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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - Learning Objectives
Articulate how breakdowns in communication amongst providers can lead to medical … Presumably there was no direct communication between these providers until
several days after admission … At this point in the algorithm, providers must evaluate
hydration status. … Provide patient safety culture training to all providers.
Use shared language. … When pregnant patients are hospitalized with
acute medical illnesses, primary providers can include
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psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - patients with COVID-19 was evolving, there
was a need for clear and frequent communication amongst providers … staff to meet the patient care needs at the time was a
major concern that was exacerbated by several providers … may have reduced clinician burnout by reducing certain elements of the
onsite providers’ workload. … Finally, they said that it is crucial to begin to explain the initiative and its purpose to other
providers … Insurance Portability and Accountability Act (HIPAA)
when communicating with families and rotating providers
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - Healthcare providers should routinely screen for perinatal mental
health problems, including depression … Healthcare
providers should identify and discuss the available treatment options for perinatal mental … As part of shared decision making with their providers,
patients should be encouraged to choose the … Patients should be encouraged to share their concerns, and healthcare providers should take
the time … Healthcare providers can help ensure that patients receive the appropriate care and support they need
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - How Do Providers Recover From Errors?
January 1, 2008
West CP. … How Do Providers Recover From Errors? PSNet [internet]. 2008. … https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
Case Objectives
Describe the provider-specific … Appreciate the impact of medical errors on care providers. … Review potential support structures for providers involved in errors.
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psnet.ahrq.gov/node/46954/psn-pdf
January 23, 2019 - opioid-prescribing-decreases-after-learning-patients-fatal-overdose
High-risk opioid prescribing by providers … In this randomized
trial involving 861 providers prescribing opioids to 170 patients who experienced … fatal overdose, providers
in the intervention arm were notified about patients' deaths by the county … Researchers found that milligram morphine equivalents prescribed to the patients
of providers who received
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - When
emergency medical services (EMS) arrived at the patient's home, EMS providers obtained a 12-lead … According to
protocol, EMS providers were required to transmit the ECG to the emergency department ( … Had there
been a proper handoff, the prehospital ECG would have been seen by ED providers at the time … of the
handoff, the EMS providers' interpretation of the ECG would have been known, and a Code STEMI … Transfer of patient care between EMS providers and receiving facilities.
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psnet.ahrq.gov/node/38239/psn-pdf
November 19, 2008 - Postmarket Drug Safety Information for Patients and
Providers. … https://psnet.ahrq.gov/issue/postmarket-drug-safety-information-patients-and-providers
This Web site … https://psnet.ahrq.gov/issue/postmarket-drug-safety-information-patients-and-providers
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psnet.ahrq.gov/node/49445/psn-pdf
May 01, 2004 - In this situation, the hospital, emergency room, and individual providers can be liable for
such actions … Many providers, such as
emergency department, laboratory medicine, and anesthesia staff, will likely … It is not clear whether these
components existed, were available, or were known to providers involved … In the event that no policy or procedure is extant, providers should
contact their general counsel to … Hence, in this case, providers should not have transfused the patient on both ethical and legal grounds
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - Once providers are in the network, we have requirements around reporting critical events. … We often see a different picture of care in a way that individual providers may not. … Sarah Mossburg: Are there any standard types of information you share with hospitals or providers? … A health plan may then build that into quality improvement programs with network providers. … These measures are similar to those used by providers.
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - Once providers are in the network, we have requirements around reporting critical events. … We often see a different picture of care in a way that individual providers may not. … Sarah Mossburg: Are there any standard types of information you share with hospitals or providers? … A health plan may then build that into quality improvement programs with network providers. … These measures are similar to those used by providers.
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - Proactively Refer to Psychiatrists Although many primary care providers do a wonderful job of caring … It is essential that primary care providers are aware of the common pitfalls and errors, can recognize … Primary care providers may be in a unique position to recognize an impending suicide attempt: twice as … many suicide patients contacted their primary care providers compared to mental health providers in … Contact with mental health and primary care providers before suicide: a review of the evidence.
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - It may include clinical care services, education for both patients and providers, and public health or … Using these remote and virtual capabilities can reduce the number of providers that need to come into … First, providers need to understand the limitations of delivering care remotely and the implications … Health Insurance Providers Respond to Coronavirus (COVID-19). AHIP Blog. … Some providers do that anyway, but this current milieu has forced providers to think more strategically
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psnet.ahrq.gov/node/39448/psn-pdf
May 20, 2015 - A Patient Safety Handbook for Ambulatory Care
Providers. … https://psnet.ahrq.gov/issue/patient-safety-handbook-ambulatory-care-providers
This guide offers tools … https://psnet.ahrq.gov/issue/patient-safety-handbook-ambulatory-care-providers
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - As illustrated in this case, providers often have limited time to care for their complicated patients … This is the perhaps the most misunderstood limitation of DNR orders among providers and
even patients … Though many providers
worry about time constraints, effective discussions can occur in as little as … .(13) Targeted training
programs have also been developed to teach providers these best practices.(14 … an acute event, to prevent confusion about the plan of care and distress for families and
providers
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psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - The team says that the program should operate as an extension of a patient’s primary care
providers, … with clear communication between all providers and a consistent course of treatment. … Patients noted that the reassurance provided
by the home visit providers was valuable. … Training for referring providers and the care coordination team that addresses strategies for working … Home visit providers should be prepared to deliver strategies for helping the patient
population with
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - Many health care systems require EMS providers to radio the receiving ED prior
to arrival. … In the case of an unstable patient, as
determined by the EMS providers or by the triage nurse, EMS providers … Contact information for referring providers, if available, should be
conveyed. … Information transfer from prehospital to ED health care providers. … During the transition in care, verbal signout from ED providers to inpatient providers should
include
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
March 01, 2009 - case highlights potential for lost information at the EMS-to-ED transition
Many systems require EMS providers … EMS-to-ED handoffs
Formal face-to-face verbal report on the patient should be required of EMS providers … Information transfer from prehospital to ED health care providers. … Errors during the ED-to-Inpatient Handoff
In survey, 29% of emergency and internal medicine providers … diagnoses are necessarily uncertain at best; this uncertainty is not always appreciated by admitting providers
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - this case, the delayed diagnosis of myasthenia gravis is illustrative of common challenges faced by providers … As a backup, most EHRs have a system of sending alerts directly to providers to notify them of new results … The subsequent diagnostic plan is only as good as this story that providers tell themselves and each … for increased seizure frequency, then her pre-existing medical problems create a fog that may blind providers … hand-offs are both verbal and written, so when this child transitioned from the ICU to the ward, the providers
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - Many health care systems require EMS providers to radio the receiving ED prior to arrival. … In the case of an unstable patient, as determined by the EMS providers or by the triage nurse, EMS providers … Contact information for referring providers, if available, should be conveyed. … Information transfer from prehospital to ED health care providers. … During the transition in care, verbal signout from ED providers to inpatient providers should include
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - As illustrated in this case, providers often have limited time to care for their complicated patients … This is the perhaps the most misunderstood limitation of DNR orders among providers and even patients … Though many providers worry about time constraints, effective discussions can occur in as little as 15 … .( 13 ) Targeted training programs have also been developed to teach providers these best practices.( … an acute event, to prevent confusion about the plan of care and distress for families and providers.