, 2018 - Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/web-mm/abnormal-volunteer-results
July 18, 2016 - this interpretation, a mechanism exists for the researcher to consider (and for the IRB to ensure) a plan … planned to use a validated psychometric measure that identifies suicide risk, a specific real-time plan … In this scenario, a plan of action might include prompt timing for analysis of the data and communication … IRB should have anticipated this issue in their review and requested that the researcher describe a plan … IRBs exist to ensure the ethical conduct of research, including ensuring that a plan exists to provide
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psnet.ahrq.gov/issue/conversations-withlucian-leape-md
March 13, 2024 - Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - This work plan is specific to the hospital and focused on a few specific priorities. … , the NQP team is able to help the hospital identify where it is doing well in progressing the work plan … The hospital work plan is a living document and is expected to be updated as goals are achieved. … Ensure a plan for data collection and analysis that allows for regular identification of potential areas … It is required that all hospitals have an NQP work plan and that all newly acquired hospitals are onboarded
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - It also included discharge resources
(including a self-administered safety plan) and post-ED telephone … Getting Started with This Innovation
The innovators found that a deployment plan was necessary when … A
deployment plan lays out the step-by-step process for implementing the innovation. … The
deployment plan also describes how the organization will gather and measure metrics and tracks … For example, the innovator discovered via their deployment plan that
the screener was not being used
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psnet.ahrq.gov/issue/medical-error-and-moral-luck
October 02, 2024 - Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/issue/department-defense-health-care-quality
February 11, 2025 - Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - (LIP) assessment, collaborative communication between the care team, and development of a tailored plan … including interventions, expected outcomes, time-frames for meeting those outcomes, and an escalation plan … providing twice-daily reports on watcher patients, including watcher criteria, details of the tailored plan
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psnet.ahrq.gov/issue/safety-management-systems-introduction-healthcare
February 14, 2024 - Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors
March 13, 2024 - Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - months in three phases: education and determination of initial workflows; continuous improvement, with Plan … over 3 months: education and determination of initial workflows; continuous improvement with multiple Plan … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan … 2023
Patient Safety Innovations
Team-Developed Care Plan
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - organizations to conduct a hazards
vulnerability analysis and maintain a continuity of operations plan … , a disaster recovery plan, and an
emergency operations plan.8 The development and practice of these … The procedures in the emergency management
plan should activate an emergency response team, and IT may … important for the organization to debrief about the event, determine lessons learned,
and develop a plan