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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - October 2017
On-Time Falls Prevention
8
Falls High-Risk Report:
High-Risk Criteria
Risk criteria identified … Report:
High-Risk Criteria
Risk determined based on a combination of the following elements:
Presence … risk factors
October 2017
On-Time Falls Prevention
10
Rules for Determining High Risk
Rule #1: … Rule #3: High Risk Based on New Contributing Risk Factor Within 7 Days:
Residents will be flagged as … Risk Factors Report.
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
January 01, 2011 - patients
Present five key strategies for improving detection of medical errors and preventing high-risk … population
Nearly 25 million people in the United States (8.6%) are defined as LEP and therefore at risk … Patient Safety, Quality, and Cost Drivers
Greater risk of line infections, surgical infections, falls … longer hospital stays compared to English-speaking patients with the same clinical condition
Greater risk … of activities and strategies can help hospital leaders initiate an agenda to address patient safety risks
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cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-detail-aid.pdf
April 01, 2016 - patients’ risk of CV endpoints. … Framingham Risk Score
(Global CVD)
+ Diabetes mellitus
Reynolds Risk Score + C-reactive protein (CRP … Risk Score for men. … Calculating cardiovascular risk for primary prevention
ASCVD Calculator
Framingham Risk Score(ATP-III … calculator)
Framingham Risk Score(Global CVD)
Reynolds Risk Score
References
Acrobat
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cahps.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-guide.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Discuss benefits/risks/costs.
Clarify patient's values/preferences. … Patients having more accurate expectations of possible benefits and risks. … Clearly communicate risks and benefits of each option. … "When you think about the possible risks, what matters most to you?"
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cahps.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - But there is only limited understanding of such risk factors currently. … Health Care Leaders and Professionals
Many individuals do not understand the benefits, harms, and risks … that hospitals and clinical teams can use to ensure that people understand the benefits, harms, and risks … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … These skin lesions bring pain, associated risk for serious infection, and increased health care utilization
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - these risk factors in a way that would give us changes in risk factors during their stay. … We need information on a weekly basis to identify how risks are changing but we can’t expect to pull … X
X
Weekly risk meetings
(e.g., pressure ulcer healing risk or nutrition risk)
Multidisciplinary … The purpose of using the reports is to identify persons with risks associated with pressure ulcers, review … Reports provide information about current and changing risks for pressure ulcer healing and can aid root
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Baseline
Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted
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cahps.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - Miller’s team is studying the role of the ambulatory care environment in elevating the risk of a CVD … That’s because the widely used Framingham risk score—an algorithm used to estimate a person’s 10-year … cardiovascular risk—is based on a long-term ongoing study of mostly older, white men, Dr. … “How does that account for cardiovascular risk factors in young, Black female patients?” she asks. … A broader, systems-based approach to addressing CVD risk factors also might include assessing whether
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
December 15, 2016 - huddle
Weekly risk huddle of Nursing and Rehab
Weekly wound review meetings
Weekly … risk meeting
On-Time Pressure Ulcers at Risk for Delayed Healing Report
Care plan meeting … management meeting
Root cause analysis for new pressure ulcers or pressure ulcers at risk for … delayed healing
Skin rounds
Weekly nutrition risk huddle
Weekly risk huddle for Nursing … and Rehab
Weekly wound review meetings
Weekly wound rounds
Weekly risk meetings
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cahps.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
June 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Describe strategies that reduce the risk of collecting contaminated microbiologic samples.
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cahps.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … involvement of human subjects and proposed protections according to the following review criteria:
Risk … Adequacy of protection against risks. … various reasons, some related to the claims about the research protocol (e.g., for exemption or the risk … inadequate procedures to maximize privacy and confidentiality or subjects not adequately informed about risks
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cahps.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - High-Risk Settings and Situations .
Added Risk for LEP Patients . … Learning Objectives:
Understand the evidence on patient safety risks to LEP patients. … Ask participants: What are the risks in this situation? What was handled well? … Discussion:
What are the risks to the patient in this scenario?
What could go wrong? … Team goals, plans, and risks—what is to be accomplished, who will do it, and what the potential risks
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Prevention Practices
Tool 5C: Assessing Comprehensive Skin Assessment
Tool 5D: Assessing Standardized Risk … Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission … Determine whether there is any documentation of the completion of the standardized risk assessment. … For each patient, determine on which dimensions of the standardized risk assessment there was a score … Calculate the percentage of abnormally scored dimensions of the standardized risk assessment that are
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cahps.ahrq.gov/teamstepps/lep/traintrainers/lepslstafftrain.html
July 01, 2018 - English Proficiency Slide 2: Overview/Objectives Slide 3: The Story of Willie Ramirez Slide 4: High-Risk … Settings and Situations Slide 5: Added Risk for LEP Patients Slide 6: LEP Patients in Your Clinical … Return to Contents
Slide 4: High-Risk Settings and Situations
ED.
OB/GYN.
Surgery. … Return to Contents
Slide 5: Added Risk for LEP Patients
Not using a professional interpreter: … Return to Contents
Slide 8: "Opportunity" Scenario
What are the risks in this scenario?
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cahps.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - Boothman, J.D., Executive Director, Clinical Safety and Chief Risk Officer, University of Michigan Health … ARM, formerly with the University of Illinois-Chicago and now Director, Office of Patient Safety and Risk … Scott, Ph.D., R.N., Manager of Patient Safety and Risk Management, University of Missouri
Kelly M. … Driver, J.D., M.B.A., CEO of The Risk Authority Stanford and Chief Risk Officer of Stanford Health Care … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention, Assistant Vice Chancellor
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cahps.ahrq.gov/patients-consumers/patient-involvement/index.html
November 01, 2016 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Patients and families who engage with health care providers ask good questions and help reduce the risk
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cahps.ahrq.gov/health-literacy/publications/ten-attributes.html
January 01, 2024 - Addresses health literacy in high-risk situations, including care transitions and communications about … The AHRQ Academy Playbook on Integrating Behavioral Health in Primary Care
Toolkit to Engage High-Risk … Addresses health literacy in high-risk situations, including care transitions and communications about … High-risk decisions, situations, and transitions demand more attention to health literacy. … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation: High-Risk
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cahps.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … These skin lesions bring pain, associated risk for serious infection, and increased health care utilization … 3.3 How should a standardized pressure ulcer risk assessment be conducted?
… 3.4 How should pressure ulcer care planning based on identified risk be used?
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - of error.12
· The risks and benefits of low- versus. high-dose oxytocin protocols remain an active … The use of standard NICHD nomenclature17,18,19 reduces confusion and risk of error. … · Use unit-established process for conveying risks and benefits of oxytocin use to patient and family … Verifying and documenting indications for use (continued)
discussion with patient of risks and benefits … and documentation of the discussion about risks, benefits, and alternatives should be documented to
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cahps.ahrq.gov/evidencenow/projects/heart-health/research-results/research/member-survey-nw.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … readiness for change, practice readiness for change, respondent characteristics, CVRC, and estimating ASCVD risk