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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.html
December 01, 2017 - Huddle
X
Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk)
X … Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk)
X
Weekly Wound Review Meetings … Risk, Nutrition Risk)
X
Weekly Wound Review Meetings *
X combined with #13
Wound … Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk)
X
Weekly Wound Review Meetings * … strictly for prevention, some of the prevention reports can provide helpful information about residents' risks
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
November 01, 2016 - .
‹#›
Study Measures – Cholesterol
Percentage of “high-risk” adult patients who were prescribed or … High risk is defined as:
Having a diagnosis of atherosclerotic cardiovascular disease
Ever having an … when all of the following criteria are met:
They are ages 40 to 75 years
They have one or more CVD risk … factors (i.e. , dyslipidemia, diabetes, hypertension, or smoking)
They have a calculated 10-year risk … – try a 6 week break and then restarting
Add Co-enzyme Q10
Stop statin and focus on reducing other risks
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - For each HAC, we list the number of studies, the range of relative risk of death estimates from those … studies, our pooled meta-analysis relative risk estimate, underlying mortality in the population, and … 1.17–9.60
1.60 (1.38–1.87)
0.073
0.044 (0.028–0.064)
* No studies could be used in our relative … For example, one study that focused on Medicare beneficiaries and multiple drug classes reported a relative … Estimates of relative risk for mortality varied and included two studies showing protective effects for
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www.ahrq.gov/ncepcr/care/coordination/mgmt.html
August 01, 2018 - Use multiple metrics to identify patients with modifiable risks
Develop risk-based approaches … Develop/refine tools for risk stratification
Develop predictive models to support risk stratification … This requirement is particularly important for high-risk and/or high-cost populations. … consequently at different stages of modifiable risk. … More work is needed to explore what constitutes modifiable risks.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
June 02, 2025 - • Develop interventions specific to the risk factors to mitigate falls risk. … resident falls risk
Communication of falls risk to clinical and care plan teams
Creation … ____
Therapy _____
CNAs _____
Nurses _____
Therapy _____
CNAs _____
Documentation regarding risks … Weekly Falls Risk or Safety Meetings
Quarterly Summary of Falls Risk Factors by Unit or Facility … populated on the report to ensure that data on the report agree with staff
knowledge of residents’ health/risks
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk was reduced? … Slide 28: How Will You Know Risks Were Reduced? … Do staff believe risks were reduced?
Make data-driven metrics the goal whenever possible. … Slide 29: How Will You Know Risks Were Reduced?
Identify how you will measure success. … Slide 30: How Will You Know Risks Were Reduced?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
June 02, 2025 - • Develop interventions specific to the risk factors to mitigate falls risk. … Does your facility have a falls risk assessment policy? … resident falls risk
Communication of falls risk to clinical and care plan teams
Creation … When is the falls risk assessment conducted? (Check all that apply. … ____
Therapy _____
CNAs _____
Nurses _____
Therapy _____
CNAs _____
Documentation regarding risks
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave1.html
July 01, 2025 - Understanding AI’s Potential: Healthcare Applications of Deep Learning
Limitations of AI and the Resulting Risk … clinicians, and hospital leadership. 1–4 Transparency, explainability, fairness, accuracy, usefulness, and risk … using AI including trust in accuracy, lack of knowledge on how to use, and increased patient safety risk … benefits (i.e., save the most time and effort by deferring to AI decisions) but incur the greatest risks … Clinicians under trusting AI-enabled technologies, fearing the additional risk, may result in no benefit
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - However, all antibiotics, whether necessary or not, are associated with risks. … aortic dissections, seizures, and peripheral neuropathy—highlighting the importance of weighing the risks … The risk is highest when patients are actively receiving antibiotics, but this risk remains elevated … However, inappropriate antibiotic prescribing is a safety problem, and it exposes patients to unnecessary risks … : 7X risk – Fluoroquinolones: 5X risk • Risk is still elevated up to 12 weeks later 11
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www.ahrq.gov/sites/default/files/2024-01/chetty-report.pdf
January 01, 2024 - factors for readmission, develop risk
categories, and provide the intervention to selected high-risk … Assuming that the risks are proportional to the incidence rates, normalizing the total risk for
the … Scores for various combinations of risk categories are calculated by adding
the corresponding risk … Alternatively, we can use all the 16 mutually exclusive risk categories without
quantifying the risk … Also, the readmission rate for
the “no-risk--usual care” subgroup is 0.275, indicating that the risk
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - Modeling behaviors to minimize device risk is crucial. … team members by—
Sharing patient stories about where harm was averted
Explaining the significant risks … of aspiration (lower risk of VAP). … respiratory therapists, and other disciplines on following standard processes and reducing infection risks … This includes evaluating the device risk and necessity.
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www.ahrq.gov/sites/default/files/2024-01/sangasubana-report.pdf
January 01, 2024 - ), we chose the following four independent variables to manipulate
risks associated with the information … Product-Category Risk (PCR): This variable was manipulated by varying the level of risk
perceived by … ) vs. dry skin (low risk).
4. … “Perceived likelihood of risks in self-medication practices.” … “A model of perceived risk and intended risk-handling activity.”
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www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
January 01, 2024 - Additionally, risks of acute liver injury
were low among fluconazole, ketoconazole, and itraconazole … Pre-
existing chronic liver disease increased risks of aminotransferases >200 U/L (hazard ratio, 4.68 … In our study evaluating the comparative hepatic safety of azole antifungals,83 the absolute
risks and … Risks of acute liver injury were similarly low among users of fluconazole, ketoconazole,
and itraconazole … Managing the risks of from medical product use:
creating a risk management framework. http://www.fda.gov
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www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
January 01, 2024 - These findings suggest future studies should focus on acceptable outpatient risks and costs to
increase … Using a case vignette of a moderate
risk patient (ABCD2 score = 4, 7-day stroke risk = 6%), physicians … Almost 60% (13/22) initially chose to hospitalize the moderate risk patient. … These data
suggest future studies should focus on acceptable outpatient risks and costs to increase … ; 7 (58.3%) did not change despite risk increasing to 20%.
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www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
April 01, 2015 - • Use multiple metrics to
identify patients with
modifiable risks
• Develop risk-based
approaches … • Develop/refine tools for risk
stratification
• Develop predictive models to
support risk stratification … This requirement is particularly important for high-risk and/or high-cost
populations. … consequently at different stages of modifiable risk. … More work is needed to explore what constitutes
modifiable risks.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
December 01, 2014 - risk). … Show recent changes in risks.
Profile risks for each resident in the report. … Self-Assessment worksheet that is designed to help nursing home staff review how they:
Screen for risks … How can you tell if risks are changing?
How would you improve your approach to risk assessment? … reports at meetings with the multidisciplinary team will improve the team's ability to mitigate these risks
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk is reduced? … Do staff members believe risks were reduced? … Slide 44: How Will You Know Risks Were Reduced? … Slide 45: How Will You Know Risks Were Reduced?
Image. LFD Tool Step 4. … Post the stories of reduced risks (with data!).
Share with others.
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
August 01, 2022 - Alignment of the plan to the organization's strategic and risk/quality/patient safety goals. … Outline the organization's risk/quality/patient safety program and how the CANDOR process connects to … Implementation Risk
Implementation Risk
Assessment of the Implementation … Risk should address risks associated with allocating resources (human and other) to implement, spread … Include potential risks to the organization if the practices and principles are not fully integrated,
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
August 01, 2022 - Alignment of the plan to the organization's strategic and risk/quality/patient safety goals. … Outline the organization's risk/quality/patient safety program and how the CANDOR process connects to … Implementation Risk
Assessment of the Implementation Risk should … address risks associated with allocating resources (human and other) to implement, spread, or sustain … Include potential risks to the organization if the practices and principles are not fully integrated,
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/intro.html
November 01, 2014 - In general, reports help identify residents with increasing risk of pressure ulcer formation and help … Two reports were added to help provide more information about treatment history and changing risks to … Reports: High Risk and Medium Risk
2
Weight Summary Report
3
Trigger Summary Reports … : Resident Level and Unit Level
4
Risk Change Report
5
Intervention History for Nutrition … Risk Reports: High Risk and Medium Risk
6
Resident Clinical, Functional, and Intervention Profile