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preventiveservices.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-guide.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … 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. … "When you think about the possible risks, what matters most to you?"
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Report – High Risk
Transfer Risk Report – Medium Risk
ED Treat and Release Report
Monthly Transfers … REPORTS
Transfer Risk Reports: High Risk
and Medium Risk
Provides a weekly snapshot of residents at … Transfer Risk
Risk Factors Risk Level
Row No. … Rules for Determining High Risk
Rule 2: High risk based on polypharmacy AND at least 4 risk factors from … Rule 3: High risk based on high-risk change in condition within last 7 days and at least one high-risk
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - But there is only limited understanding of such risk factors currently. … Health Care Leaders and Professionals
Many individuals do not understand the benefits, harms, and risks … that hospitals and clinical teams can use to ensure that people understand the benefits, harms, and risks … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … These skin lesions bring pain, associated risk for serious infection, and increased health care utilization
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
July 01, 2016 - these risk factors in a way that would give us changes in risk
factors during their stay. … We need information on a weekly basis to identify how risks are changing but we can’t expect to
pull … of
residents at risk. … The purpose of
using the reports is to identify persons
with risks associated with pressure
ulcers … Reports provide
information about current and
changing risks for pressure ulcer
healing and can aid
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - these risk factors in a way that would give us changes in risk factors during their stay. … We need information on a weekly basis to identify how risks are changing but we can’t expect to pull … X
X
Weekly risk meetings
(e.g., pressure ulcer healing risk or nutrition risk)
Multidisciplinary … The purpose of using the reports is to identify persons with risks associated with pressure ulcers, review … Reports provide information about current and changing risks for pressure ulcer healing and can aid root
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - Miller’s team is studying the role of the ambulatory care environment in elevating the risk of a CVD … That’s because the widely used Framingham risk score—an algorithm used to estimate a person’s 10-year … cardiovascular risk—is based on a long-term ongoing study of mostly older, white men, Dr. … “How does that account for cardiovascular risk factors in young, Black female patients?” she asks. … A broader, systems-based approach to addressing CVD risk factors also might include assessing whether
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
December 15, 2016 - huddle
Weekly risk huddle of Nursing and Rehab
Weekly wound review meetings
Weekly … risk meeting
On-Time Pressure Ulcers at Risk for Delayed Healing Report
Care plan meeting … management meeting
Root cause analysis for new pressure ulcers or pressure ulcers at risk for … delayed healing
Skin rounds
Weekly nutrition risk huddle
Weekly risk huddle for Nursing … and Rehab
Weekly wound review meetings
Weekly wound rounds
Weekly risk meetings
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
December 15, 2016 - huddle
Weekly risk huddle of Nursing and Rehab
Weekly wound review meetings
Weekly risk … meeting
On-Time Pressure Ulcers at Risk for Delayed Healing Report
Care plan meeting
Dietary … healing
Skin rounds
Weekly nutrition risk huddle
Weekly risk huddle for Nursing and Rehab … Weekly wound review meetings
Weekly wound rounds
Weekly risk meetings
On-Time Weekly … management meetings
Weekly risk meetings
Weekly wound review meeting
Weekly wound rounds
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-slides.pptx
September 01, 2022 - administration and correct antibiotic at the right dose is critical
However, antibiotic use is associated with risks … Ambulatory Care
10
Antibiotics & Clostridioides difficile12
Virtually all antibiotics can
increase the risk … of C. difficile
infections
Greatest risk
Clindamycin: 18X risk
Third-generation cephalosporins: 7X … risk
Fluoroquinolones: 5X risk
Risk is still elevated up to 12 weeks later
11
Focus on Antibiotic … Meta-analysis of antibiotics and the risk of community-associated Clostridium difficile infection.
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preventiveservices.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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - The reports are:
• High-Risk Transfer Report (a medium-risk report can also be produced but is not … Transfer Risk Report
Sample High-Risk Transfer Report
Facility Name:
Unit:
Report Date:
Resident … at risk for hospitalization? … Report – High Risk and Medium Risk
1. … on the report to ensure that data on the report agree with staff
knowledge of residents’ health and risks
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide_slides.pptx
December 01, 2014 - Risk Change Report
Intervention History for Nutrition Risk Reports: High and Medium Risk
Resident Clinical … reports
December 2014
Pressure Ulcer Prevention
4
Nutrition Reports: High Risk and Medium Risk
Provides … and Medium Risk Criteria
Sorts residents into high and medium risk using two criteria to determine level … Risk change report
December 2014
Pressure Ulcer Prevention
31
Risk Change Report: Resident Changes … Report: High Risk
High-Risk Residents Room Diet Diet
Order Date Supple-ments PT OT Speech Social
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preventiveservices.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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
January 29, 2015 - Weekly huddle to review residents at risk with CNA staff
2. … Weekly huddle to review residents at risk with CNA staff
2. 2.Weekly nutrition-at-risk meetings … Risk management meetings; use as complementary tool during
risk review at the nursing-unit level. … Other
Intervention History for Nutrition Risk Report
1. … Weekly huddle to review residents at risk with CNA staff
2.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … 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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/nursing-home/best-practices-managing-deconditioning.pdf
May 01, 2022 - This resource discusses ways nursing home staff can
identify residents at high risk for deconditioning … prolonged inactivity.1 For
some nursing home residents, it may lead to decreased mobility, increased risk … COVID-19 pandemic continues to evolve,
nursing home staff should work to identify residents at high risk … IDENTIFYING RESIDENTS AT HIGH RISK OF DECONDITIONING
Several screening and assessment tools are available … to assist nursing home staff in identifying high-risk
residents.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
November 17, 2020 - • Common, Costly
• Health equity issue
• Health system ill-designed to meet the needs of
those at risk … • Prevention interventions targeted at reducing the
prevalence of common chronic disease risk factors … with
a particular focus on interventions to reduce the
likelihood those “at risk” will go on to develop … MCC
• Targeted interventions to improve health and reduce the
risk of adverse events and complications … issues
• Targeted interventions for those who have complex
management issues and who are at “high risk
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preventiveservices.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
September 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … a digital healthcare tool to help breast cancer patients better understand their treatment options, risks … providers can use artificial intelligence (AI) to identify which cardiac disease patients are most at risk … Decision Precision+ , pulls electronic health record (EHR) data to provide individualized benefit and risk
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - 1 = Moderate risk
2 or above = High risk
3H: Morse Fall Scale for Identifying Fall Risk Factors … 25-45: Moderate risk
>45: High risk
______
* Weak gait: Short steps (may shuffle), stooped but able … calculated by (risk level score) x (number of medications in that risk level category). … Fall Scale for Identifying Fall Risk Factors,” or 3G, “STRATIFY Scale for Identifying Fall Risk Factors … medication-related risk for falls.
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preventiveservices.ahrq.gov/data/visualizations/prevalence-fh-mfd.html
October 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … 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