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preventiveservices.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
January 01, 2024 - nursing homes to manage behavioral and
psychological symptoms of dementia, despite increased mortality risk … However, for frail elderly residents, these medications bring
substantial risk. … 2008, the Food and Drug Administration (FDA) imposed a black box warning of
increased mortality risk … The FDA has estimated that such treatment is associated with a 1.6-1.7 times greater risk of death … for frail elderly—for example, increasing the risks of falls that can be
catastrophic.
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preventiveservices.ahrq.gov/innovations/index.html
August 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … topics in this section
Innovations
Downloadable Databases
Connecting Those at Risk … Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways … Pathways Community HUB Manual: A Guide to Identify and Address Risk Factors, Reduce Costs, and Improve
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … Ensure that known risk factors for falls are assessed. … Page 78
‹#›
Care Planning Assessment
All risk factors identified on the fall risk factor assessment … that care plans address all areas of risk.
‹#›
Assessment of Care Plan Performance
See the sample … A care plan addressing every deficit on the fall risk factor assessment has been developed and is being
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preventiveservices.ahrq.gov/challenges/past/sdoh/index.html
July 01, 2022 - including:
Development and deployment of heat shelters in areas of high heat-related illness (HRI) risk … Targeted contact for individuals known to be at high risk of HRI. … readiness of hospitals, emergency departments, and emergency medical services in areas of high HRI risk … Funding targeted to provide air conditioning for at-risk homes. … Urban development to reduce heat island effects and improve canopy coverage in high HRI risk areas.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/implementation-guide_falls.docx
September 01, 2017 - Risk (How much of a risk does this issue pose to the well-being of patients?) … (They are transitioning to risk-based assessment and interventions tied to risk. … matches the identified risks. … plan addresses these risks. … Many of the patients are considered high risk based on risk assessment results.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - autologous PRP demonstrated a statistically
significant increase in complete wound closure or healing (Relative … We extracted or calculated relative risk
(RR) and corresponding 95 percent confidence intervals for … or unclear risk of bias. … small (<300) or the confidence intervals included substantial benefits and harms
(defined as 0.25 relative … risk reduction or increase).
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preventiveservices.ahrq.gov/health-literacy/improve/informed-consent/obtain.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Yes No
Yes No
Yes No
Yes No
How telehealth could be bad (harms and risks … )
Yes No
Yes No
Yes No
Yes No
Privacy of telehealth (risks)
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-rubenstein.pdf
November 17, 2020 - the right patient, but to the
right condition at the right time
• Are accessible to the full high-risk … community and
home
• Interventions do not yet meet population level goals
• As a first step—where do high-risk … Challenge: Achieving Intervention Models that Meet High-Risk
Patient Goals Better than Current Primary … Assess and prioritize known sources of risk (depression, mental status, etc)
4. … (in VA)
Challenge: Achieving Intervention Models that Meet High-Risk Patient Goals Better than Current
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - Communication during transitions of care helps to ensure a shared mental model of plan of care and perceived risks … The key safety elements are the following:
Discussing risks and benefits of oxytocin use for labor … Using the maintenance infusion to administer a bolus manually is a high-risk practice that should be … Using transition communication techniques to ensure a shared mental model of plan of care and perceived risks … The key safety elements are the following:
Having unit-established processes for conveying risks and
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
August 31, 2017 - Generally, a score of 18 or less indicates at-risk status. … factors and 1-3 for the last risk factor. … Generally, a score of 14 or less indicates at-risk status. … Use: Individualize the care plan to address the needs of at-risk patients. … PRESSURE ULCER RISK ASSESSMENT CASE STUDY
Mr.
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preventiveservices.ahrq.gov/health-literacy/improve/pharmacy/medication-mgt.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Management (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
February 10, 2014 - column if any of the risks for slow healing criteria are present. … See 3.2.6 for healing risk criteria.
3.2. At-Risk for Delayed Healing Report
3.2.1. … Report Description
The Ulcers At Risk for Delayed Healing Report displays only ulcers at risk for delayed … Report Example: At Risk for Delayed Healing Report
On-Time Pressure Ulcers At Risk for Delayed Healing … Nutrition
On-Time Nutrition Risk
On-Time Nutrition Risk Report calculations
This column is used to
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preventiveservices.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod2-slides.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Know the benefits and risks of each option
Understand how they relate to your patient's situation and … Compare treatment options—risks and benefits.
Questions to ask provider. … Help clarify patients' preferences for risks and benefits of options. … Improves accurate risk perceptions of possible benefits and harms among patients.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar3_falls_staffroles.pdf
January 01, 2013 - you
after this webinar to address them.
4
Key Elements of Program
• Universal precautions
• Risk … • Conduct fall risk
assessments.
• Plan care to prevent falls. … • Staff documents falls and fall risk on daily unit
flowsheets. … • Integrate fall risk data into your
regular communication, such as
shift handoffs. … • What other data in the patient’s record can
help you assess fall risk factors?
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preventiveservices.ahrq.gov/evidencenow/practice-facilitation/lessons/index.html
November 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … tools can effectively promote implementation of evidence-based guidelines to reduce cardiovascular risk … A controlled trial of dissemination and implementation of a cardiovascular risk reduction strategy in … 019-05350-7
Lesson: Increasing the impact of practice facilitation programs that target multiple risk … A randomized trial of external practice support to improve cardiovascular risk factors in primary care
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Slide 4: High-Alert Medications 1
High-alert medications are "drugs that bear a heightened risk of … 4,5 , 6,7
Use of a uniform mixed preparation unitwide for all patients to reduce variability and risk … Ensures a shared mental model of plan of care and perceived risks—
Between shifts. … Slide 16: Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of oxytocin … Slide 27: Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of intrapartum
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preventiveservices.ahrq.gov/patient-safety/settings/index.html
July 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Setting
AHRQ has developed a wealth of materials focused on a wide range of patient safety risks
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - of transition communication techniques assures a shared mental model of plan of care and perceived
risks … Family Engagement (CUSP)
Key Perinatal Safety Elements
Examples/customizable components
Discuss risks … Use unit-established process for conveying risks and benefits of magnesium sulfate use to patient and … Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus. … Patient comfort and education
· Discuss risks and benefits of magnesium sulfate with patient and family
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/747.html
January 01, 2021 - Study Shows That Patient-Level Risk Factors Affect Hospital Readmission Rates, Penalties . … Study Shows That Patient-Level Risk Factors Affect Hospital Readmission Rates, Penalties
Medicare’s … framework to improve fairness for safety-net hospitals, but the changes may not sufficiently address risk … study’s findings suggest that the Medicare program’s changes may not fully account for patient-level risk … A controlled trial of dissemination and implementation of a cardiovascular risk reduction strategy in
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preventiveservices.ahrq.gov/research/findings/final-reports/index.html?page=1
June 01, 2020 - Facility Design
(10)
Older Adults
(10)
Health Information Technology
(9)
Nursing Homes
(8)
Risk … R18 HS 023757 Topic(s): Medication Safety Publication Date: September 2019
Patient-Centric Risk … Publication Date: July 2019
Improving Safety After Hospitalization in Older Persons on High-Risk … Medication Safety Publication Date: July 2019
Developing a Patient-centered Model of the Risk … Grant Number: R01 HS 023800 Topic(s): Risk Assessment, Surgical Quality Improvement Publication Date