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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/news/newsletters/e-newsletter/876.html
August 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … monitoring, also based on the systematic review, found postpartum home monitoring significantly reduced the risk … Implementation of suicide risk estimation analytics to support mental health care for quality improvement … Factors associated with lung cancer risk factor documentation. … Adapting an electronic STI risk assessment program for use in pediatric primary care.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
June 01, 2018 - Slide 18
Challenge
Inadequate Risk Assessments and Reassessments
Image of young man with clipboard … and image of rubber stamp
Slide 19
Opportunity
Accurate and effective risk assessments
Employing … critical thinking and clinical judgment
Consistency in approach
Identifying and communicating risk … possible time
Slide 20
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/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
July 07, 2023 - annual risk of stroke.17,18 For an older female
patient with all possible risk factors, the annual … assigned tasks (e.g., taking a
careful history and physical
examination, monitoring,
estimating risks … The clinician must regularly
evaluate the risks and benefits
of the team’s structure and
function. … higher risk models producing outputs within the context of high-risk
situations (e.g., ML-based cardiac … CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_pc-pamphlet.pdf
January 01, 2018 - No. 18-0020-5-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/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … If a person is colonized with MRSA, they have an increased risk of developing a MRSA infection and also … Removing MRSA from the patient cuts the risk of infection and transmission of the germ to other people … nursing homes because residents are older and more prone to having health conditions that increase their risk
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preventiveservices.ahrq.gov/teamstepps-program/welcome-guides/new-trainers.html
July 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … TeamSTEPPS 3.0 tools and concepts can help you teach your students to better understand these risks and … The expanded functionalities available in electronic health records risk an overdependence on technologies … all these factors contribute to fatigue and burnout that create additional challenges for teams and risks
-
preventiveservices.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
July 01, 2021 - Risks discussed by study participants included potential drift of AHRQ away from more impactful research … We judge that the risks associated with moving AHRQ or its role as the funded hub of federal HSR into … The risks are particularly concerning given they would affect the distinct role and capabilities of AHRQ … We judge the risks associated with locating the funded hub of PCR within NIH to outweigh the advantages … Study participants also noted an additional risk.
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preventiveservices.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.html
June 01, 2023 - , population-based tools on cardiovascular risk reduction in high-risk patients. … Results revealed that the interventions led to a substantial reduction in cardiovascular risk in high-risk … A controlled trial of dissemination and implementation of a cardiovascular risk reduction strategy in … The average 10-year ASCVD risk of patients before EvidenceNOW interventions was 10.11%. … After EvidenceNOW interventions, 10-year ASCVD risk for these patients lowered to 10.03%.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - services staff
Facilities engineer
Managers
Senior manager
Quality improvement/safety/risk … Determine who will complete the fall risk factor assessment on admission. Tool 4A. … Cathy April √
Tool 4C Assess Staff Education and Training Peggy and Jim April √
Determine How Risk … Team June √
Get Team buy-in on who does risk assessment and when (Nursing/4 hours). … Determine who will complete the fall risk factor assessment on admission. Tool 4A.
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
March 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Chui hypothesized that making older adults aware of high-risk OTC medications would facilitate their … evaluate this intervention in 63 AAH pharmacies to enhance patients’ awareness of and attention to risks
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
July 29, 2021 - the importance of the false
positive rate may vary greatly for each cancer type, depending on the risks … Comment: It is not necessary to include "high risk" in the diagnosis paradigm. … Genetic/Familial High-Risk Assessment:
Colorectal.(Version 3. 2019). … liquid biopsy or otherwise,
necessarily and appropriately differ for different cancers because the risks … and benefits of
subsequent treatments and interventions differ, and therefore so too do the risks and
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Identifying and communicating risk at the earliest possible time.
‹#›
14
Toolkit Approach
The Toolkit … on optimizing the effectiveness of interventions by:
Tailoring interventions to address individual risk … (3-12/05)
Added Alert re-
meds to Scale
(11-12/05)
Developed Education
Brochure on meds
and fall risk … 05)
Started AARs
(safety
huddles) on
test units 10-
12/06
Teachback
w/pts 11/06
Put pts on high risk … ,
Morse score > 50, on
anticoagulants, low
platelets 12/06
Use yellow wrist bands
on high falls risk
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preventiveservices.ahrq.gov/funding/policies/index.html
March 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Protection of Human Subjects
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk … AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research
This toolkit contains information
-
preventiveservices.ahrq.gov/ncepcr/research/health-literacy.html
September 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … step process for shared decision making that includes exploring and comparing the benefits, harms, and risks
-
preventiveservices.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … frontline staff and prescribing clinicians should be encouraged to understand both the benefits and risks
-
preventiveservices.ahrq.gov/news/newsroom/press-releases/data-highlight-inequities.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … And according to the third vaccine distribution scenario studied, prioritizing adults at increased risk … However, this would delay eligibility for some workers who have increased risk of exposure and increased … risk of transmission to others, the AHRQ researchers found.
-
preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Children with cancer are at particularly high risk for errors due to weight-based dosing calculations … contrast dye or nonsteroidal anti-inflammatory drugs, can cause acute kidney injury, which increases the risk … of mortality, length of hospital stay, and long-term risk of developing chronic kidney disease.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - Chemotherapy
Processes
2003-
2005
$200,000 Purpose: Evaluate the risks associated with each step … Florida
Robert Wears
University of Florida
Gainesville, Florida
R18 HS17902
[Grant]
Reducing Risks … Graphics
2006-
2009
$100,000 Purpose: Develop novel interactive computer graphics
to communicate risks … and assess their impact on
decision making and risk perception. … benefit from
prospective medication monitoring care plans when
complex medication regimens carry risks
-
preventiveservices.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … study 2 in the New England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk … While these are reportable events, we can assume the risks are more widespread; safety events in many