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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … example, external consultants helped practices use their electronic health record data to identify at-risk … EvidenceNOW is having on these practices and their patients, including identifying and treating patients at risk … Oklahoma Practice
"Progress under EvidenceNOW included increasing blood pressure measurement for at-risk
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talkingquality.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
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - When falls occur with assistance, it suggests that staff have identified at-risk patients and are in … Accurately completing the fall risk factor assessment within 24 hours of admission.
2. … Putting appropriate care planning in place that addresses each risk factor identified during fall risk … Slide 41
SAY: For risk factor assessment to make a difference, all risk factors identified on the risk … Ensure that the care plans address all areas of risk.
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talkingquality.ahrq.gov/evidencenow/tools/keydrivers/engage-patients-families.html
November 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … tailoring presentations of the evidence to patients’ specific conditions and concerns, and explaining risks … health literacy and even more face significant challenges in understanding numbers and estimations of risk
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talkingquality.ahrq.gov/hai/cusp/modules/index.html
August 01, 2019 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk … Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk
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talkingquality.ahrq.gov/evidencenow/heart-health/smoking/use.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Tobacco Use
Resource description: This script and slide deck from a 14-minute presentation cover the risks
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talkingquality.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
May 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Teams are at risk whenever they are over- or underloaded. The reason? … Task assistance rebalances the workloads of team members to reduce this risk. … Vulnerability to error is increased when people are under stress, are in high-risk situations, and are
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talkingquality.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
July 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … care practices to improve quality of care, while achieving measurable improvements in cardiovascular risk … Older Adults , which will provide important lessons on avoiding harms in this under-recognized and high-risk … disorders to stem the epidemic of deaths and harms from opioid and polysubstance use in all population at risk
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
June 05, 2016 - In column E, “Volume of Cases at Risk,” indicate the annual volume of each PSI, IQI, and/or
PDI event … Patients who experience
adverse events often tend to have more comorbidities and other risk factors … Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
2 Tool C.1
costs and risk … To determine this number, for each PSI, IQI, and/or PDI, multiply
column E, “Volume of Cases at Risk … the best way by
which executives can review the execution of projects, identify gaps, and spot new risks
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talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/tools/factsheet.html
September 01, 2020 - 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
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nyc.pdf
November 01, 2017 - they need to help their patients adopt the
ABCS of cardiovascular disease prevention: Aspirin in high-risk … disease is the primary cause of
death in the city, and prevalence of cardiovascular disease (CVD) risk … ABCS-driven
care
• Three expert webinars on topics related to evidence-
based management of CVD risk … practices [AcademyHealth,
2017]
• Using Practice Facilitation in primary care settings to
reduce risk … Conference, 2016]
• Using Practice Facilitation in primary care settings to
reduce risk factors for
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talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - When falls occur with assistance, it suggests that staff have identified at-risk patients and are in … Putting appropriate care planning in place that addresses each risk factor identified during fall risk … Slide 41
Say: For risk factor assessment to make a difference, all risk factors identified … on the risk factor assessment need to be addressed in the care plans. … Ensure that the care plans address all areas of risk.
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talkingquality.ahrq.gov/coronavirus/long-covid.html
March 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … many potentially overlapping entities, likely with different biological causes and different sets of risk … Further, many at-risk and minority populations face barriers that can exacerbate the impact of Long COVID … research and to improve the care of people living with multiple chronic conditions who are at increased risk
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talkingquality.ahrq.gov/funding/process/study-section/resfoci.html
October 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Innovation & Emergent Issues Research
Healthcare Safety and Quality Improvement Research (HSQR)
Identify Risks
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talkingquality.ahrq.gov/prevention/curriculum/index.html
January 01, 2021 - 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
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
March 01, 2013 - Risk assessments are most effective when increased risk for a fall is identified and communicated early … They gave an update on the risk assessment process changes. … The staff are transitioning to risk-based assessment and interventions tied to each identified risk factor … Before they used more of a definitional risk-based assessment and interventions. … For example, are staff individualizing care plans according to risk factors found on risk assessment?
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talkingquality.ahrq.gov/cpi/about/nac/pcortf-snac/rhodes.html
November 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … research teams testing emergency department innovations in screening/intervening for health-related social risks
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talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Cross-Monitoring
Ongoing cross‐monitoring of the care environment helps everyone recognize risks