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psnet.ahrq.gov/node/843411/psn-pdf
February 01, 2023 - staff implementing the QI initiatives, (2) processes, such as local and
organizational integration and planning
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psnet.ahrq.gov/node/848818/psn-pdf
May 10, 2023 - potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
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psnet.ahrq.gov/node/845630/psn-pdf
March 08, 2023 - transitions-care-toc-portal
https://psnet.ahrq.gov/web-mm/transition-nowhere
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
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psnet.ahrq.gov/node/74837/psn-pdf
February 16, 2022 - medication-without-harm-whos-third-global-patient-safety-challenge
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - incidental findings at the innovation’s medical center and other healthcare facilities in the region. 3
Planning … patient safety innovation or intervention include leadership and staff buy-in, staff involvement in planning … Specific to this innovation, the following planning and development activities should occur prior to … care provider referrals, etc.), are the first two steps that potential innovators should take when planning
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psnet.ahrq.gov/node/852747/psn-pdf
August 23, 2023 - Possible solutions included improved standardization of care, proactive planning, and
culture change
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psnet.ahrq.gov/node/851360/psn-pdf
July 12, 2023 - improving-diagnostic-quality-and-safety-final-report
https://psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
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psnet.ahrq.gov/node/44583/psn-pdf
February 17, 2016 - Highlighted strategies include failure mode identification and intervention
planning.
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - presentation, overnight events, plan), Action list (to-dos for the day), Situation
awareness and contingency planning … adapted I-PASS (Illness severity, Patient summary, Action list, Situation awareness and contingency
planning … families through the use of the modified I-PASS framework to standardize family-centered rounds.
4
Planning … It is important to emphasize the involvement of families in the
planning and development process of … The innovators found that inclusion of families
in the planning and development process was instrumental
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psnet.ahrq.gov/issue/youre-boss-hospital
February 28, 2024 - Failure to engage hospitalized elderly patients and their families in advance care planning
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psnet.ahrq.gov/node/838247/psn-pdf
October 05, 2022 - Planning and implementing best practices based on these
recommendations ensure safe care during COVID
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psnet.ahrq.gov/node/73608/psn-pdf
January 01, 2022 - pharmacist-led-intervention-reduction-inappropriate-medication-use-patients-heart-failure
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
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psnet.ahrq.gov/node/72731/psn-pdf
February 10, 2021 - identified include out-of-hours discharge from the ICU, suboptimal rehabilitation, absent nutritional
planning
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psnet.ahrq.gov/node/73704/psn-pdf
September 15, 2021 - //psnet.ahrq.gov/issue/failure-engage-hospitalized-elderly-patients-and-their-families-advance-care-planning
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - Rather, health care providers need to be trained in a goal-based approach to advance care planning in … A key step in advance care planning is to listen and understand where the patient and the family are … A 3-step goal-based approach to advance care planning listens to where the patient is in living with … For frail, older nursing home residents, a key point of clarification as part of advance care planning … Adapting advance medical planning for the nursing home. J Palliat Med. 2004;7:357-361.
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psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - The authors highlight their institution's experience in planning, implementing, and
evaluating the initiative
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psnet.ahrq.gov/node/863747/psn-pdf
March 06, 2024 - allocation-physician-time-ambulatory-practice-time-and-motion-study-four-specialties
https://psnet.ahrq.gov/issue/workforce-planning-and-safe-workload-sterile-compounding-hospital-pharmacy-services
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Updates include expanded use by other organizations,
expanded description of the innovation, additional planning … Planning and Development Process
Project BOOST offers a detailed implementation guide that outlines … Selected elements of the planning and
development process described by the guide include the following … The project can be implemented with existing discharge planning or
nursing staff who can incorporate … the Discharge Patient Education Tool and other discharge
planning tools into their daily activities
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - emphasizes two care processes in particular when families can impact safety—nurse bedside
shift report and planning … Partnering with families during the planning for the transition from hospital to home is associated with … that families could not be at the bedside and were no longer
present for nurse shift changes and for planning … the pandemic that hospitals
should carry forward.13 Furthermore, engaging PFAs in future pandemic planning … respect,
information sharing, participation, and collaboration, which hospitals can use to engage in planning
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psnet.ahrq.gov/node/866353/psn-pdf
July 24, 2024 - /inpatient-transitions-care-challenges-and-safety-practices
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care