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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
February 10, 2014 - At Risk for Delayed Healing. … On-Time Nutrition Risk. … will display as high risk. … At Risk for Delayed Healing. … Risk for Delayed Healing Report
Slide 27: Reviewing Pressure Ulcers at Risk for Delayed Healing Report
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - When definitive tests exist, such tests may expose children to greater risks than similar testing in … malignancy over their lifetime.26,27 Thus, clinicians caring for children must carefully weigh
the risks … and diagnostic yield associated with computed tomography and fluoroscopy.28-30
The risks of testing … Although it is less well studied, pediatric clinicians warn
about the risks of improper reliance on … Computed tomography and radiation risks: what pediatric
health care providers should know.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Medication affecting risk of falls
Sedative and psychotropic medication, or medication with drowsiness … ”*:
Number of higher risk patients:
8
Chart: full medication review requested? … For any of the 20 patients who are “higher risk”*:
Number of higher risk patients:
Chart: full medication … * In some wards all patients are counted as high risk, for other wards only some. … Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission
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preventiveservices.ahrq.gov/patient-safety/patients-families/index.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
This toolkit … Research Summaries for Consumers
These free research summaries discuss the benefits and risks of different
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Performance of care planning that addresses each risk factor identified during risk factor assessment … Slide 38
SAY: Risk assessment is the cornerstone of prevention. … Calculate the percentage of patients who have a completed risk score. … Slide 40
SAY: For a risk factor assessment to make a difference, all the risk factors identified in … Ensure that the care plan addresses all areas of risk.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/prp-wound-care-comments.pdf
September 01, 2020 - domains were rated
high risk of bias. … domains were rated
high risk of bias and one
domain was rated as
moderate risk. … domains were rated high
risk of bias. … by the Cochrane
Collaboration to evaluate
the risk of bias. … domains were rated high
risk of bias.
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preventiveservices.ahrq.gov/patient-safety/resources/learning-lab/brain-health-long-desc.html
April 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … application to inform and encourage older adults to initiate dialogue with a clinician regarding the risks … with 94 percent indicating they would speak to their physician about their anticholinergic-related risk … that increased delirium severity and days of delirium or coma were associated with higher mortality risk
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/webinar/webinar_mha_falls_prevent.pptx
January 01, 2013 - ‹#›
Tool: Managing Change Checklist (2G)
Continued
‹#›
Challenge
Inadequate Risk … Assessments and Reassessments
© ECRI Institute 2013
18
‹#›
Opportunity
Accurate and effective risk … Employing critical thinking and clinical judgment
Consistency in approach
Identifying and communicating risk … at the earliest possible time
Tools
Morse Fall Scale (3H)
STRATIFY Scale (3G)
Medication Fall Risk … target education to address gaps in staff knowledge
Environmental safety
Medications associated with risk
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preventiveservices.ahrq.gov/news/newsroom/case-studies/201801.html
April 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Chris Myers, R.N., B.S.N., the hospital’s risk manager and patient safety officer, explained that use … Myers said AHRQ’s program emphasizes the importance of accurately assessing the risk of falls for patients … “There had been some confusion as to whether identifying patients as ‘low fall risk’ was actually the … most accurate risk level for most patients,” he explained.
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preventiveservices.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … These tools will also help to identify patient behaviors that may be putting patients at risk for an
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preventiveservices.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Facility Design
(10)
Older Adults
(10)
Health Information Technology
(9)
Nursing Homes
(8)
Risk … Planning, Nursing Homes Publication Date: August 2022
Prescription Opioid Use Trajectories and Risk … Tools Publication Date: July 2021
Toward Safer Opioid Prescribing for Chronic Pain in High Risk … Grant Number: R01 HS 025402 04 Topic(s): Medication Safety Publication Date: April 2021
Risk
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preventiveservices.ahrq.gov/patient-safety/settings/ambulatory/index.html
July 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … It is a customizable "train the trainer" program plus specialized tools to reduce risks to patient safety … Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings is designed to help
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_ed-pamphlet.pdf
January 01, 2018 - No. 18-0020-3-EF
January 2018
www.ahrq.gov
Any clinical
presentation of:
Mortality risk
& treatment … Respiratory rate ≥ 30/min
Blood pressure (SBP < 90 mmHg or DBP ≤ 60 mmHg)
Age ≥ 65 years
LOW MORTALITY
RISK … Likely suitable for
home treatment
INTERMEDIATE
MORTALITY RISK
Likely needs hospital
referral … and further
assessment
HIGH MORTALITY
RISK
Urgent hospital
admission and
immediate treatment
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preventiveservices.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Residents and their family members may not know how antibiotics should be used or understand the risks … them understand what the nursing home is doing to make sure antibiotics are used properly, what the risks
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
December 15, 2016 - risk, and receiving input from a multidisciplinary team. … This
assessment should show how well the nursing home:
Identifies pressure ulcer nonhealing risk … factors using information from multiple sources,
Develops interventions specific to the risk factors … to mitigate risk, and
Communicates the intervention to all staff using multiple processes. … Based on review of risk factors for poor healing, what interventions would you investigate to
ensure
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
March 01, 2013 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Hospitals with relatively low-risk patients whose predicted readmission is the same as the expected readmission … for the average hospital for the same group of low-risk patients would have an adjusted readmission … Similarly, hospitals with high-risk patients whose predicted readmission is the same as the expected … readmission for the average hospital for the same group of high-risk patients would also have an adjusted
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preventiveservices.ahrq.gov/talkingquality/measures/understand/patient-comments.html
February 01, 2016 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … J Risk Uncertain 1997;14(3):235–57. [4] Schwartz LM, Woloshin S, Black WC, Welch HG. … What does it mean to understand a risk? Evaluating risk comprehension. … Risk as feelings. Psychol Bull 2001 Mar;127(2):267-86. [7] Redelmeier DA, Rozin P, Kahneman D.
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preventiveservices.ahrq.gov/news/newsroom/case-studies/201706.html
May 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The Institute’s objectives were—
To reduce the 30-day readmission rate among its high-risk population … The facility's high-risk population includes patients with the following characteristics: 40 or more … partial hospital admissions; co-morbidities of substance abuse/personality disorders, posing a higher risk … A nurse introduces inpatients at high risk for 30-day readmission to the program before being discharged
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - disturbance,
urinary retention, fecal impaction, and exposure to high-risk medications. … Awareness of these costs can drive improvement in screening and assessment of
individuals at risk for … While a single factor may put a patient at high risk for developing delirium, it is more likely that … , place
an individual at a much higher risk, especially if he or she is over 65 years of age. … delirium incidence,2,4,5,7,9,12,13 followed by duration of
delirium.5,7,8,9,12,13 Three papers reported relative
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preventiveservices.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … and Independent Input Identify Your Unit's Safety Issues Develop a Plan of Action How Will You Know Risk … Identifying Contributing Factors What Will You Do to Reduce the Risk of Recurrence?