-
monahrq.ahrq.gov/hai/clabsi-tools/appendix-5.html
March 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … protection
Assistant: Cap, mask, isolation gown and gloves, eye protection (if at risk
-
monahrq.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.html
January 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … emergency departments that have ready laboratory access, but primary care practices use only the four other risk
-
monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … ___
___
Organizational Structure
Organizational chart showing connections among safety, risk
-
monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/index.html
March 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Pressure ulcers cause pain, disfigurement, and increased infection risk and are associated with longer
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - PRACTICE TIPS are actions to take to reduce the risk of
infections in long-term care (LTC) facilities … PRACTICE TIPS
Health care workers can reduce the risk of infection by—
▪ Cleaning hands with an … Other risk factors include the use of intravenous catheters (IVs) or
other catheters, treatment with … • If that is not possible, place infected residents with low-risk residents. … When cohorting is not possible, place infected
residents with residents who are at low risk.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptx
January 01, 2017 - TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Slide ‹#›
Small Office Setting
Nature of Risk in the Medical Office … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Slide ‹#›
Small Office Setting
6
Nature of Risk in the … When patients have difficulty with these self-management activities, they are at risk for adverse events
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_fall-prevention.docx
September 20, 2017 - members in those testing areas are now responsible for the patients’ care and need to know they are at risk … The Unit Team comprises staff members who provide daily direct patient care by:
· Conducting fall risk … Integrating communication regarding fall risk into regular communication, such as during shift handoffs … Creating visual cues or reminders, such as logos indicating elements of the fall risk care plan (like … Questions to consider with electronic records include:
· What information about fall risk factors is
-
monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … A Unit Team comprises staff members who provide daily direct patient care by:
Conducting fall risk … Slide 19: Electronic Health Record
What information about fall risk factors is already part of the … the most logical place in the record to collect, organize, and assess information about patient fall risk
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
40
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - Discovery form
· Root cause analysis
· Eindhoven model
· Failure mode and effects analysis
· Probabilistic risk … In the context of shoulder dystocia, this includes risk awareness for all patients, timely recognition … Use of transition communication techniques assures a shared mental model of plan of care and patient risks … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - · I am concerned that the risks of prescribing another course of antibiotics outweigh the potential … I worry about allergic reactions, antibiotic resistance, and the risk of her getting an infection caused … I don’t want to risk hurting her with a medicine that she very likely does not need. … do not want to give her an antibiotic if she does not truly need it, because this could put her at risk … Her actions helped to reduce further risk to the resident.
-
monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … What happens if a patient is found to have risk factors or experiences a fall? … Slide 13
Say: Here is an example of a process map from an initial patient risk assessment using … The gray boxes are the risk assessment processes. … Note all the places where the risk assessment can break down.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - reversible cause of obesity,
those with serious psychiatric illness, or those who cannot understand the risks … interventions for the elderly and disabled will
depend on the specific context and the benefits and risks … exercise, and moderate caloric restriction with reduction of polypharmacy,
and suggested that the risks … behavioral strategies are effective in producing
statistically significant weight loss without significant risk
-
monahrq.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/northshore.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … recognized that despite their best efforts, they may not be identifying all of their patients who are at risk
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
October 01, 2016 - WellMed assumes
risk for all of its Medicare Advantage patients and, using the flexibility of capitated … WellMed highlights its leadership in medical risk management, effective disease management
and chronic … Physicians are incentivized to track and intervene with high-risk patients to keep readmission
rates … The PCC team assigns or adjusts the risk level of each patient, based on clinical
parameters. … chronic
conditions based on their risk stratification scores.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - Every course of antibiotics carries these risks—and nursing home residents get a lot of antibiotics each … long-term care
They comprise about 40% of all prescriptions
Antibiotics can cause harm to residents
High risk … of side effects and adverse events
Major risk factor for Clostridium difficile infection
Driver of antibiotic
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx
January 01, 2014 - ›
Project Background
Work funded under an AHRQ Demonstration Grant (R21)
Grant program focused on Risk … should:
Yield better communication between providers and patients/families
(As a result) Mitigate risk … ®
TeamSTEPPS for Patients
Slide ‹#›
11
Research Aims
Identify L&D events that vary in terms of risk
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.docx
September 01, 2012 - encounter, they often are not empowered to speak up when they recognize that a patient’s safety is at risk … Legal Rev Commentary Suppl Healthcare Risk Manage 2003(May 1-3).
7. … I improved my understanding of patient safety risks to LEP patients
1
2
3
4
5
4. … the care team before seeing the patient where the team leader describes team roles, goals, plans, and risks … the care team before seeing the patient where the team leader describes team roles, goals, plans, and risks
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
September 01, 2012 - encounter, they often are not empowered
to speak up when they recognize that a patient’s safety is at risk … Legal Rev Commentary Suppl Healthcare Risk Manage 2003(May 1-3).
7. … I improved my understanding of patient safety risks to
LEP patients
1 2 3 4 5
4. … care team before
seeing the patient where the team leader describes team roles, goals, plans, and risks … care team before
seeing the patient where the team leader describes team roles, goals, plans, and risks
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
November 01, 2017 - they need to help their patients adopt the
ABCS of cardiovascular disease prevention: Aspirin in high-risk … care practices to help them implement
PCOR-based methods to improve their management of patients at risk … pressure medication assistance
programs, in selected counties to encourage patients to
address CVD risk