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monahrq.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
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
September 18, 2014 - Statin drugs decrease CVD illness and
mortality in people at high risk. … project is to understand these disparities and improve the
appropriate use of statins among all high risk … who reached out to patients by phone and mail to promote awareness of
the patient’s personal CVD risk … address this risk? … Barriers to at risk patients starting a statin regiment include:
– Primary care clinicians focus
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepslhandouts.pdf
July 25, 2012 - for
Patients With
Limited English Proficiency
Overview/Objectives
Understand the safety risk … teen
$71 million lawsuit
2 TeamSTEPPS LEP Patient Safety | Essentials
Essentials
High-Risk … Surgery
Transitions in care, including intake and discharge
Medication reconciliation
Added Risk … history
Latex allergy almost missed before surgery
“Opportunity” Scenario
What are the risks
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monahrq.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Appropriate use of DXA scans in women under 65 years who do not meet the risk factor profile for osteoporotic … Percentage of all cardiac stress imaging performed for initial detection and risk assessment in patients … who are asymptomatic and at low risk for coronary heart disease. … However, with the exception of a few high-risk procedures, researchers have not yet determined the exact
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Are governance/senior leaders regularly and thoroughly briefed on risks and hazards?
b. … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings?
f. … Comments
Leadership and Culture
Are governance/senior leaders regularly and
thoroughly briefed on risks … Are patient safety risks, hazards, and opportunities
discussed and documented at board meetings? … There is strong consensus that
improved communication between providers and patients about risks to
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Recommended Practice: Assess risk factors
• Determine which pediatric patients are at increased risk … o High-risk surgery (e.g., emergent and prolonged procedures, open vs. laparoscopic). … • Use nasogastric tubes selectively since they can increase the risk of aspiration. … Development and validation of a risk calculator
predicting postoperative respiratory failure. … Postoperative pulmonary complications: an update on risk assessment and
reduction.
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monahrq.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
September 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … a digital healthcare tool to help breast cancer patients better understand their treatment options, risks … providers can use artificial intelligence (AI) to identify which cardiac disease patients are most at risk … Decision Precision+ , pulls electronic health record (EHR) data to provide individualized benefit and risk
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - 1 = Moderate risk
2 or above = High risk
3H: Morse Fall Scale for Identifying Fall Risk Factors … 25-45: Moderate risk
>45: High risk
______
* Weak gait: Short steps (may shuffle), stooped but able … 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 … medication-related risk for falls.
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monahrq.ahrq.gov/data/visualizations/prevalence-fh-mfd.html
October 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … or multifactorial dyslipidemia), type of lipid, cohort, age, sex, race/ethnicity, BMI percentile, or risk … Abbreviations: CARDIAC = Coronary Artery Risk Detection in Appalachian Communities; CI = confidence … CARDIAC: A cardiovascular risk detection screening program including evaluation for obesity, dyslipidemia … Recruited middle schools from seven different geographic areas with student populations at increased risk
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pptx
November 19, 2008 - In addition, they place the ad hoc interpreter at risk for psychological harm. … Ask participants: What are the risks in this situation? What was handled well? … Assertion, Advocacy, and Conflict Resolution
DO:
Read the scenario.
11
DISCUSSION:
What are the risks … …I’m uncomfortable…This is a safety issue…” it means that we need to pause and make sure no safety risks … Team goals, plans, and risks—what is to be accomplished, who will do it, and what the potential risks
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Hot water and soap may dry the skin and increase the risk for pressure ulcers.
5. … A low Braden score is associated with increased pressure ulcer risk.
44. … Hot water and soap may dry the skin and increase the risk for pressure ulcers.
True
5. … A low Braden score is associated with increased pressure ulcer risk.
True
44. … Does the education provided address risk assessment tools and procedures?
7.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - Routinely assessing patient risk during this period is critical to facilitate tailoring
appropriate … If left
unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … Consider
using a pharmacist for complex medication regimens or high-risk patients. … • Advise high-risk patients to let the primary care practice know if they are thinking about
going … Risk
stratification may help practices more efficiently allocate resources to high-risk patient groups
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - equipment
and devices.1
• Pressure ulcer rates are high in children, particularly those with high-risk … from 2.4 to 7.7 per 1,000
pediatric discharges (across all children).2-4 In subgroups at particular risk … (3.5 times the odds of children without the complication), even after
adjusting for numerous other risk … documentation record for the completion of a
total skin assessment and risk assessment.11,12 … Risk assessment & prevention of
pressure ulcers 2011 supplement. Toronto, ON: RNAO; 2011.
11.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide_slides.pptx
November 01, 2016 - Pressure Ulcer Healing Reports
1
Electronic Reports
Existing Pressure Ulcers Report
Pressure Ulcers at Risk … is >10 days prior, the following values will be blank:
Ulcer status
Number of treatment changes
At risk … Initial Ulcer Stage Most Recent Assess Ulcer Stage Ulcer Origin Ulcer Status # TX Order Changes At Risk … for Delayed Healing Report
November 2016
Pressure Ulcer Healing
26
On-Time Pressure Ulcers at Risk … Were these residents identified as at risk for delayed healing of their pressure ulcers?
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - Checklists help to facilitate safety in high-complexity, high-risk, and high-reliability professions … sections
Slide 9
SAY:
The preoperative briefing reviews the plan ahead for patient care and the risks … .18-21
· Individual risk factors predict some occurrences of obstetric hemorrhage.
· Risk assessments … These include—
Having situational awareness about maternal and fetal risks and status. … during transitions of care helps to assure a shared mental model of the plan of care and perceived risks
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monahrq.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The toolkit provides ways to educate residents and their family members about antibiotics and the risks … is a handout that can be given to residents to provide basic information about antibiotics and their risks … Need Them Can Cause More Harm Than Good is a handout that can be given to residents to explain the risks
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - Assessment at
Admission and Daily
Evaluate all patients for pressure ulcers and pressure
ulcer risk … (using Braden Scale or other tool) upon
admission and every 24 hours thereafter, using valid
risk … o Agrees on the use of a standard risk assessment tool (for example, Braden Scale);
facilities may … ulcer risk assessment will be used as the standard in your
organization. … Risk assessment & prevention of
pressure ulcers.
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monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - When Possible
Say:
The preoperative briefing reviews the plan ahead for patient care and the risks … Risk assessments may include the presence of clinical conditions that increase risk of hemorrhage, or … Risk assessment can then determine the unit’s process for patients based on level of risk, for example … These include—
Having situational awareness about maternal and fetal risks and status. … during transitions of care helps to assure a shared mental model of the plan of care and perceived risks
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
June 05, 2016 - Note: The current version of the AHRQ QI software does not have risk-adjustment capabilities. … However, the tools described below include information about risk adjustment that will be
relevant when … The “trend-observed,” “trend-observed-expected,” and “trend-risk-adjusted-
smoothed” worksheets can be … The “trend-risk-adjusted-smoothed” worksheet can be used to compare the risk-
adjusted rate and smoothed … The “trend-risk-adjusted-average” worksheet can be used to track how a hospital’s
performance on an
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monahrq.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
August 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … issues such as hypertension, obesity, and diabetes, they were significantly more vulnerable to the risks … important ground by exploring how differences in job characteristics and household composition impacted risks … In contrast, workers in office-based jobs who are able to work remotely have a significantly lower risk