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Total Results: 3,942 records

Showing results for "plan".

301. Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? | PSNet
     psnet.ahrq.gov/issue/health-system-resilience-accreditation-high-quality-care-and-continuous-quality-improvement
     November 25, 2020 - Interview In Conversation With...Amy Helwig about Health Plan … July 10, 2024 Perspectives on Safety Health Plan

302. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet
     psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
     February 26, 2025 - The BWH Patient Safety Collaborative used a Plan-Do-Study-Act (PDSA) model of quality improvement to … Create an implementation plan. … identify missing elements and/or to illuminate key gaps strategically and systematically (revise your plan … like PDSA cycles) to track down all of the relevant data, to analyze it, and to generate an actionable plan … Adoption of a closed-loop communication tool to establish and execute a collaborative follow-up plan

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49749/psn-pdf
     December 01, 2015 - Moreover, the attending physician's oversight of the new care plan is unclear. … change; the ICU nurse was also newly managing this patient and may not have understood the overall plan … of Endocrinology—clinical practice guidelines for developing a diabetes mellitus comprehensive care plan … physician and nurse training on Glucommander use Improved handoffs outlining current treatment plan … between physicians and nurses for glycemic control management Attending physician oversight of plan

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60856/psn-pdf
     August 26, 2020 -     It appears the team recognized the need for multidisciplinary discussion and developed a detailed plan … However, the plan was not effectively implemented.   … Failure to modify a surgical plan in the face of a difficult procedure is a common variant of perioperative … errors including ruling out the worst-case scenario, accepting that the first assumption or original plan … Once the plan is developed for such a patient, it is important to follow it as prescribed. 

305. 50 Years of Inquiries in the National Health Service. | PSNet
     psnet.ahrq.gov/issue/50-years-inquiries-national-health-service
     March 02, 2010 - Interview In Conversation With...Amy Helwig about Health Plan … July 10, 2024 Perspectives on Safety Health Plan

306. Never Events--Framework 2010-11. | PSNet
     psnet.ahrq.gov/issue/never-events-framework-200910
     January 31, 2018 - Interview In Conversation With...Amy Helwig about Health Plan … July 10, 2024 Perspectives on Safety Health Plan

307. Get me out alive. | PSNet
     psnet.ahrq.gov/issue/get-me-out-alive
     September 12, 2016 - September 12, 2016 Rating hospitals by the stars: the feds' latest plan to measure quality … Quality April 26, 2023 Saving lives: hospitals have signed on to a six-part plan

308. Medication safety technologies: what is and is not working. | PSNet
     psnet.ahrq.gov/issue/medication-safety-technologies-what-and-not-working
     January 02, 2017 - Interview In Conversation With...Amy Helwig about Health Plan … July 10, 2024 Perspectives on Safety Health Plan

309. National Patient Safety Board Advocacy Coalition. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
     March 20, 2013 - Interview In Conversation With...Amy Helwig about Health Plan … July 10, 2024 Perspectives on Safety Health Plan

310. Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors. | PSNet
     psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-errors
     August 06, 2008 - Interview In Conversation With...Amy Helwig about Health Plan … July 10, 2024 Perspectives on Safety Health Plan

311. The Leapfrog Group. | PSNet
     psnet.ahrq.gov/issue/leapfrog-group
     January 20, 2016 - Interview In Conversation With...Amy Helwig about Health Plan … July 10, 2024 Perspectives on Safety Health Plan

312. The Safety and Quality of Health Care: Where are We Now? | PSNet
     psnet.ahrq.gov/issue/safety-and-quality-health-care-where-are-we-now
     August 07, 2018 - Interview In Conversation With...Amy Helwig about Health Plan … July 10, 2024 Perspectives on Safety Health Plan

313. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet
     psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
     May 01, 2024 - Interview In Conversation With...Amy Helwig about Health Plan … July 10, 2024 Perspectives on Safety Health Plan

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49838/psn-pdf
     August 01, 2018 - family is at the bedside or at least has been called immediately prior to the extubation to confirm the plan … checklist include summary of discussions with the family and their goals and specific preferences; plan … resident—a huddle would have allowed the resident to know who to reach out to communicate the change in plan … electronic medical record; addendums to this note can be used to document subsequent changes to the plan … changes in plans, an area in the medical record where all clinicians can read and document changes to a plan

315. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
     January 01, 2024 - A review of the physician, nursing, and respiratory therapy notes found no tracheostomy management plan … During this patient’s transfer, no plan was conveyed for tracheostomy care, and standard maintenance … the effectiveness of this approach is lacking.1,5,6 Sutures can cause skin breakdown and require a plan … These hand-offs should include a plan for the next tracheostomy change, an explanation of complications … Transitions of care—especially between facilities—require sharing a plan regarding tracheostomy tube

316. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet
     psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
     May 19, 2021 - Moreover, the attending physician's oversight of the new care plan is unclear. … change; the ICU nurse was also newly managing this patient and may not have understood the overall plan … of Endocrinology—clinical practice guidelines for developing a diabetes mellitus comprehensive care plan … in level of care Poor teamwork between nurses, physicians, and pharmacists Inadequate supervision of plan … teamwork between physicians and nurses for glycemic control management Attending physician oversight of plan

317. Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study. | PSNet
     psnet.ahrq.gov/issue/contextual-factors-influencing-implementation-multifaceted-intervention-improve-teamwork-and
     November 15, 2023 - January 30, 2013 Patterns of nurse–physician communication and agreement on the plan … December 12, 2012 Hospitalized patients' understanding of their plan of care.

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867986/psn-pdf
     March 24, 2025 - Obviously, those people with intent and with a plan are people you are more concerned about. … This call is also a good opportunity to review the discharge plan with the person. … The clinician can also review the person's safety plan, which is a plan for what the patient might do … When you call the patient, you reinforce the use of the safety plan so that it's not just a piece of … It should be on their safety plan; they should have it with them.

319. HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. | PSNet
     psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
     October 15, 2008 - Request for comments on the proposed measures and 2020 targets for the National Action Plan … July 13, 2016 Advancing medication safety: establishing a National Action Plan for Adverse

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843736/psn-pdf
     February 01, 2023 - 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