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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-insertion/unlicensed-staff/unlicensed-catheter-slides.html
March 01, 2017 - Engineering out the risk of infection with urinary catheters . … Engineering out the Risk for Infection with Urinary Catheters . … Nursing interventions to reduce the risk of catheter‐associated urinary tract infection: part 2: staff … Nursing interventions to reduce the risk of catheter‐associated urinary tract infection: part 2: staff … Engineering out the Risk for Infection with Urinary Catheters .
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - Admin.
3
High-Alert Medications1
High-alert medications are “drugs that bear a heightened risk of … These medications require special safeguards to reduce the risk of errors, such as the following:
Improving … Ensures a shared mental model of plan of care and perceived risks—
between shifts
between units
between … Admin.
15
Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of oxytocin … Admin.
26
Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of intrapartum
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pcmh.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
March 01, 2021 - example, external consultants helped practices use their electronic health record data to identify at-risk … EvidenceNOW is having on these practices and their patients, including identifying and treating patients at risk … Oklahoma Practice
"Progress under EvidenceNOW included increasing blood pressure measurement for at-risk
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Others as appropriate
Board Members
Members of the hospital or system board
Quality, Safety, and Risk … Management
Selected leaders from these areas:
Quality
Safety
Risk management
Patient relations … types
Vice-Presidents
Emergency department
Operating room
Surgery
Obstetrics
Other high-risk … Directors/Managers—Unit-Level
Emergency department
Operating room
Surgery
Obstetrics
Other high-risk … Unit-Level Staff
Emergency department
Radiology
Surgery
Obstetrics
Pharmacy
Other high-risk
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pcmh.ahrq.gov/npsd/quality-patient-safety/index.html
August 01, 2020 - sufficient volumes of patient safety data to identify more rapidly the trends and underlying patterns of risks
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pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-1.html
September 01, 2020 - 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
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - patient satisfaction and patient experience of care surveys have been shown to predict malpractice risk … . 4 Eliminating or reducing the risks and hazards in the delivery of patient care should yield safer … MODULE 2: Obtaining Organizational Buy-In and Support
Obtaining senior leadership and risk management … This team is responsible for working with legal counsel, claims, and risk management staff to establish … The use of patient satisfaction surveys and alternative coding procedures to predict malpractice risk
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pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
November 01, 2017 - 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
6 http://www.implementationscience.com/content
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … Ensure that known risk factors for falls are assessed. … Slide 41: Care Planning Assessment
All risk factors identified on the fall risk factor assessment … Tailored approach to each patient, based on the patient’s risk factors. … Ensure that care plans address all areas of risk.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - services staff
Facilities engineer
Managers
Senior manager
Quality improvement/safety/risk … Determine who will complete the fall risk factor assessment on admission. Tool 4A. … Cathy April √
Tool 4C Assess Staff Education and Training Peggy and Jim April √
Determine How Risk … Team June √
Get Team buy-in on who does risk assessment and when (Nursing/4 hours). … Determine who will complete the fall risk factor assessment on admission. Tool 4A.
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - If a person is colonized with MRSA, they have an increased risk of developing a MRSA infection and also … Removing MRSA from the patient cuts the risk of infection and transmission of the germ to other people … nursing homes because residents are older and more prone to having health conditions that increase their risk
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pcmh.ahrq.gov/health-literacy/about/index.html
January 01, 2024 - Personal health literacy is a social risk. … Library of Medicine)
Plain Language: Getting Started or Brushing Up (National Institutes of Health)
Risk
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
July 29, 2021 - the importance of the false
positive rate may vary greatly for each cancer type, depending on the risks … Comment: It is not necessary to include "high risk" in the diagnosis paradigm. … Genetic/Familial High-Risk Assessment:
Colorectal.(Version 3. 2019). … liquid biopsy or otherwise,
necessarily and appropriately differ for different cancers because the risks … and benefits of
subsequent treatments and interventions differ, and therefore so too do the risks and
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Identifying and communicating risk at the earliest possible time.
‹#›
14
Toolkit Approach
The Toolkit … on optimizing the effectiveness of interventions by:
Tailoring interventions to address individual risk … (3-12/05)
Added Alert re-
meds to Scale
(11-12/05)
Developed Education
Brochure on meds
and fall risk … 05)
Started AARs
(safety
huddles) on
test units 10-
12/06
Teachback
w/pts 11/06
Put pts on high risk … ,
Morse score > 50, on
anticoagulants, low
platelets 12/06
Use yellow wrist bands
on high falls risk
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pdf
July 01, 2012 - Understand the evidence on patient safety risks to LEP
patients
2. … Ask participants: What are the risks in this situation? What was
handled well? … I’m 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.
19
DO: Show “Optional Briefs” video.
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pcmh.ahrq.gov/learning-health-systems/exploring-needs.html
September 01, 2022 - Identify Persons Who Are Frail
Frailty increases a person’s risk for functional impairment and cognitive … Identifying frailty and functional disability plays an important role in informing clinical care, risk-adjustment … Risk stratification developers may integrate EFI in their model development process, and population health
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pcmh.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
November 01, 2018 - Then mark with an "X" the risk points in the process where things could go wrong and lead to a recurrence … identify with arrows where in the process team strategies and tools might eliminate or mitigate the risk … Have other groups successfully used specific team tools to reduce similar process risk points? … Benefits outweigh risks
Evidence-based
Measurable
Desired result can be measured with objective … Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process
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pcmh.ahrq.gov/evidencenow/tools/index.html
January 01, 2023 - New Cardiovascular Disease Risk Guide! … Learn how to integrate CVD risk calculation into primary care.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pptx
July 01, 2012 - Understand the evidence on patient safety risks to LEP patients
2. … Ask participants: What are the risks in this situation? What was handled well? … Assertion, Advocacy, and Conflict Resolution
DO:
Read the scenario.
15
DISCUSSION:
What are the risks … …I’m 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
-
pcmh.ahrq.gov/teamstepps-program/welcome-guides/new-trainers.html
July 01, 2023 - TeamSTEPPS 3.0 tools and concepts can help you teach your students to better understand these risks and … 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