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preventiveservices.ahrq.gov/npsd/quality-patient-safety/index.html
August 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … sufficient volumes of patient safety data to identify more rapidly the trends and underlying patterns of risks
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preventiveservices.ahrq.gov/funding/process/grant-app-basics/apptips.html
July 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … project involves clinical research, are the plans for 1) protection of human subjects from research risks … evaluate the justification for involvement of human subjects and the proposed protections from research risk … relating to their participation according to the following five review criteria: 1) risk to subjects … , 2) adequacy of protection against risks, 3) potential benefits to the subjects and others, 4) importance
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preventiveservices.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Risk-adjustment methods—mathematical models that correct for differing characteristics within a population … However, the science of risk adjustment is still evolving. … Experts acknowledge that better risk-adjustment methods are needed to minimize the reporting of misleading
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
March 01, 2020 - and leading to delays in clinical recovery.10
Because the peri-discharge period is fraught with risks … • Patients identified as high
risk for readmission. … Their readmission rate for their highest risk
patients was just 10.2 percent. … HARMS-8 tool for assessing nonmedical risks;
4. … Medication use risk management: hospital meets
home care. J Nurs Care Qual 2001;15(2):50-7.
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/814.html
May 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … All are at high risk for developing infections. … Risk of tizanidine-induced adverse events after concomitant exposure to ciprofloxacin: a cohort study … Readmission rates in stroke patients with and without infections: incidence and risk factors. … Delivery characteristics and the risk of early-onset neonatal sepsis.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
January 19, 2017 - includes identification of team meetings, huddles, and other communication structures in place, ways risk … populated on the report to ensure that data on the report agree with staff knowledge of residents’ health/risks … discussions, and other existing meetings where a report would enhance the current process to identify risk … disciplines and nursing assistants providing input and to change communication networks to improve risk … they understand the criteria for identifying residents profiled on the report, know the definitions of risk
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preventiveservices.ahrq.gov/health-literacy/about/index.html
January 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Personal health literacy is a social risk. … Library of Medicine)
Plain Language: Getting Started or Brushing Up (National Institutes of Health)
Risk
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preventiveservices.ahrq.gov/health-literacy/research/index.html
January 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Opportunities
Tools and Data for Researchers
Informed Consent and Authorization Toolkit for Minimal Risk … Research
The Informed Consent and Authorization Toolkit for Minimal Risk Research toolkit helps
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preventiveservices.ahrq.gov/evidencenow/tools/index.html
January 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … New Cardiovascular Disease Risk Guide! … Learn how to integrate CVD risk calculation into primary care.
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … and that national trends for surgical subgroups often were not available, putting patient safety at risk … teams in the process of algorithm development and ensuring that race is not used as a proxy for actual risk … Her research focuses on older patients and aims to mitigate the risk of adverse outcomes related to postoperative
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … Ensure that known risk factors for falls are assessed. … Slide 41: Care Planning Assessment
All risk factors identified on the fall risk factor assessment … Tailored approach to each patient, based on the patient’s risk factors. … Ensure that care plans address all areas of risk.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - patient satisfaction and patient experience of care surveys have been shown to predict malpractice risk … . 4 Eliminating or reducing the risks and hazards in the delivery of patient care should yield safer … MODULE 2: Obtaining Organizational Buy-In and Support
Obtaining senior leadership and risk management … This team is responsible for working with legal counsel, claims, and risk management staff to establish … The use of patient satisfaction surveys and alternative coding procedures to predict malpractice risk
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
January 01, 2009 - · Implants available in the operating room
· Correct type and size
· Essential imaging available
· Risk … of hypothermia – operation longer than 1 hour
· Warmer in place
· Risk of venous thromboembolism
· Compression … place
· Anesthesia safety check completed
· Type of anesthesia
· Anticipated airway and aspiration risk
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preventiveservices.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - PSOs offer a secure environment to identify and reduce the risks associated with patient care. … Patient safety, quality and risk managers, clinicians, and others use Common Formats to collect patient … TeamSTEPPS®) is a set of tools to help train clinicians in teamwork and communication skills to reduce risks … may represent a patient safety problem, and they can be a signal that the resident is at increased risk … It includes articles by AHRQ-funded patient safety researchers on topics such as reporting systems, risk
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/index.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Emergency Department Visits to help nursing homes with electronic medical records identify residents at risk
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
May 01, 2016 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Pressure ulcers cause pain, disfigurement, and increased infection risk and are associated with longer
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
May 19, 2020 - HIT solutions also bring risk – of adding complexity, fragmentation, and
burden – and may be challenging … Monitoring and follow-up
8
Algorithms and 'Artificial intelligence'
1-5%
5-10%
25-40%
>50%
Risk … Align Resources with Patient and Population Needs +++ +++
Prediction of meaningful outcomes for at
risk … , vulnerable populations
1-5%
5-10%
25-40%
>50%
Risk Definition (e.g.) … Health Information Technology to Support Care Transitions�
Prediction of meaningful outcomes for at risk
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Area-level indicators
Risk-adjusted (age, sex,poverty)
*Not included in the AHRQ QI Toolkit
Slide … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and … pressure ulcer risk (using Braden Scale or other tool) upon admission and every 24 hours thereafter, … using valid risk assessment, with results documented in the patient's chart. … Slide 67
Looking Back and Looking Forward
Retrospective Reviews
Appropriate Risk Assessment
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/staffsafetyassess.doc
August 06, 2012 - This form is designed to tap into your experience at the front line of patient care to determine what risks
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preventiveservices.ahrq.gov/npsd/data/dashboard/falls.html
September 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … fall at-a-glance (by age), commonly reported patient activities prior to fall, and commonly reported risk