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pcmh.ahrq.gov/evidencenow/projects/heart-health/research-results/research/member-survey-nw.html
March 01, 2021 - readiness for change, practice readiness for change, respondent characteristics, CVRC, and estimating ASCVD risk
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pcmh.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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pcmh.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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pcmh.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - 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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pcmh.ahrq.gov/health-literacy/improve/informed-consent/obtain.html
September 01, 2020 - 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)
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pcmh.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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pcmh.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
November 01, 2022 - improved the delivery of heart healthcare in four important areas:
Counseling on aspirin use among high-risk … support provided to mostly small, rural practices in North Carolina reduced 10-year cardiovascular risk … for patients at high risk of a stroke or heart attack by using a risk-stratified, population management
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pcmh.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
June 01, 2021 - Describe strategies that reduce the risk of collecting contaminated microbiologic samples.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
November 19, 2008 - Ask participants: What are the risks in this situation? What was
handled well? … and Conflict Resolution
DO:
Read the scenario.
11
DISCUSSION:
• What are the risks … 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 are.
15
DO: Show “Optional Briefs” video.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
January 29, 2013 - Orthostatic Vital Sign Measurement
Background: This tool can be used to identify orthostatic hypotension, a risk … When a patient is on a medication that may cause orthostasis and has other risk factors for falls. … Use this tool in conjunction with clinical assessment and a standard assessment of fall risk factors … (e.g., Tool 3H, “Morse Fall Scale for Identifying Fall Risk Factors, or Tool 3G, ‘STRATIFY Scale for … Identifying Fall Risk Factors”) to determine a patient’s risk factors for falls, and then plan care accordingly
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pcmh.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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pcmh.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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pcmh.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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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
September 01, 2022 - To use it, clinicians determine a hospital patient’s risk of falling and develop a tailored falls prevention … Then hospital staff talk to patients as part of routine care at the bedside about their risk for falling … the most feasible falls prevention strategies for a community-based patient using three individual risk … factors: mobility limitations; medications that can increase the risk of falling; and osteoporosis.
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pcmh.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/north-carolina.html
March 01, 2021 - they need to help their patients adopt the ABCS of cardiovascular disease prevention: Aspirin in high-risk … and almost one-third of deaths are caused by CVD (the CVD mortality rate is 251 per 100,000). 2 CVD risk … Over 90 percent of practices have access to CVD risk stratification tools. … ASCVD Risk Estimator Update 2014. … http://tools.acc.org/ASCVD-Risk-Estimator/#page_about
http://www.implementationscience.com/content/
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - increase knowledge and create tools that help healthcare providers reduce patient safety events in high-risk … settings of care, where the complexity of the system and the fragility of the patients creates a greater risk … Continuing with his focus to improve patient safety in complex and high-risk healthcare environments, … grant to study and develop processes to boost decisionmaking and problem solving in a range of high-risk … Fairbanks describes, hospital EDs are high-risk, fast-paced environments involving coordination and shared
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pcmh.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - and implement an indicator of unit-level stress in an engineered care system to predict and mitigate risk … J Patient Saf Risk Manage 2019 Dec 10. https://journals.sagepub.com/doi/abs/10.1177/2516043519893228. … J Patient Saf Risk Manage 2019 Dec 10.
Matthews S, et al. … J Patient Saf Risk Manage 2018;23(4):155-66.
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pcmh.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.
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pcmh.ahrq.gov/patient-safety/settings/index.html
July 01, 2023 - Setting
AHRQ has developed a wealth of materials focused on a wide range of patient safety risks
-
pcmh.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