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pcmh.ahrq.gov/talkingquality/explain/communicate/reason.html
November 01, 2018 - In general, advertisers and marketers believe that messages that emphasize risks people face are more … hospital information found that when quality information is framed in terms of helping people avoid risks … hospital, people understand it better, value it more, and are more willing to make tradeoffs to avoid risk … home data at all. [3]
These findings suggest that when people need to be reminded that there is a risk … because many people believe they all offer about the same quality of care and don’t think about the risks
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pcmh.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - What are the risks—or harms—of antibiotics? … , Family Family Toolkit/Tool 1 3
What is our nursing home doing to decrease the chance of these risks … – First, we share information and help you understand the risks of antibiotics.
– Second, we have a … • Ask your doctor or a nurse about the benefits and risks of taking an antibiotic. … myself or another nurse, if you want more information—or
have concerns—about antibiotics and their risks
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pcmh.ahrq.gov/teamstepps/instructor/essentials/implguide3.html
November 01, 2018 - Risk Reduction Strategies (Corrective Actions):
A detailed (step-by-step) risk reduction strategy … An explanation for each root cause determined to NOT warrant risk reduction intervention. … of person(s) responsible for each step of the risk reduction strategy. … for each step of the risk reduction strategy.
… Benefits outweigh risks.
Evidence-based.
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pcmh.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - of the patient population, specifically whether—as a group—patients in one facility are at greater risk … Risk adjustment is a complex statistical enterprise. … [1] [2]
Why adjust for risks or severity? … Most common risk adjustments—for age, prior medical history, or comorbidities—are considered a good idea … Risk Adjustment for pediatric quality indicators.
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - patient's risk factors for falls to the admitting department. … Nurse:
Completes and documents fall risk assessments. … Reviews medications for fall risk and makes changes to medications as needed. … Fall risk factor report that summarizes which patients on the unit have specific risk factors. … First, consider how information about fall risks is conveyed in handing off patients to other units or
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pcmh.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - Guide Engaging Residents,
Educate & Engage Residents, Family Family Toolkit/Tool 2 2
What are the risks—or … What is our nursing home doing to decrease the chance of these risks? … – First, we share information and help you understand the risks of antibiotics.
– Second, we have an … • Talk with your family member and his or her doctor about the benefits and risks of taking
an antibiotic … myself or another staff member, if you want more information—or
have concerns—about antibiotics and the risks
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pcmh.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - combine adjudication data with data from Vizient to determine which specific factors contribute to risks … for diagnostic errors, and to use risk estimates to calculate incidence and impact of factors contributing … An expert-guided machine-learning approach to estimate the incidence, risk and harms associated with … To identify the risk factors associated with diagnostic delays for infectious diseases that are frequently
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pcmh.ahrq.gov/health-literacy/professional-training/informed-choice.html
May 01, 2023 - Literacy and Cultural Competence updates
Many individuals do not understand the benefits, harms, and risks … that hospitals and clinical teams can use to ensure that people understand the benefits, harms, and risks … presenting choices comprehensively, engaging patients and families, and explaining benefits, harms, and risks … University Health System Used AHRQ Tools
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk
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pcmh.ahrq.gov/hai/tools/cauti-hospitals/toolkit-impl.html
October 01, 2020 - Poster on Urinary Catheter Risks and Indications ( PDF , 570 KB) (Appendix E of Toolkit for Reducing … Tract Infections in Hospital Units: Implementation Guide)
Educate and motivate staff regarding the risks … in Hospital Units: Implementation Guide)
Educate staff in removal of indwelling urinary catheters, risks … Risks of overuse of urine culturing are also covered in this tool. … Archived Webinars
Building a Team and Process to Reduce CAUTI Risk (April 8, 2014) Accessible ( Microsoft
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pcmh.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - High-Risk Settings and Situations .
Added Risk for LEP Patients . … Ask participants: What are the risks in this situation? What was handled well? … Discussion:
What are the risks to the patient in this scenario?
What could go wrong? … 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
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pcmh.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 2024 - Relationship Between Electronic Nicotine Use and General Health
February 27, 2024
Bleeding Risks … Catalyze Staff Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk … in Training for Learning Health Systems Scientists
January 16, 2024
Researchers Identify Risk … Related to Falls
October 17, 2023
New Data Resources Provide Insights Into Patient Safety Risks
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pcmh.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - For example, many Americans have trouble understanding numerical expressions of risk. … Interrupting is OK if patient understanding is at risk. … “Every treatment has some risks. … Some goals may be long-term, such as reducing the risk of future injury or illness, or living as long … When there's a risk of harm rather than a virtual certainty, it can be challenging to explain.
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Slide 14: Fall Risk Assessment
Slide 15: Step 1: Fall Risk Screening/Assessment
Use a reliable … Add unit-level risk factors as needed. … Other risks:
IV pole.
Orthostatic hypotension.
Oxygen tubing. … Image: Paper labeled “fall risk.” … Choose a tool for assessing risk factors.
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pcmh.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
January 01, 2021 - combine adjudication data with data from Vizient to determine which specific factors contribute to risks … for diagnostic errors, and to use risk estimates to calculate incidence and impact of factors contributing … An expert-guided machine-learning approach to estimate the incidence, risk and harms associated with … To identify the risk factors associated with diagnostic delays for infectious diseases that are frequently
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - Fall Risk Assessment
‹#›
Step 1: Fall Risk Screening/Assessment
Use a reliable, prospectively … Other risks
IV pole
Orthostatic hypotension
Oxygen tubing
Clutter in the patient’s room
Vision problems … 25-45: Moderate risk
>45: High risk ______
* Weak gait: Short steps (may shuffle), stooped but able … 25-45: Moderate risk
>45: High risk 50
‹#›
Assessment of Risk Factors in Your Hospital
The questions … Identify key elements of a fall risk factor assessment.
Choose a tool for assessing risk factors.
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pcmh.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Protection of Human Subjects
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk … Priorities include:
Research on patient safety
Identification of risks, hazards, and patient harm … patient safety practices) and the adaptation, refinement, and sustainment of those strategies to address risks … Patient characteristics that might influence the risk of experiencing a patient safety event, for example … to develop, implement, evaluate, and spread effective patient-centered models of care for people at risk
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - often are not ready to take on the responsibility for medication management, including during the high-risk … Xiao also identified hazards or preventable risks to medication safety for older adults during care … The project also aims to identify medication risks to patient safety among underserved populations with … The goal of that 4-year project was to understand and reduce risks of central line-associated bloodstream
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pcmh.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Performance of standardized risk assessment within 24 hours of admission. … Risk assessment is the cornerstone of prevention. … Ensure that a standardized risk assessment was performed within 24 hours of admission. … For risk assessment to make a difference, all areas of risk identified on the standardized risk assessment … Ensure that the care plans address all areas of risk.
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pcmh.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
September 01, 2020 - This course is for quality improvement and patient safety leaders, risk management leaders, and unit … Informed Consent Policy Improvement Task Force should include:
Legal
Risk management
Medical … Explain all foreseeable risks, including remote but severe risks. … Verbal consent is required for routine treatments and procedures with very low risk, but not minimal … Be prepared to educate and collaborate with your hospital's legal counsel or risk managers, or both,
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - up with a risk assessment score? … scores of the risk assessment tool, but also other factors placing the patient at risk. … ASK: How do you indicate your patients’ risk status? How is risk identified at shift handoff? … prevent pressure injuries is to create a care plan that is responsive to the patient’s pressure injury risks … this risk.