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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Medication affecting risk of falls
Sedative and psychotropic medication, or medication with drowsiness … ”*:
Number of higher risk patients:
8
Chart: full medication review requested? … For any of the 20 patients who are “higher risk”*:
Number of higher risk patients:
Chart: full medication … * In some wards all patients are counted as high risk, for other wards only some. … Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission
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patientregistry.ahrq.gov/patient-safety/patients-families/index.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
This toolkit … Research Summaries for Consumers
These free research summaries discuss the benefits and risks of different
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Performance of care planning that addresses each risk factor identified during risk factor assessment … Slide 38
SAY: Risk assessment is the cornerstone of prevention. … Calculate the percentage of patients who have a completed risk score. … Slide 40
SAY: For a risk factor assessment to make a difference, all the risk factors identified in … Ensure that the care plan addresses all areas of risk.
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf
September 01, 2021 - Consortium for Southeast
Healthcare Quality
Project Period:
2021-2023
Supporting cardiovascular risk … improvement (QI) capacity and improve cardiovascular health through
implementation of evidence-based, risk … The project seeks to
coordinate cardiovascular risk reduction efforts across the state to create efficiency … care practices and non-traditional
providers of primary care across the state in a Cardiovascular
Risk … The evaluation will assess the creation and utility
of the Cardiovascular Risk Reduction Network of
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Risk can be minimized with solutions
that integrate medication risk management efforts into transitional … risk management efforts into
transitional care models. … to enhance
communication between patients and families and their care providers, thus reducing the risks … Modeling Risk and Reducing Liability Through Better
Communication and Teamwork. … examined, 78 percent involved an
element of informed consent or SDM, primarily in the areas of treatment risks
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patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Individual is not educated about potential risk and sees no value in established policies to prevent … Manage by:
Removing incentives for at-risk behaviors. … Educate about potential risks.
Redesign of system factors. … Risk management. … J Healthc Risk Manag. 2013;33(2):11-20.
What are the Outputs from the Solutions Meeting?
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patientregistry.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … approaches to improve the use of screening for unhealthy alcohol use, brief intervention for those at risk … opioids and other substance use disorders
Toward Safer Opioid Prescribing for Chronic Pain in High Risk … Risk of Acute Asthma Associated With the Pediatric Use of Opioids. … Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations
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patientregistry.ahrq.gov/news/newsroom/case-studies/201801.html
April 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Chris Myers, R.N., B.S.N., the hospital’s risk manager and patient safety officer, explained that use … Myers said AHRQ’s program emphasizes the importance of accurately assessing the risk of falls for patients … “There had been some confusion as to whether identifying patients as ‘low fall risk’ was actually the … most accurate risk level for most patients,” he explained.
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
March 01, 2016 - Note: The current version of the AHRQ QI software does not have risk-adjustment capabilities
when using … However, this tool includes information about risk adjustment that will
be relevant when looking at … Identify populations at risk.
3. Calculate observed (raw) indicator rates.
4. … Risk adjust the indicator rates (where applicable).
5. … SAS*
PSI_PROVIDER_2
.SAS*
PDI_PROVIDER_2
.SAS*
Calculates expected rates, risk-
adjusted rates,
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patientregistry.ahrq.gov/research/findings/studies/index.html?page=480
January 01, 2024 - (146)
Rehabilitation
(61)
Research Methodologies
(417)
Respiratory Conditions
(366)
Risk … , Implementation
Moga DC , Carnahan RM , Lund BC Risks and benefits of bladder antimuscarinics … This study evaluated the risks and benefits of drugs to reduce urinary incontinence that were used by … Risks and benefits of bladder antimuscarinics among elderly residents of Veterans Affairs Community Living … months during an eight and a half-year study, researchers found that symptom burden is an independent risk
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patientregistry.ahrq.gov/research/findings/studies/index.html?page=481
January 01, 2024 - (146)
Rehabilitation
(61)
Research Methodologies
(418)
Respiratory Conditions
(367)
Risk … , Implementation
Moga DC , Carnahan RM , Lund BC Risks and benefits of bladder antimuscarinics … This study evaluated the risks and benefits of drugs to reduce urinary incontinence that were used by … Risks and benefits of bladder antimuscarinics among elderly residents of Veterans Affairs Community Living … months during an eight and a half-year study, researchers found that symptom burden is an independent risk
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - To
reduce the risk of errors, these medications
require special safeguards such as the
following: … The key safety elements are the following:
• Discussing risks and benefits of
oxytocin use for labor … Using the maintenance
infusion to administer a bolus
manually is a high-risk practice that
should … transition communication
techniques to ensure a shared
mental model of plan of care and
perceived risks … The key safety elements are the following:
• Having unit-established processes
for conveying risks
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patientregistry.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-1.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … Clearly communicate the risks and benefits of each option. … The provider presents the options, describes the risks and benefits of each, and explores the patient's
-
patientregistry.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
April 01, 2021 - needs-driven technical and culture-based solution for subcritical test results, management of high-risk … professionals to actively track subcritical test results (e.g., pulmonary nodules) and monitor high-risk … electronic registry for urology clinic staff to monitor men on active surveillance for prostate cancer risk … jirovecii pneumonia (PJP) prophylaxis patterns among patients with rheumatic diseases receiving high-risk … a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - Examples
Preoperative briefing
· The briefing reviews the plan ahead for patient care and the risks … It includes reviewing patient information, procedure, indications, risk, medical history, fetal status … Discovery form
· Root cause analysis
· Eindhoven model
· Failure mode and effects analysis
· Probabilistic risk … of transition communication techniques assures a shared mental model of plan of care and perceived risks … Patient and Family Engagement (CUSP Module)
Key Perinatal Safety Elements
Examples
Communicate risks
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patientregistry.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … These tools will also help to identify patient behaviors that may be putting patients at risk for an
-
patientregistry.ahrq.gov/research/findings/final-reports/index.html?page=0
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Planning
(7)
Nursing Homes
(7)
Patient Safety Measure Development and Implementation
(7)
Risk … Planning, Nursing Homes Publication Date: August 2022
Prescription Opioid Use Trajectories and Risk … Safety Publication Date: August 2021
Toward Safer Opioid Prescribing for Chronic Pain in High Risk … Grant Number: R01 HS 025402 04 Topic(s): Medication Safety Publication Date: April 2021
Risk
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patientregistry.ahrq.gov/research/findings/final-reports/index.html?page=1
June 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Planning
(7)
Nursing Homes
(7)
Patient Safety Measure Development and Implementation
(7)
Risk … R18 HS 023757 Topic(s): Medication Safety Publication Date: September 2019
Patient-Centric Risk … Publication Date: July 2019
Improving Safety After Hospitalization in Older Persons on High-Risk … Publication Date: October 2018
Transforming the Medication Regimen Review Process of High-Risk
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patientregistry.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Facility Design
(10)
Older Adults
(10)
Health Information Technology
(9)
Nursing Homes
(8)
Risk … Planning, Nursing Homes Publication Date: August 2022
Prescription Opioid Use Trajectories and Risk … Tools Publication Date: July 2021
Toward Safer Opioid Prescribing for Chronic Pain in High Risk … Grant Number: R01 HS 025402 04 Topic(s): Medication Safety Publication Date: April 2021
Risk
-
patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Leadership and Culture:
Are governance/senior leaders regularly and thoroughly briefed on risks and … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings? … Is a risk manager available at all times to respond to patient safety incidents?