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ahrqpubs.ahrq.gov/topics/b.html
Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk
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ahrqpubs.ahrq.gov/topics/l.html
Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk
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ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Antibiotics can cause harm to residents
High risk of side effects and adverse events. … Major risk factor for Clostridium difficile infection.
Driver of antibiotic resistance.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap5.doc
December 11, 2012 - , eye protection
· Assistant: Cap, mask, isolation gown and gloves, eye protection (if at risk
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - QI and patient safety during a time when
they experienced an increase in patient load and higher
risk … for more high-risk patients than ever before, so it is even
more crucial that we do things right…it’ … It is a safe way to deal with high-risk situations. … This variation created a risk
of both time lags in patient care and miscommunication
among the care … However, as one project leader soon recognized, “If
we’re going to do a [hemorrhage] risk assessment
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - QI and patient safety during a time when
they experienced an increase in patient load and higher
risk … for more high-risk patients than ever before, so it is even
more crucial that we do things right…it’ … It is a safe way to deal with high-risk situations. … This variation created a risk
of both time lags in patient care and miscommunication
among the care … However, as one project leader soon recognized, “If
we’re going to do a [hemorrhage] risk assessment
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
December 01, 2017 - Assessing Risk in Testing
We know that:
• The risk of an event is related to its frequency and the … • Balancing these two aspects of risk can be challenging. … • It is important to stay focused on office systems in managing risk. … Results
• The highest scores for “office total” show areas where staff have identified the
greatest risks … do not eliminate all errors.
• A failure to monitor automated processes may introduce patient safety risks
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ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … To achieve optimal outcomes, organizations must design systems that minimize risks. … It's important to reinforce behaviors that reduce risk and deter behaviors that increase risk. … All humans make mistakes, and it is important to differentiate between human error and at-risk behavior
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/ahrq-network-factsheet.pdf
February 01, 2022 - especially vulnerable, and their reliance
on nursing home staff put these essential workers at high risk
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - communication techniques taught in this module could have avoided placing this
patient at unnecessary risk … s unfolding event, no one assumes leadership for the case and the patient is
placed at unnecessary risk … At exactly that moment, the Triage nurse receives a call that a high-
risk patient in acute distress … This high-risk
patient ties up three nurses, two residents, and a covering attending obstetrician for … Instructor Comments
In this situation, the RN team leader becomes aware of a potential risk for the
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar6_falls_sustainingpractices.pdf
January 01, 2013 - specific
interventions
for fallers
Examples of Process Measures
Percentage of—
• Patients at risk … – For instance, reward unit staff the first time they
complete a fall risk assessment form correctly
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - systematic approach to generating RWE that would allow for a quicker confirmation of the benefits and risks … Benefits and risks across diverse clinical populations in diverse clinical settings, without imposing … systematic approach to generating RWE that would allow for a quicker confirmation of the benefits and risks … Benefits and risks across diverse clinical populations in diverse clinical settings, without imposing
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - diagnostic
performance should hence consider the broader context of value-based care, including quality, risks … .
7
EHRs can be useful for measuring both discrete (and perhaps relatively uncommon) events and risks … situations
Peer review
Morbidity and
mortality conferences
Adverse event or
incident reports
Risk … already conduct patient
surveys, interviews, and reviews of patient complaints to learn about safety risks … , infection control) has examined the potential of engaging
patients proactively to monitor safety risks
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - of transition communication techniques to ensure a shared mental model of plan of care and perceived risks … The process could include a discussion of risks and benefits of using continuous EFM versus intermittent
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - injuries.
14
14
Toolkit Approach
The Toolkit includes accurate, evidence-based, and effective risk … Risk identification and communication at the earliest possible time.
15
Toolkit Approach
The Toolkit … focuses on optimizing effectiveness of interventions by:
Tailoring interventions to address individual risk
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-midwest.pdf
November 01, 2017 - they need to help their patients adopt the
ABCS of cardiovascular disease prevention: Aspirin in high-risk … SMART: Behavioral Risk Factor Surveillance System
2 City and County Data. 2013.2 Health Resources and
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-northwest.pdf
November 01, 2017 - they need to help their patients adopt the
ABCS of cardiovascular disease prevention: Aspirin in high-risk … educational outreach
intervention learned about team-based implementation
of a cardiovascular disease risk
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-va.pdf
November 01, 2017 - they need to help their patients adopt the
ABCS of cardiovascular disease prevention: Aspirin in high-risk … Between Practice Ownership or
Affiliation With Baseline Performance on Addressing
Cardiovascular Risk
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
August 28, 2012 - Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … , quantitative measures to evaluate can include the falls rate and the number of patients with fall risk … Solutions that are simple and designed with very little risk of failure contribute to the success of
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Emergency Department Visits helps nursing homes
with electronic medical records identify residents at risk … for falls and to outline recommendations for the
nursing management of patients at risk for falls or … Braden Scale for Predicting Pressure Sore Risk
https://www.in.gov/health/files/Braden_Scale.pdf
This … rating scale for nurses and other healthcare providers predicts a patient’s level of risk for
developing … Braden Scale for Predicting Pressure Sore Risk
3. Daily Skin Care Flow Sheet
4.