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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - Page 42
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Pressure Injury risk assessment
BEST PRACTICE
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Pressure Injury Risk Assessment
Next … step in prevention
Goal: to identify patients at risk
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Risk Assessment Scales
Only one part of risk … For risk assessment in pediatrics. … 34
Identify Best Practices
Risk assessment:
Which standardized risk assessment scale do you plan to … When do you plan to complete risk assessments?
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - October 2017
On-Time Falls Prevention
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Falls High-Risk Report:
High-Risk Criteria
Risk criteria identified … Report:
High-Risk Criteria
Risk determined based on a combination of the following elements:
Presence … risk factors
October 2017
On-Time Falls Prevention
10
Rules for Determining High Risk
Rule #1: … Rule #3: High Risk Based on New Contributing Risk Factor Within 7 Days:
Residents will be flagged as … Risk Factors Report.
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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Baseline
Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted
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talkingquality.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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talkingquality.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
June 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Describe strategies that reduce the risk of collecting contaminated microbiologic samples.
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talkingquality.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … involvement of human subjects and proposed protections according to the following review criteria:
Risk … Adequacy of protection against risks. … various reasons, some related to the claims about the research protocol (e.g., for exemption or the risk … inadequate procedures to maximize privacy and confidentiality or subjects not adequately informed about risks
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Prevention Practices
Tool 5C: Assessing Comprehensive Skin Assessment
Tool 5D: Assessing Standardized Risk … Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission … Determine whether there is any documentation of the completion of the standardized risk assessment. … For each patient, determine on which dimensions of the standardized risk assessment there was a score … Calculate the percentage of abnormally scored dimensions of the standardized risk assessment that are
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talkingquality.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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talkingquality.ahrq.gov/patients-consumers/patient-involvement/index.html
November 01, 2016 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Patients and families who engage with health care providers ask good questions and help reduce the risk
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talkingquality.ahrq.gov/health-literacy/publications/ten-attributes.html
January 01, 2024 - Addresses health literacy in high-risk situations, including care transitions and communications about … The AHRQ Academy Playbook on Integrating Behavioral Health in Primary Care
Toolkit to Engage High-Risk … Addresses health literacy in high-risk situations, including care transitions and communications about … High-risk decisions, situations, and transitions demand more attention to health literacy. … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation: High-Risk
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - of error.12
· The risks and benefits of low- versus. high-dose oxytocin protocols remain an active … The use of standard NICHD nomenclature17,18,19 reduces confusion and risk of error. … · Use unit-established process for conveying risks and benefits of oxytocin use to patient and family … Verifying and documenting indications for use (continued)
discussion with patient of risks and benefits … and documentation of the discussion about risks, benefits, and alternatives should be documented to
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talkingquality.ahrq.gov/evidencenow/projects/heart-health/research-results/research/member-survey-nw.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … readiness for change, practice readiness for change, respondent characteristics, CVRC, and estimating ASCVD risk
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
September 18, 2014 - Statin drugs decrease CVD illness and
mortality in people at high risk. … project is to understand these disparities and improve the
appropriate use of statins among all high risk … who reached out to patients by phone and mail to promote awareness of
the patient’s personal CVD risk … address this risk? … Barriers to at risk patients starting a statin regiment include:
– Primary care clinicians focus
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talkingquality.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Appropriate use of DXA scans in women under 65 years who do not meet the risk factor profile for osteoporotic … Percentage of all cardiac stress imaging performed for initial detection and risk assessment in patients … who are asymptomatic and at low risk for coronary heart disease. … However, with the exception of a few high-risk procedures, researchers have not yet determined the exact
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talkingquality.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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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Are governance/senior leaders regularly and thoroughly briefed on risks and hazards?
b. … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings?
f. … Comments
Leadership and Culture
Are governance/senior leaders regularly and
thoroughly briefed on risks … Are patient safety risks, hazards, and opportunities
discussed and documented at board meetings? … There is strong consensus that
improved communication between providers and patients about risks to
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Recommended Practice: Assess risk factors
• Determine which pediatric patients are at increased risk … o High-risk surgery (e.g., emergent and prolonged procedures, open vs. laparoscopic). … • Use nasogastric tubes selectively since they can increase the risk of aspiration. … Development and validation of a risk calculator
predicting postoperative respiratory failure. … Postoperative pulmonary complications: an update on risk assessment and
reduction.
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talkingquality.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