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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_tools.docx
August 03, 2017 - Environmental risks (e.g., hooked up to IV). … Educates patient/family about fall risk factors. … Environmental risks (e.g., hooked up to IV). … CNA
Reports any new fall risks to nurse.
Keeps environment around bed clutter free. … Reviews medications for fall risk.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … In some cases, the risk factors will vary depending on the hospital unit, so the risk factor assessment … For risk factor assessment to make a difference, all risk factors identified on the risk factor assessment … Ensure that the care plans address all areas of risk. … For each patient, determine the patient's identified risk factors.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-4-ef.pdf
January 01, 2015 - Measure: Behavioral Health Risk Assessment for Pregnant Women
Measure: Behavioral Health Risk
Assessment … Numerator Denominator Exclusions Data Source(s)
Patients who received all
behavioral health screening
risk
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - Does the risk assessment tool include a Braden Scale or modified Braden Scale score? … Was the patient identified on admission as being at risk for pressure ulcer development? … Provider orders special diet within 24 hours of risk identification
g. … Provider orders special diet within 24 hours of risk identification
h. … how to evaluate the performance of standardized risk assessment.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … to verify the system encourages healthy, risk-reducing behaviors. … To achieve optimal outcomes, organizations must design robust systems that minimize risks. … It is critical to reinforce behaviors that will reduce risk and deter behaviors that increase risk.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - The VTE risk assessment and bleeding risk assessment are ideally performed quickly and concurrently when … the choices for that combination of risks are presented directly to the provider, without interruption … the risk designation. … Completion of the VTE risk assessment, risk level, and alignment with protocol guidance was explicitly … Risk-appropriate prophylaxis options were presented on declaration of VTE risk level, with dosing guidance
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Rounding on high-risk patients. … You may want to obtain or develop general informational materials for patients about the risks and potential … Patient and family are notified if skin or risk changes. … Skin and risk need to be assessed, care planning is needed to address that risk, and someone has to ensure … First, consider how information about pressure ulcer risks is conveyed in handing off patients to other
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - knowledge of pressure ulcer prevention, analyze patient care processes to identify where there are risks … All patients are at potential risk of developing pressure ulcers
2. … My clinical judgment is better than any pressure ulcer risk assessment tool available to me
… Interest or requirement in the project
What the project needs from stakeholder
Perceived attitudes and risks … Project Background (keep this brief)
General aims
Initial Risks
Expected Outcomes
Benefits of
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
January 01, 2024 - to high risk status. … factors and active
bleeding or obvious bleeding risks. … to high risk, and 11% were at very high VTE risk. … with medium-risk characteristics, and 19% were in the high-risk category. … The
distribution of VTE risk, severity of illness, and patient days of the population at risk were
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/overview.html
July 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … non-indicated conditions. 2,3,4 The use of antipsychotics in children and adolescents can increase the risk … which can have serious implications for future health outcomes. 6,7,8 Additionally, there are serious risks … cardiac arrhythmias, extrapyramidal side effects, sedation, and somnolence. 9
Despite known health risks … provided a trial of psychosocial treatment may unnecessarily incur the metabolic and physical health risks
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - Point of Care Tools
ASCVD Risk Calculator app
NIH Heart attack assessment tool
Point of Care Tools (2 … Patient is at a high risk for bleeding (i.e. GI hemorrhage, bleeding disorders documented). … Benefits usually outweigh the risks for secondary prevention. … The ASCVD Risk Estimator provides easy access to recommendations specific to the risk estimates produced … the most current evidence on bleeding and aspirin use to derive a patient’s likely benefits and risks
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
January 01, 2013 - Here are some other risks:
An IV pole could cause a patient to trip. … Slide 25
SAY: A risk score of 50 puts this patient at risk for a fall. … risks, such as mobility challenges, medications, mental status, and continence needs. … the patient and family (if possible), and key risks and interventions are checked on the paper tool shown … to have a dedicated care plan form within the medical record to help make staff aware of a patient’s risks
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - Follow-up Study on CPOE and Medication Errors
A direct comparison of error-risks associated with old … 22 errors
risks, and reduced the likelihood of seven others. … However, nine error risks remained
unchanged, three were addressed but offsetting error risks emerged … , two error-reducing
functions were eliminated, and six new error risks were introduced. … The new CPOE remedied some of its
predecessor’s error risks, but several remain, and new ones were
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
November 01, 2019 - Availability of Specialty Care for High-Risk Pregnant Women.
3. … Risk factors identified to be
associated with high-risk deliveries (e.g., hypertension, delivery of … We suggest availability of multidisciplinary
care for high-risk pregnant women who are at risk of significant … maternal-fetal
10
monitoring (Dennis, Solnordal, 2012), and evaluation of maternal-fetal risks … Buist, 2010; Gentile, 2010)), pharmacological therapy should
be individualized with consideration of risks
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ce.effectivehealthcare.ahrq.gov/nursing-home/resources/occupational-health-safety.html
June 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … sections that teach health workers how they can protect themselves and others from the occupational risks … Sub-topic areas include infectious risks to health and safety; physical risks to health and safety; psychosocial … risks to health and safety; and basic occupational health and safety in health services.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk … The index comprised three subscales: (1) the inherent risk of the drug
being infused, (2) the risk associated … Focus on highest risk errors. … Medication errors: Causes, prevention,
and risk management. … PCA presents serious risks. APSF
Newsletter 2005; 20: 33.
31. Cohen MR.
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk was reduced? … Slide 28: How Will You Know Risks Were Reduced?
Ask:
Do staff know about the interventions? … Do staff believe risks were reduced?
Make data-driven metrics the goal whenever possible. … Slide 29: How Will You Know Risks Were Reduced?
Identify how you will measure success. … Slide 30: How Will You Know Risks Were Reduced?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
November 15, 2017 - factors are important for falls so that they are more sensitive to changes in these risks and to helping … us identify residents whose risks are changing and to alert Nurse Managers earlier. … Facilitator: Sally [Nurse Manager B], do you use a standardized assessment tool to assess resident risks … Focusing our team discussions on those residents with new and changing risks seems like it would allow … The Falls High-Risk Report is definitely helping us identify residents with risks associated with falls
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - Modeling behaviors to minimize device risk is crucial. … team members by—
Sharing patient stories about where harm was averted
Explaining the significant risks … of aspiration (lower risk of VAP). … respiratory therapists, and other disciplines on following standard processes and reducing infection risks … This includes evaluating the device risk and necessity.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk is reduced? … Do staff members believe risks were reduced? … Slide 44: How Will You Know Risks Were Reduced? … Slide 45: How Will You Know Risks Were Reduced?
Image. LFD Tool Step 4. … Post the stories of reduced risks (with data!).
Share with others.