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pcmh.ahrq.gov/hai/cusp/modules/apply/index.html
July 01, 2018 - Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk
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pcmh.ahrq.gov/evidencenow/heart-health/smoking/pcor.html
August 01, 2018 - Resource description: This EvidenceNOW fact sheet provides an overview of PCOR findings about the risks
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pcmh.ahrq.gov/news/newsroom/press-releases/data-highlight-inequities.html
March 01, 2021 - And according to the third vaccine distribution scenario studied, prioritizing adults at increased risk … However, this would delay eligibility for some workers who have increased risk of exposure and increased … risk of transmission to others, the AHRQ researchers found.
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pcmh.ahrq.gov/teamstepps-program/welcome-guides/administrators.html
July 01, 2023 - TeamSTEPPS 3.0 tools and concepts can help you equip teams in your organization to better understand these risks … The expanded functionalities available in electronic health records risk an overdependence on technologies … all these factors contribute to fatigue and burnout that create additional challenges for teams and risks
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pcmh.ahrq.gov/teamstepps-program/welcome-guides/frontline-providers.html
July 01, 2023 - TeamSTEPPS 3.0 tools and concepts can help you to better understand these risks and how to constructively … The expanded functionalities available in electronic health records risk an overdependence on technologies … all these factors contribute to fatigue and burnout that create additional challenges for teams and risks
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pcmh.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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pcmh.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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pcmh.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - The benefits and potential risks should be weighed with any strategy. … of infection during the high-risk period
of critical care. … Goal is to prevent MRSA during high-risk periods (ICU stays, post-op). … Product Safety and Adverse Events
Chlorhexidine (CHG) Risk
The risks associated with the use … Nasal Mupirocin Risk
The risks associated with use of nasal mupirocin include mild side effects of
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pcmh.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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pcmh.ahrq.gov/ncepcr/research/health-literacy.html
September 01, 2022 - step process for shared decision making that includes exploring and comparing the benefits, harms, and risks
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pcmh.ahrq.gov/news/newsletters/e-newsletter/876.html
August 01, 2023 - monitoring, also based on the systematic review, found postpartum home monitoring significantly reduced the risk … Implementation of suicide risk estimation analytics to support mental health care for quality improvement … Factors associated with lung cancer risk factor documentation. … Adapting an electronic STI risk assessment program for use in pediatric primary care.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
November 20, 2014 - Conducting pressure injury risk
assessments.
Planning care for risk prevention. … Unit staff tell the Wound Care Team about high-risk patients or if skin problems occur. … Page 65
23
Electronic Health Record Opportunities
What information about pressure injury risk factors … logical place in the record to collect, organize, and assess information about patient pressure injury risk … plan/documentation
Staff Education: RN, CEO, CNO, PCT
2-hour didactic competency training:
Braden risk
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pcmh.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
September 01, 2018 - description: This patient education booklet explains how heart attack and stroke happen, and the potential risks
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pcmh.ahrq.gov/evidencenow/heart-health/smoking/detailing.html
August 01, 2018 - Primary Care
Resource description: This facts-at-a-glance handout for clinicians summarizes evidence, risks
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pcmh.ahrq.gov/funding/policies/index.html
March 01, 2022 - Protection of Human Subjects
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk … AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research
This toolkit contains information
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pcmh.ahrq.gov/funding/process/grant-app-basics/apptips.html
July 01, 2021 - project involves clinical research, are the plans for 1) protection of human subjects from research risks … evaluate the justification for involvement of human subjects and the proposed protections from research risk … relating to their participation according to the following five review criteria: 1) risk to subjects … , 2) adequacy of protection against risks, 3) potential benefits to the subjects and others, 4) importance
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pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
July 01, 2021 - Create funding mechanisms that support innovative high-risk, high-reward research. … Risks discussed by study participants included potential drift of AHRQ away from more impactful research … We judge that the risks associated with moving AHRQ or its role as the funded hub of federal HSR into … We judge the risks associated with locating the funded hub of PCR within NIH to outweigh the advantages … Study participants also noted an additional risk.
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pcmh.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Residents and their family members may not know how antibiotics should be used or understand the risks … them understand what the nursing home is doing to make sure antibiotics are used properly, what the risks
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pcmh.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - study 2 in the New England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk … While these are reportable events, we can assume the risks are more widespread; safety events in many
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pcmh.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
June 01, 2022 - We risk witnessing patient and health professional safety events because of workforce depletion. … affordable, environmentally responsible, and protects patients and health professionals from safety risks