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patientregistry.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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patientregistry.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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patientregistry.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
-
patientregistry.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
-
patientregistry.ahrq.gov/evidencenow/heart-health/cholesterol/control.html
September 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … cholesterol levels and diet and exercise guidelines for lowering cholesterol levels and heart disease risk
-
patientregistry.ahrq.gov/opioids/implementing-what-works/compendium-intro.html
January 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … have been extensive efforts to address the opioid epidemic, little attention has been given to the risks … Adults in Primary Care Practices Case Study (PDF, 880 KB)
Creating a Work-Around to Implement Fall Risk … Screening for Older Adults Using Appointment Notes Case Study (PDF, 414 KB)
Implementing Opioid Risk
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patientregistry.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6i-shared-decisionmaking.html
April 01, 2023 - These tools increase knowledge, improve risk estimates, increase patient's involvement in decisions, … benefited from an increased level of understanding that allowed discussions to focus on the critical risk … key to success lies in training physicians and other members of the care team to:
Communicate about risks … expressed needs when making recommendations for care. 18
Clinical decision support tools, such as risk … can follow-up with patients to determine whether they understood that they had options, how much the risks
-
patientregistry.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - application to inform and encourage older adults to initiate dialogue with a clinician regarding the risks … highly reliable systems that address communication and coordination challenges that pose patient safety risks … assessment and risk surveillance. … Real-time surveys reveal important safety risks during interhospital care transitions for neurologic … design, development, implementation, and evaluation) to identify and address the salient issues and risks
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - of stay, subsequent surgeries and incisional herniation.2,3
• Proper identification of patients at risk … Though many risk factors are non-modifiable, there are factors that can be
addressed by hospitals, such … Determine risk factors for postoperative wound dehiscence
and identify patients at risk.1-3,7
Reduce … • Educate patient about risk factors of noncompliance with postoperative instructions. … Abdominal wound dehiscence in adults:
development and validation of a risk model.
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - To reduce the risk of errors, these medications require special safeguards such as the following:
Improving … The key safety elements are the following:
Discussing risks and benefits of oxytocin use for labor induction … Using the maintenance infusion to administer a bolus manually is a high-risk practice that should be … Using 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 and
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patientregistry.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Pressure Ulcer Dashboard
Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs. … new analyses by age, deeper explorations of common activities prior to fall, and enhanced analyses of risk … falls, as well as the ability to filter by fall assistance and use of medication known to increase risk
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/moreno.pdf
December 17, 2014 - school-level curriculum
to improve students’ health decision-making skills,
knowledge of heart disease risks … scientific decision-
making activities demonstrated knowledge gains
about cardiovascular disease and risk
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patientregistry.ahrq.gov/evidencenow/heart-health/cholesterol/statins.html
September 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … University reviews current recommendations for the use of statins in lowering cholesterol and reducing CVD risk
-
patientregistry.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The pandemic has undoubtedly put those successes at risk, but this study should provide motivation for … After adjustment, the relative risk of experiencing an adverse event diminished for all five patient
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patientregistry.ahrq.gov/innovations/index.html
August 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 … Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways … Pathways Community HUB Manual: A Guide to Identify and Address Risk Factors, Reduce Costs, and Improve
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … Ensure that known risk factors for falls are assessed. … Page 78
‹#›
Care Planning Assessment
All risk factors identified on the fall risk factor assessment … that care plans address all areas of risk.
‹#›
Assessment of Care Plan Performance
See the sample … A care plan addressing every deficit on the fall risk factor assessment has been developed and is being
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - Unit Safety 6
SAY:
The preoperative briefing reviews the plan
ahead for patient care and the risks … o Risk assessments may include the
presence of clinical conditions that
increase risk of hemorrhage … o 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
-
patientregistry.ahrq.gov/news/newsletters/e-newsletter/820.html
June 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … False-Positive Cervical Cancer Result
Patients vaccinated against human papillomavirus have an increased risk … The findings suggest that the increased risk of a false-positive result for vaccinated individuals may … warrant screening guidelines that stratify by vaccination status to minimize the risks of overscreening … and overtreatment among those with low risk for cervical cancer.
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patientregistry.ahrq.gov/health-literacy/improve/informed-consent/obtain.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Yes No
Yes No
Yes No
Yes No
How telehealth could be bad (harms and risks … )
Yes No
Yes No
Yes No
Yes No
Privacy of telehealth (risks)
-
patientregistry.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1
Say:
Just Culture helps us understand risk and … At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … Slide 19: Managing Error and Risk 1
Say:
To improve outcomes, human error, at-risk behavior, and … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … for healthy, risk-reducing choices.