-
pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - Children with cancer are at particularly high risk for errors due to weight-based dosing calculations … contrast dye or nonsteroidal anti-inflammatory drugs, can cause acute kidney injury, which increases the risk … of mortality, length of hospital stay, and long-term risk of developing chronic kidney disease.
-
pcmh.ahrq.gov/evidencenow/heart-health/smoking/use.html
August 01, 2018 - Tobacco Use
Resource description: This script and slide deck from a 14-minute presentation cover the risks
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/hugheshalbert.pdf
December 19, 2014 - breast
cancer prevention on psychological and behavioral
outcomes including: knowledge of breast cancer
risk … seen
in the proportion of women who had correct knowledge
about physical activitiy and breast cancer risk … At
baseline, 61% of women reported that being physically
inactive increases risk of developing breast
-
pcmh.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - Key Words: innovation science, patient safety, quality, clinical decision support, fall risk assessment … Patient Safety), 1-3 based on the three-step fall prevention process of 1)
screening and assessing risk … , 2) developing a tailored plan to mitigate specific areas of risk, and 3)
consistently and accurately … 2) Can the patient/family verbalize the patient’s fall risk factors? … Webinar and how to conduct Fall TIPS audits
• Rationale for Using the Morse Fall Scale
• Morse Fall Scale Risks
-
pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - and that national trends for surgical subgroups often were not available, putting patient safety at risk … teams in the process of algorithm development and ensuring that race is not used as a proxy for actual risk … Her research focuses on older patients and aims to mitigate the risk of adverse outcomes related to postoperative
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-i.pdf
July 01, 2017 - These tools increase
knowledge, improve risk estimates, increase patient’s involvement in decisions, … Shared Decision-Making
July 2017 6.I-3
discussions to focus on the critical risk/benefit tradeoffs … 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
-
pcmh.ahrq.gov/sdoh/health-systems-research.html
December 01, 2022 - , SDOH, and community services to create actionable dashboards to support better management of high-risk … Comparing health care system and physician practice influences on social risk screening . … This study examined the association of multilevel organizational capabilities and adoption of social risk
-
pcmh.ahrq.gov/npsd/what-is-npsd/index.html
May 01, 2023 - identify and track patient safety concerns for the purpose of learning how to mitigate patient safety risks
-
pcmh.ahrq.gov/evidencenow/tools/keydrivers/engage-patients-families.html
November 01, 2018 - tailoring presentations of the evidence to patients’ specific conditions and concerns, and explaining risks … health literacy and even more face significant challenges in understanding numbers and estimations of risk
-
pcmh.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - PSOs offer a secure environment to identify and reduce the risks associated with patient care. … Patient safety, quality and risk managers, clinicians, and others use Common Formats to collect patient … TeamSTEPPS®) is a set of tools to help train clinicians in teamwork and communication skills to reduce risks … may represent a patient safety problem, and they can be a signal that the resident is at increased risk … It includes articles by AHRQ-funded patient safety researchers on topics such as reporting systems, risk
-
pcmh.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - frontline staff and prescribing clinicians should be encouraged to understand both the benefits and risks
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - Safety)
Key Perinatal Safety Elements
Examples
Assess appropriateness of procedures that increase risk … that list indications, contraindications, and maternal and fetal criteria for procedures that increase risk … In the context of cord prolapse, this includes risk awareness, timely recognition of a cord prolapse … of transition communication techniques assures a shared mental model of plan of care and perceived risks … Earlier studies, prior to the advent of continuous fetal monitoring, showed association with increased risks
-
pcmh.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Area-level indicators
Risk-adjusted (age, sex,poverty)
*Not included in the AHRQ QI Toolkit
Slide … Pressure Ulcer Risk 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 assessment, with results documented in the patient's chart. … Slide 67
Looking Back and Looking Forward
Retrospective Reviews
Appropriate Risk Assessment
-
pcmh.ahrq.gov/patient-safety/reports/healthaffairs.html
March 01, 2019 - with patient safety research experts in bringing innovative approaches to significantly reduce the risks
-
pcmh.ahrq.gov/health-literacy/research/index.html
January 01, 2024 - Opportunities
Tools and Data for Researchers
Informed Consent and Authorization Toolkit for Minimal Risk … Research
The Informed Consent and Authorization Toolkit for Minimal Risk Research toolkit helps
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - The value of
level 1 lies in identifying potential high-risk focus areas for
health care organizations … For example, placing pro-
viders at risk of reduced payments (i.e., penalties) vs. op-
portunities for … Additional
examples could be developed and mapped into to
determine the impact and tradeoffs of provider risks … This is where payers can shift more risk and
accountability to providers because it will be supported … Additional
work will be needed to study if any of these payment levers
increase the risk of burnout and
-
pcmh.ahrq.gov/hai/cusp/modules/index.html
August 01, 2019 - identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk … Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - When falls occur with assistance, it suggests that staff have identified at-risk patients and are in … Accurately completing the fall risk factor assessment within 24 hours of admission.
2. … Putting appropriate care planning in place that addresses each risk factor identified during fall risk … Slide 41
SAY: For risk factor assessment to make a difference, all risk factors identified on the risk … Ensure that the care plans address all areas of risk.
-
pcmh.ahrq.gov/antibiotic-use/acute-care/safety/index.html
June 01, 2021 - antibiotic prescribing and administration should be encouraged to understand both the benefits and risks
-
pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module11/slimplement.html
March 01, 2014 - Studying the process to identify risk points. … Implementing interventions aimed at eliminating the risk points.
Testing the intervention. … Identify risk points. … Determine which TeamSTEPPS tools or strategies would work best to eliminate the process risk points. … List the risk points you intend to address
List the TeamSTEPPS tools and strategies that