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psnet.ahrq.gov/issue/exploration-factors-associated-reported-medication-administration-errors-north-carolina
September 20, 2012 - schools (elementary, middle, and high schools), the number of medication errors and corrective action plans
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psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
February 03, 2011 - discusses the broader certification issue, calling for greater collaboration among hospitals, health plans
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psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
June 21, 2017 - reviews revealed communication failures , such as lack of discussion about suicide risks or mitigation plans
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psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
March 29, 2007 - The article extensively reviews the challenges of implementing the program and future plans for disseminating
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psnet.ahrq.gov/issue/surgeon-agreement-time-handover-prospective-cohort-study
July 19, 2010 - hospital, surgeons who assumed the care of a patient infrequently disagreed with the major management plans
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psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - into effect a new policy that withholds payment for eight preventable complications of care, with plans
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psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - tool—I-
PASS (Illness severity, Patient summary, Action list, Situation awareness and contingency plans … discussions to identify errors and enhanced contributions between providers in the development of
management plans … resident handoff documents more frequently included key elements
like clinical status and contingency plans
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - communication process may also result in a written expression of wishes and preferences (advance care plans … In some health care systems, these wishes or plans may be further codified in the form of written instructional … One study found that patients who had prepared advance care plans or who had been engaged in end-of-life … Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - Cases
At least five categories of reasons are relevant when formulating and implementing treatment plans … As a prima facie
rule, care plans should only be based on mixtures of “blue” and “green” reasons, and … is better if providers prepare in advance for the
emotional burden that participating in such care plans … Using the Hierarchical Framework for Creating and Implementing Care Plans
While everyone professionally … important first) among the categories of factors to consider when creating and implementing care
plans
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - unsafe home environments,
medication issues, incomplete information, and lack of understanding of care plans … I-PASS (i.e., illness severity, patient information,
action list, situational awareness and contingency plans … EHR, are important tools for
communicating patient information such as medication and follow-up care plans … across different healthcare organizations still pose challenges for
effectively communicating follow-up plans
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psnet.ahrq.gov/issue/difficulty-identifying-alzheimers-makes-misdiagnosis-easy
January 30, 2019 - December 17, 2014
Dallas Ebola case shows even sound plans can fail spectacularly.
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psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
July 22, 2019 - May 19, 2015
Dallas Ebola case shows even sound plans can fail spectacularly.
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psnet.ahrq.gov/issue/mistakes-even-good-doctors-make
October 12, 2022 - December 17, 2014
Dallas Ebola case shows even sound plans can fail spectacularly.
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psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
September 25, 2019 - June 2, 2021
Rates of serious surgical errors in California and plans to prevent recurrence
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psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
February 17, 2021 - usage, polypharmacy, environmental hazards, poor communication between staff, lack of resident safety plans
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psnet.ahrq.gov/primer/handoffs-and-signouts
October 18, 2023 - to-do items to be completed by the clinician receiving signout Situation awareness and contingency plans … should include content such as illness assessment, patient summary, to-do action list, and contingency plans
-
psnet.ahrq.gov/primer/handoffs
October 18, 2023 - to-do items to be completed by the clinician receiving signout Situation awareness and contingency plans … should include content such as illness assessment, patient summary, to-do action list, and contingency plans
-
psnet.ahrq.gov/issue/your-patient-ready-go-home
November 08, 2023 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
July 12, 2023 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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psnet.ahrq.gov/issue/north-carolina-center-hospital-quality-and-patient-safety
February 15, 2023 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans