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www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
January 01, 2024 - Yet, the risks to patients and nurses alike are overwhelming. … In addition to the immediate risks of fatigue to nurses and their patients, short sleep duration
that … day versus 12-hour night shifts on nurses’ safe practice relating to patient care and
nurse safety risks … Although prior studies using observational
designs have identified risks associated with fatigue for … both nurses and their patients, very little
is understood about the nature of risks to nurses and their
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs3.html
December 01, 2017 - Nutrition Risk Reports: High Risk and Medium Risk
3.1.1. … Criteria and Level of Risk for Nutrition Risk Reports
Nutrition Risk Report
Nutrition Risk … Criteria
Decreased Meal Intake
Weight Loss
Medium Risk Report*
✓
Medium Risk … Report
✓
High Risk Report
✓
✓
* Residents at high and medium risk display on … Resident risk for high or medium risk should be determined for all residents for the report week and
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www.ahrq.gov/ncepcr/about/impact-stories/better-approach.html
April 01, 2025 - demonstrates the use of an electronic health record (EHR)-based tool to improve confidential screening and risk … Clinicians determined what follow-up care to recommend based on risk level , including immediate outreach … use of the non-interruptive alert increased the overall rate of screening for IPV from 45% to 65% (Relative … Risk, 1.46 (95% CI, 1.44-1.49, P<0.001)). … Only 9 patients were identified as at risk for IPV using the nurse-led screening, while 130 were identified
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www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - The data were summarized into seven modules (IT safety management systems, risk
assessment, change management … To mitigate the hazards identified in the previously conducted proactive risk
assessment (PRA) with respect … Resilience 1R18 HS017902-01
The data were summarized into seven modules (IT safety management systems, risk … Health information technology risks. The Risks Digest 2010; 26. … Re: Health information technology risks (Kenzo, RISKS-26.30).
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
November 01, 2017 - tools are intended to improve clinical decision making by helping clinical staff identify residents at risk … staff have difficulty preventing adverse events because clinical information needed to intervene on risk … They cannot easily identify residents with increasing risks, or easily assemble the clinical information … These reports identify who is experiencing increasing risks and provides easy access to important clinical … and provide a profile of each identified resident's risk factors.
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www.ahrq.gov/sites/default/files/2024-04/naughton-report.pdf
January 01, 2024 - terminal ICU stays for persons with advanced age, frailty, and/or multiple comorbidities for whom
the risks … among persons age 75 years and older, those with the highest mortality
risk. … The persons in the high-risk category for the PSI have a 27% risk of 30-day mortality, and
those in … the highest-risk category of the CRB-65 have a 30-day mortality risk of 31%. … estimated risk of mortality equal to
65%.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/intro.html
November 01, 2017 - nursing home team with electronic medical record (EMR)-based tools to effectively monitor resident fall risk … Clinical reports provide resident and fall risk information staff need to proactively implement care … Reports also provide the facility team with information to assist them in analyzing resident fall risks … experts and the feedback of nursing home clinicians who reviewed and tested the feasibility of the risk … On-Time Falls Prevention: Reports and Implementation Materials
Reports
Falls High-Risk
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Sustainability
Preventing CAUTI: Focus on Culturing Stewardship
Tools To Help Mitigate Device Risk … Figure 1 illustrates the three areas of focus in reducing invasive device risk.
Figure 1. … PVC site, thus reducing the risk for infection. … The risk of CVC infection increases the longer the catheter is used. … be removed and lower risk alternatives used.
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www.ahrq.gov/sites/default/files/2024-12/eder-report.pdf
January 01, 2024 - Risk Assessment of the Testing Processes of Access Community Health Network Eder
4
The Risk Assessment … This risk
assessment study focused on identifying risks and hazards as the basis for
initiating targeted … Following Battles’ methodological recommendations for
studying risks and hazards, we engaged in a … in testing represent a large risk to patients. … Risk Assessment of the Testing Processes of Access Community Health Network Eder
15
Risk Assessment
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www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers
Risk-Informed … Healthcare risks are common
in pediatrics and have been demonstrated to lead to avoidable harm. … Healthcare, as a life-critical industry,
must assess existing risks and improve the reliability of the … and interacting
communication, coordination, and assessment risks. … Managing the Risks of Organizational Accidents.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises6.html
December 01, 2017 - Facilitator Training—Additional Exercises (continued)
Intervention History for Nutrition Risk … Intervention History is a companion report to ( circle all that apply ):
Nutrition Risk Report: … High Risk
Nutrition Risk Report: Medium Risk
Weight Summary Report
Trigger Summary Report
None … Report
Use the Intervention History for Nutrition Risk Report and the companion Nutrition High-Risk … Sample Intervention History for Nutrition Risk Report: High-Risk Residents
Nursing Unit: A
Report
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-4-ef.pdf
January 01, 2015 - Measure: Behavioral Health Risk Assessment for Pregnant Women
Measure: Behavioral Health Risk
Assessment … Numerator Denominator Exclusions Data Source(s)
Patients who received all
behavioral health screening
risk
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www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
January 01, 2024 - Current treatments for CP are only modestly effective and some, such as opioids, carry significant
risks … Discuss benefits and risks and clinician and patient responsibilities for managing opioid therapy.
4. … Evaluate risk factors for opioid-related harms. Consider offering naloxone.
9. … • PLW recognize the risks of opioid use. … items, some already had high levels of adherence at baseline,
(e.g., assessment for opioid related risks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - The factors included in the risk priority number calculation
and their rating scale
Risk priority … Using
FMEA to assess risk and reduce error. … Organizing patient safety
research to identify risks and hazards. … risk modeling in health
care. … Sensemaking
of patient safety risks and hazards.
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www.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
March 01, 2021 - Management Evidence and Resources
People with elevated levels of cholesterol are at increased risk … to manage blood cholesterol can reduce the chance of having a heart attack for people at increased risk … Services Task Force (USPSTF) released recommendations supporting statin use in adults at increased risk … factor and an increased risk of a CVD event (>=10% in 10 years). … The USPSTF recommended discussing statin use in similar patients with more moderate risk of a CVD event
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section1.html
October 01, 2015 - Sustainability
Preventing CAUTI: Focus on Culturing Stewardship
Tools To Help Mitigate Device Risk … Intended Audience
Resident physicians
Purpose
Define an approach to evaluate the infectious risk … The risk of infection starts at the time of exposure to the device and continues until after removal. … The risk of device-associated infection is mitigated by using the devices only when necessary, complying … We present a plan to help teams that include RPs address risks related to invasive devices in the hospital
-
www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids … codeine or hydrocodone to limit
the use of these products to adults 18 years and older because the risks … of precipitating an
asthma exacerbation.48,49
More studies are needed to quantify the relative risk … Drug Safety and Availability - FDA Drug Safety Communication: FDA Evaluating the Potential Risks of … Drug Safety and Availability - FDA Drug Safety Communication: FDA Evaluating the Risks of Using the
-
www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - In this risk score, X n represents baseline risk factors and in-hospital clinical factors, as well as … The high-risk cohorts included cases of patients who were transferred to the ICU after 24 hours, died … with preimplementation period (16.5 vs. 20.9, OR 0.75 [95% CI 0.43-1.29], p=0.29), or a 25 percent relative … risk reduction in overall DE. 1 In postimplementation analysis, researchers found that relative risk … reductions in DE were greater in patients in the high-risk cohort.
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www.ahrq.gov/pqmp/measures/risk-assessment-pregnant-women.html
August 01, 2021 - Behavioral Health Risk Assessment for Pregnant Women
Measure Domain: Perinatal Care
Measure
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
October 01, 2014 - is lost quality of life; a resident may want to dance, or garden, or go on an outing, and taking the risk … Any resident who has a pattern of falls is at risk of falling again. … to assess residents' risk of falling. … frequently and be alert for any furniture, equipment, or other items that might make a fall likely—fixing risks … Development and validation of the Comprehensive Falls Risk Screening Instrument.