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pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
April 01, 2017 - operating room
- Correct type and size
|___| Essential imaging available
|___| Risk … of hypothermia – operation longer than 1 hour
- Warmer in place
|___| Risk of venous … Anesthesia safety check completed
|___| Type of anesthesia
|___| Anticipated airway and aspiration risk
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/prevent.html
July 01, 2018 - to apply evidence-based practices for the insertion of an indwelling urinary catheter to reduce the risk … evidence-based practices for the maintenance of and care for an indwelling urinary catheter to reduce the risk
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pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/tools/factsheet.html
September 01, 2020 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
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pbrn.ahrq.gov/coronavirus/long-covid.html
March 01, 2024 - many potentially overlapping entities, likely with different biological causes and different sets of risk … Further, many at-risk and minority populations face barriers that can exacerbate the impact of Long COVID … research and to improve the care of people living with multiple chronic conditions who are at increased risk
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pbrn.ahrq.gov/npsd/data/dashboard/falls.html
September 01, 2023 - fall at-a-glance (by age), commonly reported patient activities prior to fall, and commonly reported risk
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pbrn.ahrq.gov/news/newsroom/case-studies/ktcoe88.html
March 01, 2024 - computerized health assessment and was instrumental in a landmark study to quantify the link between health risks
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pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - and risk-stratification models, and machine learning and natural-language processing models that relate … culture would occur when a health care professional feels empowered to speak up when he/she notices a risk … This includes cancer screening, management of asymptomatic risk factors including hypertension, diabetes … But another study, that simply mentions measuring “individual-level HIV risk factors,” would be counted … electronic prescribing, computerized clinical decision support systems, algorithms to assess patient-safety risks
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pbrn.ahrq.gov/news/newsletters/e-newsletter/869.html
June 01, 2023 - AHRQ in the Professional Literature
Development of Frail RISC-HIV: a risk score for predicting frailty … risk in the short-term for care of people with HIV. … A comprehensive framework to estimate the frequency, duration, and risk factors for diagnostic delays
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pbrn.ahrq.gov/prevention/curriculum/index.html
January 01, 2021 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-july2015.pptx
January 01, 2015 - Describe how a malpractice insurance company can facilitate a safe surgery collaborative to help mitigate risk … agents of loss” in surgical lawsuits
Failure to rescue in postop patients
Inadequate recognition of risk … Surgery Partnership
22
Surgery Data from CRICO
From 2009: Annual Benchmarking Report Malpractice Risks … Surgery Partnership
23
Surgery Data from CRICO
From 2009: Annual Benchmarking Report Malpractice Risks … TeamSTEPPS likely to be core
Involving attending physicians the most challenging, even full-time
High risk
-
pbrn.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - for thrombosis) or > 4.0 (at risk for hemorrhage) over 90 days, using
repeated measures analysis. … clinicians and patients regarding
warfarin regimens is unsettlingly common and places patients at risk … 200
Introduction
For patients with atrial fibrillation and other conditions associated with a risk … unsafe/high (INR > 4), or safe (INR
≤ 2 but ≥ 4), based on cutoff values associated with increased risks … Risk factors
for complications of chronic anticoagulation. A
multicenter study.
-
pbrn.ahrq.gov/cpi/about/nac/pcortf-snac/rhodes.html
November 01, 2022 - research teams testing emergency department innovations in screening/intervening for health-related social risks
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pbrn.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
March 01, 2021 - Progress under EvidenceNOW included:
Increasing blood pressure measurement for patients at risk of
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pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.html
September 01, 2020 - statute, regulation, and case law, the informed consent process requires explanations of the benefits and risks … Make sure the interpreter understands the information, especially if the patient's life may be at risk … When a minor child interprets, the child is in a very vulnerable position and the practice is at risk
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pbrn.ahrq.gov/teamstepps/lep/handouts/lepletter.html
December 01, 2012 - attached Patient Language Process Map for the unit(s) that will receive the training, marking areas of risk … List some examples of real situations from your hospital/clinical area in which LEP patients were at risk
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
March 01, 2017 - Engineering out the risk for infection with urinary catheters. … After body fluid exposure risk, including after emptying a urinary catheter drainage bag. … Risk factors
Use of common measuring device between residents with indwelling urinary catheters. … Nursing home facility risk factors for infection and hospitalization: importance of registered nurse … Engineering out the risk for infection with urinary catheters.
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pbrn.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - telehealth became evident during the pandemic, the harms and patient safety practices to reduce the risk … telehealth became evident during the pandemic, the harms and patient safety practices to reduce the risk
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pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-8.html
September 01, 2020 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … health coaches (registered nurses, dietitians, respiratory therapists, and pharmacists) who help at-risk … challenging to translate the probabilistic nature of the evidence about treatments when discussing the risks … Each publication provides background on a specific clinical condition while comparing the benefits, risks … Using plain language, the booklet describes the basics of blood pressure and the risks of hypertension
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
October 01, 2017 - Assessing Patient Risk for Pressure Ulcers —Video. … Using Pressure Ulcer Risk Assessment Tools in Care Planning —AHRQ Pressure Injury Prevention Program … Risk Factors for Pressure Injuries: Going Beyond Validated Instruments —AHRQ Pressure Injury Prevention
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/leptragenda.pdf
July 25, 2012 - Understand the evidence on patient safety risks to LEP
patients
2.