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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapt.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … SIR predicted infection risk better than the basic risk index for the procedures that we examined. … We hypothesize that improved risk adjustment is due to consideration of these extra risk factors. … Given its inferior risk stratification performance, the basic risk index should no longer be used when
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
May 01, 2013 - ● Rates of cesarean delivery for women without other risk factors can be influenced by the number … College of Obstetricians and Gynecologists
(ACOG).7 The 2013 ACOG Committee Opinion cites evidence of risks … than vaginal birth, including risks to mothers and children, and
only 4 dimensions where vaginal birth … had greater risk than cesarean delivery.8
Advantages of the Measure
● This measure is specified to … Comparing risks of cesarean and vaginal birth to mothers, babies, and
future reproductive capacity: a
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
January 01, 2017 - For patients intubated at least 72 hours, CSS resulted in a relative risk reduction of VAP of 30 percent … Finding showed that SSD reduced incidence of VAP (relative risk = 0.56, confidence interval: 0.42 to … With the relative risk reduction at 50 percent of the base-case estimate, SSD-ETT resulted in $1,924 … CASS was the only significant protective factor (relative risk, 0.40; 95% confidence interval, 0.16 to … SSD significantly reduced incidence of VAP (relative risk [RR] 0.56, 95% CI: 0.45 to 0.69, p=(0.00001
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table2.pdf
January 01, 2011 - Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
Hypertension is a risk … particularly hypertension), and early deaths
resulting from heart disease or stroke, to
assess the risks … Risk factors and risk behaviors accelerate the
development of atherosclerosis, and risk
reduction delays … culminates in thrombosis,
III Expert Panel on Integrated
Guidelines for Cardiovascular
Health and Risk … on Integrated Guidelines for
Cardiovascular Health and
Risk Reduction in Children
and Adolescents:
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar5_falls_measuringratespractices.pdf
January 01, 2013 - 5
Types of Falls
Accidental falls
May be caused by—
• Extrinsic environmental risk factors or … preventability.
6
Types of Falls
Anticipated physiological falls
May be caused by—
• Known fall risks … Falls
Unanticipated physiological falls
May be caused by—
• Factors associated with unknown fall risks … • Make sure the individualized care plan is
tailored to the patient’s fall risk factors. … Factors
– Tool 3H: Morse Fall Scale for Identifying Fall Risk Factors
– Tool 3I: Medication Fall Risk
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - Does information exist to identify residents at risk?
How can this information be used? … preventing adverse events
Proactive rather than reactive
Identify residents with recent changes
in risks … Profile risks for each resident in report
Prioritize residents for possible changes to their treatment … Worksheet
Each Self-Assessment Worksheet is designed to help nursing home staff review how they:
Screen for risks … Mitigate those risks.
Prioritize residents who may need care plan changes.
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ce.effectivehealthcare.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - of the patient population, specifically whether—as a group—patients in one facility are at greater risk … Risk adjustment is a complex statistical enterprise. … [1] [2]
Why adjust for risks or severity? … Most common risk adjustments—for age, prior medical history, or comorbidities—are considered a good idea … Risk Adjustment for pediatric quality indicators.
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ce.effectivehealthcare.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
September 01, 2013 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Safety and Adverse Events
Chlorhexidine (CHG) Risk
The risks associated with the use … chest; swelling of the mouth, face, lips, or tongue), but it has occurred so rarely that the actual risk … Nasal Mupirocin Risk
The risks associated with use of nasal mupirocin include mild side effects of
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
July 28, 2016 - Description
This tool provides discharge planners with a set of prompts to identify readmission risks … and to take steps to ensure those risks are addressed in the transitional care (discharge) plan. … message from this person-centered view of readmissions is that no single issue defines readmission risk … Take a “whole-person” view of transitional care and ongoing care needs to better identify not only risk … team from the outpatient setting.
2
Whole-Person Care Transitional Planning Tool
3
Readmission Risks
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/03-diagnostic-safety-infographic.pdf
August 01, 2021 - Improve
Diagnostic Safety strategy.
1- CRICO Strategies, 2014 Annual Benchmarking Report: Malpractice Risks … Medical Institutions; 2015. https://
www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process … To Improve Diagnostic Safety
https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
October 01, 2016 - dialogue between nurses or prescribing clinicians and residents’ family members about antibiotics and the risks … points are designed to: (1) educate residents’ family members about antibiotics and the associated risks … However, watchful waiting is a good way to make sure that your family member avoids the risks of antibiotics … What are the risks—or harms—of antibiotics? … What is our nursing home doing to decrease the chance of these risks?
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi5.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … eight additional potential risk factors. … Thus, 41 potential risk factors were included.
E3.5.1. … different in the list of significant risk factors.
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ce.effectivehealthcare.ahrq.gov/hai/tools/cauti-hospitals/toolkit-impl.html
October 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Poster on Urinary Catheter Risks and Indications ( PDF , 570 KB) (Appendix E of Toolkit for Reducing … Tract Infections in Hospital Units: Implementation Guide)
Educate and motivate staff regarding the risks … Risks of overuse of urine culturing are also covered in this tool. … Archived Webinars
Building a Team and Process to Reduce CAUTI Risk (April 8, 2014) Accessible ( Microsoft
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - Does information exist to identify residents at risk?
How can this information be used? … preventing adverse events
Are proactive rather than reactive
Identify residents with recent changes in risks … Profile risks for each resident in report
Prioritize residents for possible changes to their treatment … Worksheet
Each Self-Assessment worksheet is designed to help nursing home staff review how they:
Screen for risks … Mitigate those risks.
Prioritize residents who may need changes to care plans.
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ce.effectivehealthcare.ahrq.gov/innovations/will-work/index-tools.html
February 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … topics in this section
Innovations
Downloadable Databases
Connecting Those at Risk … Medicaid ROI Calculator
Center for Health Care Strategies http://www.chcsroi.org
Potential Risks … //idcontent.bellevue.edu/content/BELLEVUE/generic/SWOT_healthcare/
Identify, assess, and manage risks … /Portals/0/Documents/2005-sme-risk-management-guide-global-risk-alliance-nsw-dsrd.pdf
Readiness for
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2023.xlsx
January 01, 2023 - ID 684 28.3% 18
Education, Visible risk ID 670 27.7% 19
Non-slip wear, Visible risk ID 647 26.8% … ID 1,594 15.9% 18
Low bed, Visible risk ID 1,415 14.1% 19
Items in reach, Visible risk ID 1,414 14.1% … ID 596 30.2% 18
Low bed, Visible risk ID 581 29.4% 19
Education, Visible risk ID 544 27.6% 20
Top … Non-slip wear, Visible risk ID 1744 31.0% 19
Low bed, Items in reach, Visible risk ID 1677 29.8% 20 … ID 2253 33.3% 17
Education, Visible risk ID 2126 31.4% 18
Non-slip wear, Visible risk ID 2098 31.0%
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ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/informed-choice.html
May 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Literacy and Cultural Competence updates
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 … presenting choices comprehensively, engaging patients and families, and explaining benefits, harms, and risks … University Health System Used AHRQ Tools
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
April 16, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Relationship Between Electronic Nicotine Use and General Health
February 27, 2024
Bleeding Risks … Catalyze Staff Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk … in Training for Learning Health Systems Scientists
January 16, 2024
Researchers Identify Risk … Related to Falls
October 17, 2023
New Data Resources Provide Insights Into Patient Safety Risks
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/index.html
April 23, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Relationship Between Electronic Nicotine Use and General Health
February 27, 2024
Bleeding Risks … Catalyze Staff Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk … in Training for Learning Health Systems Scientists
January 16, 2024
Researchers Identify Risk … Related to Falls
October 17, 2023
New Data Resources Provide Insights Into Patient Safety Risks
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - We present a plan to help teams that
include RPs address risks related to invasive devices in the hospital … whereas a subclavian CVC has lower
infection risk but poses an increased risk for pneumothorax. … members by—
o Sharing patient stories about where harm was averted
o Explaining the significant risks … respiratory therapists, and other disciplines on following
standard processes and reducing infection risks … Analysis and considerations of options and risks.