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  1. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - of transition communication techniques assures a shared mental model of plan of care and perceived risks … Family Engagement (CUSP) Key Perinatal Safety Elements Examples/customizable components Discuss risks … Use unit-established process for conveying risks and benefits of magnesium sulfate use to patient and … Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus. … Patient comfort and education · Discuss risks and benefits of magnesium sulfate with patient and family
  2. cahps.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/nyc.html
    March 01, 2021 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … need to help their patients adopt the ABCS of cardiovascular disease prevention: A spirin in high-risk … Heart disease is the primary cause of death in the city, and prevalence of cardiovascular disease (CVD) risk … support ABCS-driven care Three expert webinars on topics related to evidence-based management of CVD risk … care practices [AcademyHealth, 2017] Using Practice Facilitation in primary care settings to reduce risk
  3. cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
    March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1 Human Error: Inadvertently completing the wrong … At-Risk Behavior: Choosing to behave in a way that increases risk where risk is not recognized, or … Reckless Behavior: Choosing to consciously disregard a substantial and unjustifiable risk. 1. … Slide 19: Managing Error and Risk 1 Human Error At-Risk Behavior Reckless Behavior … believed insignificant or justified Manage through: Removal of incentives for at-risk behaviors
  4. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - Medication affecting risk of falls Sedative and psychotropic medication, or medication with drowsiness … ”*: Number of higher risk patients: 8 Chart: full medication review requested? … For any of the 20 patients who are “higher risk”*: Number of higher risk patients: Chart: full medication … * In some wards all patients are counted as high risk, for other wards only some. … Completion Date for Plan Fall risk factor assessment is performed within 24 hours of admission
  5. cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … CULTURE Have leaders established methods to identify risks and provide employees opportunities to … FUTURE RISKS Are there other areas in the organization where this could happen?       … FUTURE RISKS Are there opportunities to improve trainings, competencies and orientation sessions
  6. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - Performance of care planning that addresses each risk factor identified during risk factor assessment … Slide 38 SAY: Risk assessment is the cornerstone of prevention. … Calculate the percentage of patients who have a completed risk score. … Slide 40 SAY: For a risk factor assessment to make a difference, all the risk factors identified in … Ensure that the care plan addresses all areas of risk.
  7. cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf
    September 01, 2021 - Consortium for Southeast Healthcare Quality Project Period: 2021-2023 Supporting cardiovascular risk … improvement (QI) capacity and improve cardiovascular health through implementation of evidence-based, risk … The project seeks to coordinate cardiovascular risk reduction efforts across the state to create efficiency … care practices and non-traditional providers of primary care across the state in a Cardiovascular Risk … The evaluation will assess the creation and utility of the Cardiovascular Risk Reduction Network of
  8. cahps.ahrq.gov/patient-safety/patients-families/index.html
    June 01, 2023 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings This toolkit … Research Summaries for Consumers These free research summaries discuss the benefits and risks of different
  9. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/lepguide/lepguide.pdf
    September 01, 2012 - First, awareness about safety risks for LEP patients may be low. … LEP patients should not be excluded from learning about uncertainty, risks, and treatment choices that … Understand patient safety risks to LEP and culturally diverse patients. 2. … Hospitals will highlight risks specific to their LEP population and work with unit staff to refine and … After describing the risks and benefits of the procedure, she asks if Mr. Hernandez understands.
  10. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - Risk can be minimized with solutions that integrate medication risk management efforts into transitional … risk management efforts into transitional care models. … to enhance communication between patients and families and their care providers, thus reducing the risks … Modeling Risk and Reducing Liability Through Better Communication and Teamwork. … examined, 78 percent involved an element of informed consent or SDM, primarily in the areas of treatment risks
  11. cahps.ahrq.gov/opioids/health-systems-research.html
    July 01, 2021 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … approaches to improve the use of screening for unhealthy alcohol use, brief intervention for those at risk … opioids and other substance use disorders Toward Safer Opioid Prescribing for Chronic Pain in High RiskRisk of Acute Asthma Associated With the Pediatric Use of Opioids. … Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations
  12. cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - Individual is not educated about potential risk and sees no value in established policies to prevent … Manage by: Removing incentives for at-risk behaviors. … Educate about potential risks. Redesign of system factors. … Risk management. … J Healthc Risk Manag. 2013;33(2):11-20. What are the Outputs from the Solutions Meeting?
  13. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
    May 01, 2015 - Department, Hospital Medicine, Social Work, Case Management, Behavioral Health, Palliative Care, Quality, Risk … Name: ____________________ Phone/Email: _____________________________ ED Care Plan Example 1 High-Risk … high potential for abuse] · [Medical ethics do not require prescribing a medication when you judge the risks … findings · 2 Chest CT Jan, Feb 2015, unremarkable · Stress Thallium Mar 2015, normal For Help With High-Risk … [date plan was created and/or last updated] Reason for Care Plan: · [short phrase to describe high risk
  14. cahps.ahrq.gov/news/newsroom/case-studies/201801.html
    April 01, 2018 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Chris Myers, R.N., B.S.N., the hospital’s risk manager and patient safety officer, explained that use … Myers said AHRQ’s program emphasizes the importance of accurately assessing the risk of falls for patients … “There had been some confusion as to whether identifying patients as ‘low fall risk’ was actually the … most accurate risk level for most patients,” he explained.
  15. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
    March 01, 2016 - Note: The current version of the AHRQ QI software does not have risk-adjustment capabilities when using … However, this tool includes information about risk adjustment that will be relevant when looking at … Identify populations at risk. 3. Calculate observed (raw) indicator rates. 4. … Risk adjust the indicator rates (where applicable). 5. … SAS* PSI_PROVIDER_2 .SAS* PDI_PROVIDER_2 .SAS* Calculates expected rates, risk- adjusted rates,
  16. cahps.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
    April 01, 2021 - needs-driven technical and culture-based solution for subcritical test results, management of high-risk … professionals to actively track subcritical test results (e.g., pulmonary nodules) and monitor high-risk … electronic registry for urology clinic staff to monitor men on active surveillance for prostate cancer risk … jirovecii pneumonia (PJP) prophylaxis patterns among patients with rheumatic diseases receiving high-risk … a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk
  17. cahps.ahrq.gov/research/findings/studies/index.html?page=480
    January 01, 2024 - (146) Rehabilitation (61) Research Methodologies (417) Respiratory Conditions (366) Risk … , Implementation Moga DC , Carnahan RM , Lund BC Risks and benefits of bladder antimuscarinics … This study evaluated the risks and benefits of drugs to reduce urinary incontinence that were used by … Risks and benefits of bladder antimuscarinics among elderly residents of Veterans Affairs Community Living … months during an eight and a half-year study, researchers found that symptom burden is an independent risk
  18. cahps.ahrq.gov/research/findings/studies/index.html?page=481
    January 01, 2024 - (146) Rehabilitation (61) Research Methodologies (418) Respiratory Conditions (367) Risk … , Implementation Moga DC , Carnahan RM , Lund BC Risks and benefits of bladder antimuscarinics … This study evaluated the risks and benefits of drugs to reduce urinary incontinence that were used by … Risks and benefits of bladder antimuscarinics among elderly residents of Veterans Affairs Community Living … months during an eight and a half-year study, researchers found that symptom burden is an independent risk
  19. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
    May 01, 2017 - To reduce the risk of errors, these medications require special safeguards such as the following: … The key safety elements are the following: • Discussing risks and benefits of oxytocin use for labor … Using the maintenance infusion to administer a bolus manually is a high-risk practice that should … transition communication techniques to ensure a shared mental model of plan of care and perceived risks … The key safety elements are the following: • Having unit-established processes for conveying risks
  20. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
    October 01, 2016 - in by providers for point-of-care service (see QI section for risk segmentation). … QI section for risk stratification description and Appendix for risk stratification tool). … Care and transition management of high- risk patients Care managers work with high-risk patients, … • Monthly high-risk team meetings to review lists of high-risk patients (e.g., who were in the hospital … goals for hypertension screening, and ▌pg. 10 checking coding to assure documentation of risks

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