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pcmh.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
February 01, 2018 - On-Time Falls Prevention to help nursing homes with electronic medical records identify residents at risk
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pcmh.ahrq.gov/priority-populations/observances/womens-history/index.html
March 01, 2021 - Hospital that focuses on actionable research to increase health equity and reduce health disparities in at-risk … Burstin is widely recognized for her work in patient-reported outcomes, risk adjustment, disparities, … document disparities in the quality of relationships between physicians and patients from socially at-risk
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pcmh.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
October 01, 2023 - Nursing home residents are at high risk for HAIs due to age, wounds, medical devices, and other illnesses … Services agencies that show universal decolonization can be an effective tool to prevent infections for at-risk
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pcmh.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Health System , the seminal National Academy of Medicine report that elevated awareness of longstanding risks … Preventing Adverse Drug Events
Summary of Evidence
Update
(Not reviewed)
Protocols for High-Risk … MHS III (2020)
Safety Culture
(Not reviewed)
(Not reviewed)
Summary of Evidence
Alarm Risk … Miscommunications
(Not reviewed)
Summary of Evidence
(Not reviewed)
Identifying Patients at Risk
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pcmh.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
June 01, 2023 - Cross-Monitoring
Ongoing cross‐monitoring of the care environment helps everyone recognize risks
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pcmh.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Using AHRQ’s EvidenceNOW Model To Reduce Heart Disease Risk Could Have Meaningful Health Benefits . … Using AHRQ’s EvidenceNOW Model To Reduce Heart Disease Risk Could Have Meaningful Health Benefits
A … Health and Nutrition Examination Survey and 10-year atherosclerotic cardiovascular disease (ASCVD) risk
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pcmh.ahrq.gov/evidencenow/projects/heart-health/about/origin.html
March 01, 2021 - The goal of improving care focuses on the “ABCS” of cardiovascular care: A for aspirin for those at risk … ) help small- and medium-sized practices implement the ABCS to improve heart health for patients at risk
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
January 01, 2013 - patients
Present five key strategies for improving detection of medical errors and preventing high-risk … population
Nearly 25 million people in the United States (8.6%) are defined as LEP and therefore at risk … Patient Safety, Quality, and Cost Drivers
Greater risk due to LEP patients’ longer hospital stays compared … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
Limited English
Proficiency &
TeamSTEPPS
High-Risk … Legal Rev Commentary Suppl Healthcare Risk Manage 2003(May 1–3).
2011 Comprehensive Accreditation Manual
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/lara.pdf
December 19, 2014 - This project developed
educational materials for low-literacy Spanish-speaking
women at risk for breast … literacy-, culturally-,
and content-appropriate evidence-based
patient-oriented messages to reduce risk
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
August 31, 2017 - Unit staff notify the Wound Care Team if skin problems arise or if high-risk patients are identified. … Share a written plan to communicate pressure injury risk procedures with the new member. … ASK: How will you make sure temporary staff are trained in pressure risk procedures? … not have to decide which patients they apply to.
· Integrate communication regarding pressure injury risk … The 2-hour didactic portion included:
· Braden risk assessment and patient comorbidity review.
· 5 in
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pcmh.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
May 01, 2016 - Pressure ulcers cause pain, disfigurement, and increased infection risk and are associated with longer
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pcmh.ahrq.gov/hai/tools/cauti-hospitals/index.html
March 01, 2018 - to create or enhance a culture of patient safety can significantly decrease rates of CAUTI and other risks
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pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/index.html
March 01, 2023 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepletter.pdf
July 30, 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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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - Manage Prevention Strategies
for Postoperative Patients
Avoid risk factors for acute renal failure … improvement department, to develop
evidence-based protocols for care of the patient postoperatively at risk … dietary self-management skills.5
• Carefully monitor and set up protocols to address the following risk … prevent acute renal failure into the care of
postoperative patients7-10:
o Identify patients at risk … Risk factors for acute postoperative renal failure in
thoracic or thoracoabdominal aortic surgery: A
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - NICU) experience at least one episode of BSI.2
• Low-birth-weight infants with BSIs are at increased risk … Factors
Identify the risk factors that are most common among neonates
for bloodstream infection and … Recommended Practice: Assess neonatal patients for risk factors
• Assess all neonatal NICU patients … Risk factors for neonatal BSI include2-5:
○ Gestational age at birth <32 weeks or birth weight <1,500 … extremities or the scalp (in neonates or young infants) can be used as
an insertion site.11
○ The risks
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - Organizations (and perhaps
health IT technology developers, industry professional associations, and risk … Rather, the list reflects ECRI’s judgment about which risks should receive
priority now. … All the items on the list represent problems that can be avoided or risks that can be minimized
through … provided with the full article,
which is available separately, provides guidance to help manage the risks … also introduced new opportunities for
error and other unanticipated outcomes that can present safety risks
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pcmh.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - Health System , the seminal National Academy of Medicine report that elevated awareness of longstanding risks
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pcmh.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - Initially, the OB unit—a high-risk area—was the focus for improvement efforts. … Designation of OB clinical risk manager.
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pcmh.ahrq.gov/antibiotic-use/long-term-care/improve/index.html
September 01, 2021 - techniques can help improve antibiotic use, as can fostering effective communication about the potential risks