-
psnet.ahrq.gov/node/42900/psn-pdf
September 19, 2016 - reviews revealed communication
failures, such as lack of discussion about suicide risks or mitigation plans
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psnet.ahrq.gov/node/43207/psn-pdf
April 25, 2016 - Although virtually all root cause analyses led to implementation of action plans, only 40% were
deemed
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psnet.ahrq.gov/node/42788/psn-pdf
January 19, 2014 - framework of
define-measure-analyze-improve-control to help teams systematically create improvement plans
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psnet.ahrq.gov/node/39674/psn-pdf
July 14, 2010 - an EHR
documented clinician and patient notification of abnormal test results and clear follow-up plans
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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - wealth of background and scholarship on the elements of quality improvement, or how an organization plans
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psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - More patients are aware of information comparing the quality of hospitals, health care plans, or providers
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - The surgeons documented the change of plans in the patient's chart, but failed to inform the nursing … physicians and nurses may recall similar scenarios in which crucial test results, recommendations, and plans … neither the patient, the nurse caring for the patient, nor the OR staff was informed of the change in plans … Engage in formal mechanisms for communicating changes in patient plans: orders, checklists, and briefings
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psnet.ahrq.gov/node/49542/psn-pdf
August 21, 2007 - was transferred to a different team the following day, and the accepting intern copied and pasted the plans … been since medical records
were first developed, that it is their responsibility to carry out the plans … The most effective means for insuring medical plans are carried out is through the use of clinical
decision
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psnet.ahrq.gov/issue/uptake-quality-related-event-standards-practice-community-pharmacies
November 09, 2016 - while most have reporting of medication errors and near misses in place, few establish improvement plans
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psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
November 12, 2014 - include: illness severity, patient information, action list, situational awareness and contingency plans
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-elders
February 17, 2011 - myocardial infarction or heart failure were most likely to receive a PIM whereas men, those in managed care plans
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psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
October 15, 2008 - Elements of the guidance discuss assessment of risk, individualized care plans, shared decision making
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psnet.ahrq.gov/issue/educational-intervention-contextualizing-patient-care-and-medical-students-abilities-probe
March 02, 2016 - diagnosis or treatment) while interviewing patients were better able to develop individualized treatment plans
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psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations
November 04, 2015 - readmissions , such as enhancing team communication, educating staff, and standardizing transition plans
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psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve-patient-outcomes-review
February 03, 2011 - Multidisciplinary teamwork is essential in developing appropriate treatment plans.
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psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
October 06, 2016 - the essential data included demographics, presenting problems, nursing observations, and future care plans
-
psnet.ahrq.gov/node/37768/psn-pdf
April 27, 2010 - into effect a new policy that withholds payment for eight preventable
complications of care, with plans
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psnet.ahrq.gov/node/46394/psn-pdf
August 29, 2018 - Investigators conducted interviews, employed
direct observation, and reviewed documents such as implementation plans
-
psnet.ahrq.gov/node/43016/psn-pdf
May 28, 2014 - Four types of serious
preventable events were identified: inappropriate client service plans, medication
-
psnet.ahrq.gov/node/45210/psn-pdf
September 27, 2016 - Involvement in an error was strongly correlated with
burnout, potentially harmful medication use, and plans