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pcmh.ahrq.gov/page/medical-home-what-do-we-know-what-do-we-need-know-review-earliest-evidence-effectiveness-of-the-patient-centered-medical-home-model-table-9
March 01, 2013 - Geriatric Resources for Assessment and Care of Elders a Year 3: Reduced 23% among high-risk patients … Year 1: Increased 28% among all patients and 46% among low-risk patients Year 2: Increased 14% among … all patients and 30% among low-risk patients Year 3: Increased 19% among low-risk patients Year 1 … : High-risk patients Year 2: High-risk patients Year 3: All patients Guided Care 8 months
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
January 01, 2011 - Patient Safety, Quality, and Cost
Drivers
Greater risk of line infections, surgical infections, … Risk Management
Multiple liability exposures arise when
providing care to LEP populations, such … Scenarios
High-risk clinical situations that need immediate
attention to prevent adverse events … activities and strategies can help
hospital leaders initiate an agenda to address
patient safety risks … Legal Rev Commentary Suppl Healthcare Risk Manage 2003(May 1–3).
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Information for families and patients on fall risk reduction?
6. … The cause of a fall is often an interaction between patient’s risk, the environment, and patient risk … Increase in hazardous environments increases the risk of falls. … status, continence, and other patient risks.
5. … A patient who is taking four or more oral medications is at risk for falling.
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pcmh.ahrq.gov/data/visualizations/prevalence-fh-mfd.html
October 01, 2023 - or multifactorial dyslipidemia), type of lipid, cohort, age, sex, race/ethnicity, BMI percentile, or risk … Abbreviations: CARDIAC = Coronary Artery Risk Detection in Appalachian Communities; CI = confidence … CARDIAC: A cardiovascular risk detection screening program including evaluation for obesity, dyslipidemia … Recruited middle schools from seven different geographic areas with student populations at increased risk
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - Page 42
14
Pressure Injury risk assessment
BEST PRACTICE
15
Pressure Injury Risk Assessment
Next … step in prevention
Goal: to identify patients at risk
16
Risk Assessment Scales
Only one part of risk … For risk assessment in pediatrics. … 34
Identify Best Practices
Risk assessment:
Which standardized risk assessment scale do you plan to … When do you plan to complete risk assessments?
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - Boothman, J.D., Executive Director, Clinical Safety and Chief Risk Officer, University of Michigan Health … ARM, formerly with the University of Illinois-Chicago and now Director, Office of Patient Safety and Risk … Scott, Ph.D., R.N., Manager of Patient Safety and Risk Management, University of Missouri
Kelly M. … Driver, J.D., M.B.A., CEO of The Risk Authority Stanford and Chief Risk Officer of Stanford Health Care … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention, Assistant Vice Chancellor
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pcmh.ahrq.gov/evidencenow/heart-health/aspirin/detailing.html
August 01, 2018 - Primary Care
Resource description: This facts-at-a-glance handout for clinicians summarizes evidence, risk
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - October 2017
On-Time Falls Prevention
8
Falls High-Risk Report:
High-Risk Criteria
Risk criteria identified … Report:
High-Risk Criteria
Risk determined based on a combination of the following elements:
Presence … risk factors
October 2017
On-Time Falls Prevention
10
Rules for Determining High Risk
Rule #1: … Rule #3: High Risk Based on New Contributing Risk Factor Within 7 Days:
Residents will be flagged as … Risk Factors Report.
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pcmh.ahrq.gov/page/early-evidence-patient-centered-medical-home-appendix
February 01, 2012 - patients Year 1: High-risk patients Year 2: Increased 14% among all patients and 30% among low-risk … patients Year 2: High-risk patients Year 3: Reduced 23% among high-risk patients Year 3: Increased … 19% among low-risk patients Year 3: All patients Cost Interventions: Guided Care 8 months: All patients … Year 2: Number of stays among all patients Year 3: Reduced number of stays by 40% among high-risk … patients Year 2: Reduced number of visits by 24% among all patients and by 35% among high-risk patients
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
January 01, 2011 - 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 of line infections, surgical infections, falls … longer hospital stays compared to English-speaking patients with the same clinical condition
Greater risk … of activities and strategies can help hospital leaders initiate an agenda to address patient safety risks
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pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-detail-aid.pdf
April 01, 2016 - patients’ risk of CV endpoints. … Framingham Risk Score
(Global CVD)
+ Diabetes mellitus
Reynolds Risk Score + C-reactive protein (CRP … Risk Score for men. … Calculating cardiovascular risk for primary prevention
ASCVD Calculator
Framingham Risk Score(ATP-III … calculator)
Framingham Risk Score(Global CVD)
Reynolds Risk Score
References
Acrobat
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pcmh.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - to create report cards that are most useful to patients. 1
Patient Safety Measures:
Screening, risk-assessment … Appropriate use of DXA scans in women under 65 years who do not meet the risk factor profile for osteoporotic … Percentage of all cardiac stress imaging performed for initial detection and risk assessment in patients … who are asymptomatic and at low risk for coronary heart disease. … However, with the exception of a few high-risk procedures, researchers have not yet determined the exact
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Baseline
Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted
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pcmh.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - The toolkit provides ways to educate residents and their family members about antibiotics and the risks … is a handout that can be given to residents to provide basic information about antibiotics and their risks … Need Them Can Cause More Harm Than Good is a handout that can be given to residents to explain the risks
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pcmh.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - High-Risk Settings and Situations .
Added Risk for LEP Patients . … Learning Objectives:
Understand the evidence on patient safety risks to 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? … 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/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslstafftrain.pptx
February 02, 2006 - Safety for Patients With
Limited English Proficiency
Overview/Objectives
Understand the safety risk … Inaccurate medical history
Cultural deference to authority
Quadriplegic teen
$71 million lawsuit
High-Risk … OB/GYN
Surgery
Transitions in care, including intake and discharge
Medication reconciliation
Added Risk … medical history
Latex allergy almost missed before surgery
“Opportunity” Scenario
What are the risks
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pcmh.ahrq.gov/opioids/implementing-what-works/compendium-intro.html
January 01, 2024 - have been extensive efforts to address the opioid epidemic, little attention has been given to the risks … Adults in Primary Care Practices Case Study (PDF, 880 KB)
Creating a Work-Around to Implement Fall Risk … Screening for Older Adults Using Appointment Notes Case Study (PDF, 414 KB)
Implementing Opioid Risk
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pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-guide.html
September 01, 2020 - Discuss benefits/risks/costs.
Clarify patient's values/preferences. … Patients having more accurate expectations of possible benefits and risks. … Clearly communicate risks and benefits of each option. … Let's discuss your options and go over the benefits and risks at our next visit." … "When you think about the possible risks, what matters most to you?"
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pcmh.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - These skin lesions bring pain, associated risk for serious infection, and increased health care utilization … 3.3 How should a standardized pressure ulcer risk assessment be conducted?
… 3.4 How should pressure ulcer care planning based on identified risk be used?
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Prevention Practices
Tool 5C: Assessing Comprehensive Skin Assessment
Tool 5D: Assessing Standardized Risk … Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission … Determine whether there is any documentation of the completion of the standardized risk assessment. … For each patient, determine on which dimensions of the standardized risk assessment there was a score … Calculate the percentage of abnormally scored dimensions of the standardized risk assessment that are