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21. Tool 3I: Medication Fall Risk Score and Evaluation Tools | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/medication-risk-score.html
    January 01, 2013 - calculated by (risk level score) x (number of medications in that risk level category). … Fall Scale for Identifying Fall Risk Factors," or 3G, "STRATIFY Scale for Identifying Fall Risk Factors … " ) to determine if a patient is at risk for falls and plan care accordingly. … Medication Fall Risk Score Point Value (Risk Level) American Hospital Formulary Service Class Comments … medication-related risk for falls.

22. Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/index.html
    April 01, 2018 - Research Findings & Reports Grantee Final Reports: Patient Safety Proactive Risk … Risk-Informed Interventions Chapter 4. Conclusions and Next Steps Appendix A. … assessment, to identify the realm of risk factors associated with surgical site infections resulting … factors identified by the proactive risk assessment. … ST-PRA Development     Overview of Sociotechnical Probabilistic Risk Assessment     Data Sources    

23. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
    January 01, 2013 - a system in place to ask the same key questions of each patient so that risks are not missed. … risks. … This includes planning for any risks found on the risk factor assessment tool, such as mobility challenges … for falls because the benefits outweigh the risks, but the important point is that fall risk was considered … The care plan helps all staff members to be aware of a patient's risks.

24. Executive Summary | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
    April 01, 2013 - Risk-Informed Interventions Chapter 4. Conclusions and Next Steps Appendix A. … To achieve a better understanding of how structural and process elements may affect the risk for SSIs … ST-PRA is particularly helpful for estimating risks in outcomes that are very rare, such as the risk … Step 2—Identify the dependencies and interactions among risk points. … Next Steps The use of ST-PRA as a modeling tool to identify risks in the ASC environment is an important

25. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
    April 01, 2018 - engineering tool that was developed in the 1970s to quantify risks and identify threats to the safety … It utilizes both quantitative and qualitative data to "map" the risks associated with adverse outcomes … In addition to helping establish the risks and finalize the inputs to the ST-PRA models, the literature … To assist with modeling the risks associated with SSIs in the ambulatory surgery setting, it was necessary … assessment models about the risks for acquiring an SSI in these settings and created the opportunity

26. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
    April 01, 2018 - Conclusions Open fracture or a history of diabetes both lead to a higher relative risk of a wound complication … Additional Risk Factors include prior VTE, age (patients >40 are at significantly increased risk compared … Risk factors were identified for SSI by case-control analysis. … Risks include effusions (12% or procedures), deep vein thrombosis (1.8%-46%), nerve injuries, and arterial … predicted 8.1%); High risk — tourniquet time >60 min (predicted 14.3%).

27. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
    December 15, 2023 - around workflows specific to the unique needs of older adults, including screening for opioid-related risks … implementation progress, the QI team monitored screening rates of older adults with opioid- related risks … /fall risk as their QI metric. … eligible patients following the initiation of the QI project and education for clinical staf about the risks … The request to introduce the embedded patient questionnaire to screen for other opioid-related risks

28. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
    April 01, 2018 - Study Strengths and Limitations ST-PRA is a valuable and important tool for assessing the risks associated … unique combinations of risks that contribute to the adverse outcome. … Return to Contents Next Steps The use of ST-PRA as a modeling tool to identify risks in the ASC … years, there have been a variety of methods and tools designed to improve our understanding of the many risks … and easier to use by health care providers as they attempt to improve system design and reduce the risks

29. Electronic Student Health Questionnaire (eSHQ) enhances risk assessment for adolescents | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/co-nm-specialinnovation.html
    August 01, 2015 - Problems Addressed Adolescence is a time when numerous risks to health emerge. 1 Failure to assess … these risks systematically can cause providers to miss opportunities to intervene and change risky behaviors … In general, discussing health risks with adolescents can promote healthy habits and improve care overall … Lack of electronic data makes it hard to track whether students’ risks have been addressed, both on an … Providers credited the eSHQ with facilitating discussions about risks with adolescents and referrals

30. Risk Assessment and Management of Exposure of Healthcare Workers in the Context of COVID-19: Data Template | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/nursing-home/resources/risk-assessment-management.html
    April 01, 2022 - Home Nursing Home COVID-19 Action Network Resources Catalog Risk … It can help determine the risk of COVID-19 virus infection of all health care workers who have been exposed … recommendations for appropriate management of these health care workers, according to their infection risk … Page last reviewed April 2022 Page originally created April 2022 Internet Citation: Risk … https://www.ahrq.gov/nursing-home/resources/risk-assessment-management.html  

31. Risk for COVID-19 Infection, Hosptialization, and Death by Race/Ethnicity | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/nursing-home/resources/risk-covid-infection.html
    August 01, 2022 - Home Nursing Home COVID-19 Action Network Resources Catalog Risk … Learning Modules Resources Catalog News Best Practice Summaries Risk … for COVID-19 Infection, Hosptialization, and Death by Race/Ethnicity Resource: Risk for COVID … Page last reviewed August 2022 Page originally created August 2022 Internet Citation: Risk … https://www.ahrq.gov/nursing-home/resources/risk-covid-infection.html  

32. Behavioral Health Risk Assessment for Pregnant Women | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pqmp/measures/risk-assessment-pregnant-women.html
    August 01, 2021 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Home Pediatric Quality Measures Program PQMP Measures Behavioral Health Risk … Measure Implementation & Quality Improvement PQMP Grantees Behavioral Health Risk … August 2021 Page originally created August 2021 Internet Citation: Behavioral Health Risk … https://www.ahrq.gov/pqmp/measures/risk-assessment-pregnant-women.html  

33. Tool 3G: STRATIFY Scale for Identifying Fall Risk Factors | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/stratify-scale.html
    January 01, 2013 - using the scale and then plan care to address those risk factors. … Development and evaluation of evidence based risk assessment tool (STRATIFY) to predict which elderly … Note that this scale may not capture the risk factors that are most important on your hospital ward, … STRATIFY Risk Assessment Tool Answer all five questions below and count the number of "Yes" answers … 1 = Moderate risk 2 or above = High risk Return to Roadmap Publication

34. Tool 5, The SHARE Approach Communicating Numbers to your Patients: A Reference Guide for Health Care Providers (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-5/share-tool5.pdf
    April 01, 2014 - Avoid explaining risks in purely descriptive terms (such as “low risk”).5 For example, say, “Studies … instead of relative risk.1 Absolute risk estimates the number of health events among individuals in … Communicating risks and benefits: an evidence-based user’s guide. Silver Spring (MD): U.S. … Strategies to help patients understand risks. BMJ 2003 Sep 27;327(7417):745-8. PMID: 14512489. 6. … What Are the Risks of Having a Stent? National Heart, Lung, and Blood Institute. http://www.nhlbi.

35. Tools To Help Mitigate Device Risk | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/phys-championsgd/section8.html
    October 01, 2015 - Tools Reducing CAUTI in Hospitals Modules Tools To Help Mitigate Device Risk … Physicians as Champions in Preventing Device-Associated Infections Tools To Help Mitigate Device Risk … Yes No   For High-Risk PVCs and CVCs Emergency placed line? … Resident Physician Device Risk Pocket Card   CUSP Toolkit The CUSP Toolkit includes training … Page originally created October 2015 Internet Citation: Tools To Help Mitigate Device Risk

36. Tool 4B: Staff Roles | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/staff-roles.html
    January 01, 2013 - 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.

37. Exhibit 12. Probability of an intervention reducing the risk of surgical site infection (SSI) by interventions targeting component failure points individually | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh12.html
    April 01, 2018 - Probability of an intervention reducing the risk of surgical site infection (SSI) by interventions targeting … Reports Making Healthcare Safer Reports AHRQ Research Studies Proactive Risk … Probability of an intervention reducing the risk of surgical site infection (SSI) by interventions targeting … Risk-Informed Interventions Chapter 4. Conclusions and Next Steps Appendix A. … Probability of an intervention reducing the risk of surgical site infection (SSI) by interventions targeting

38. Bleeding Risks Increase When Blood Thinners and Aspirin Are Taken Together | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/902.html
    February 01, 2024 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Home News Newsletter AHRQ News Now Bleeding Risks … Bleeding Risks Increase When Blood Thinners and Aspirin Are Taken Together Patients are at higher risk … thromboembolism, while aspirin may still be used to prevent primary cardiovascular events among high-risk … Surgical approach and reoperation risk in intermittent exotropia in the IRIS Registry.

39. Electronic Student Health Questionnaire (eSHQ) enhances risk assessment for adolescents: Special Innovation Feature, August 2015 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/co-nm-specialinnovation.pdf
    January 01, 2020 - Problems Addressed • Adolescence is a time when numerous risks to health emerge.1 Failure to assess … these risks systematically can cause providers to miss opportunities to intervene and change risky … In general, discussing health risks with adolescents can promote healthy habits and improve care overall … Lack of electronic data makes it hard to track whether students’ risks have been addressed, both on … • Providers credited the eSHQ with facilitating discussions about risks with adolescents and referrals

40. Appendix E. Poster on Urinary Catheter Risks and Indications (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-e.pdf
    September 01, 2015 - Poster on Urinary Catheter Risks and Indications AHRQ Safety Program for Reducing CAUTI in Hospitals … Poster on Urinary Catheter Risks and Indications ■ Acute urinary retention or obstr uction … Indicat ed for... ...and pa tients wi th urinar y catheters tend to stay in b ed, increasin g risk