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Showing results for "risk".

201. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - – High Risk • Transfer Risk Report – Medium Risk • ED Treat and Release Report • Monthly Summary … Content is based on review of the published literature on the risks and treatments associated with the … MATERIALS: • Transfer Risk Report – High Risk • Transfer Risk Report – Medium Risk • ED Treat and … • Show recent changes in risks. • Profile risks for each resident in the report. … The Self-Assessment worksheet is designed to help nursing home staff review how they: • Screen for risks

202. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
     August 01, 2022 - At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … to verify the system encourages healthy, risk-reducing behaviors. … To achieve optimal outcomes, organizations must design robust systems that minimize risks. … It is critical to reinforce behaviors that will reduce risk and deter behaviors that increase risk.

203. 019-Perioperative-Infection-Prevention-Strategies-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
     April 01, 2025 - The authors found there was a 64 percent decrease in risk (a risk ratio of 0.36) of developing an SSI … several randomized controlled trials and observational studies, of varying quality and with varying risks … These increased risks are seen in patients with and without diabetes, and in different types of surgeries … that hyperglycemia is a risk factor for SSIs. … all staff, including those in the clinic, pre-op, and OR, receive annual mandatory education on the risks

204. 019-Ss-Periop-Infection-Prevention-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
     April 01, 2025 - The authors found there was a 64 percent decrease in risk (a risk ratio of 0.36) of developing an SSI … several randomized controlled trials and observational studies, of varying quality and with varying risks … These increased risks are seen in patients with and without diabetes, and in different types of surgeries … that hyperglycemia is a risk factor for SSIs. … all staff, including those in the clinic, pre-op, and OR, receive annual mandatory education on the risks

205. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
     January 01, 2025 - Key Words: human factors, risk assessment, safety 2. … Traditional risk assessment methods ill-suited to reveal risks in a complex sociotechnical system such … For example, Probabilistic Risk Assessment (PRA) can be used to quantify the likelihood of risk, but … the risk must be known. … Risk is the likelihood of exposure to hazard.

206. Puh-Factraining-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
     June 02, 2025 - feasibility and usefulness and content is based on review of the published literature concerning the risks … Some identify a profile of risk factors; others focus on a particular risk factor. … causes of risk changes. … Show recent changes in risks. Profile risks for each resident in the report. … The Self-Assessment worksheet is designed to help nursing home staff review how they: Screen for risks

207. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - Results: The HFMEA process identified 40 high-risk failure modes and 75 associated high-risk causes. … We applied HFMEA to identify risks in care transitions involving the discharge of newborns with complex … However, few published studies describe the risks of care transitions in the pediatric population. … failure modes and 75 high-risk causes. … We identified risks related to lack of communication between care providers in the hospital, between

208. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
     January 01, 2017 - First-Order Problem Solving Second-Order Problem Solving Recovers for one patient, but does not reduce risks … for future patients Example: You get the supply from another area or you manage without it Reduces risks … How will you reduce the risk of it happening again? … How Will You Reduce Risk Reoccurring? … Do staff believe risks were reduced?

209. Engineering Safety into Practice through Implementation of the 2025 SAFER Guides - Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
     February 18, 2025 - – Introduce topic and speakers • Hardeep Singh, MD, MPH – Overview of the need for proactive EHR risk … released 2014 & revised 2016 & 2024 • Self-assessment using recommended practices: ► Focused on high-risk … • Perform independent real-world testing with local data to reduce risks to patient safety. … Recommendation • Provide high-quality training programs for clinicians, including: ► Awareness of risks … and benefits. ► Consent-style agreements acknowledging understanding of risks

210. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
     March 01, 2016 - Hospital A has a risk- adjusted rate of 0.025 = (0.02/0.04) * 0.05) and Hospital B has a risk adjusted … defined above, ˆˆk k k j je Xβ= the predicted probability of QI k occurring on discharge j given the risks … ) present in discharge j where ˆ kβ is a vector of parameter estimates from a regression of the risks … of the risk-adjusted rate over time. … Also used instead of the risk- adjusted rate for comparing with others if the risk-adjusted rate is

211. References (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
     January 01, 2017 - For patients intubated at least 72 hours, CSS resulted in a relative risk reduction of VAP of 30 percent … Finding showed that SSD reduced incidence of VAP (relative risk = 0.56, confidence interval: 0.42 to … With the relative risk reduction at 50 percent of the base-case estimate, SSD-ETT resulted in $1,924 … CASS was the only significant protective factor (relative risk, 0.40; 95% confidence interval, 0.16 to … SSD significantly reduced incidence of VAP (relative risk [RR] 0.56, 95% CI: 0.45 to 0.69, p=(0.00001

212. 043-Vap-Prevention-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
     October 01, 2024 - Slide 1 Educational Objectives SAY: This presentation will discuss the causes and risks associated … focused on de-escalation and short-course antibiotic therapy in an effort to mitigate these unintended risks … There are contraindications to both high-flow O2 and NIPPV, so the risks and benefits should be carefully … mechanical ventilation, length of stay, and/or mortality—but may present increased cost or potential risks … These nurses are worried about risks to patient safety with early mobility and don’t realize how important

213. Applying the AHRQ Pediatric Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b1_pdi_applyingpdis.pdf
     March 01, 2016 - Hospital A has a risk- adjusted rate of 0.025 = (0.02/0.04) * 0.05) and Hospital B has a risk adjusted … defined above, ˆˆk k k j je Xβ= the predicted probability of QI k occurring on discharge j given the risks … ) present in discharge j where ˆ kβ is a vector of parameter estimates from a regression of the risks … of the risk-adjusted rate over time. … Also used instead of the risk- adjusted rate for comparing with others if the risk-adjusted rate is

214. Screening for Depression in Adults (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/depression/depsum2.html
     April 01, 2013 - The summary relative risk for remaining depressed was 0.87 (CI, 0.79 to 0.95) for intervention recipients … , suggesting that screening provided a 13 percent reduction in relative risk. … We detected heterogeneity in the results for the outcome of reduction in relative risk ( P = 0.052), … In this alternative analysis, the summary risk reductions with screening were slightly smaller (relative … risk, 0.90 [CI, 0.82 to 0.98]; summary risk difference, -7 percent [CI, -11 percent to -3 percent])

215. Appendix 3-B. Pre/Post-Test Questions and Answers for Module 3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3b.html
     October 01, 2014 - Risk assessments of residents for falls include all of the following except: Strength. … The team has to watch out for any environmental risks. Everything has to be documented. … An individual's condition and treatment can directly impact his/her fall risk. … The team has to watch out for any environmental risks. Everything has to be documented. … An individual's condition and treatment can directly impact his/her fall risk.

216. Apply Module Slide Presentation Text Descriptions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
     March 01, 2013 - increases risk where risk is not recognized, or is mistakenly believed to be justified Reckless … At-risk behavior is a choice made while believing that the risk is insignificant or justified. … Coaching is the best response to at-risk behavior. … Reckless behavior is the conscious disregard of substantial and unjustifiable risk. … communication strategies from CUSP and TeamSTEPPS® The communication that takes place between two people risks

217. The SHARE Approach: Facilitator's Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-facilitator-guide.pdf
     October 01, 2024 - > Which of these potential risks worries you the most? … > I discussed the risks and benefits of each option with my patient. … With a blood thinner, his risk would go down to 1.1% per year. … Use absolute instead of relative risk > Terrible: “There is a 300% increased risk of stroke without … Keep denominators the same Use absolute instead of relative risk Frame both positively and negatively

218. Final Progress Report: Incorporating Temporary Health States into Decision Support (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
     January 01, 2024 - the risks against their impact on quality of life. … in peri- and postmenopausal women at increased breast cancer risk. … A Framework for Personalized Risk Assessment and Counseling. … vaginal HT Minimal risks. SSRIs Dry mouth, decreased appetite, nausea, constipation. … It reduces risk of obesity, heart disease, stroke and diabetes.

219. Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/eskandari-raval-report.pdf
     January 01, 2024 - undergoing colectomy, reducing incidence of surgical site infections and identifying patients at risk … Caprini taught the audience his VTE Risk Assessment Model, the Caprini scale. … Risks and benefits of different chemical prophylaxis were also discussed. … Oncologic patients have an increased risk of VTE. … Bentrem encouraged high-risk medical oncology patients to receive chemical prophylaxis as well.

220. Mod02-Business-Case-Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
     April 01, 2016 - Adapt the business case to the audience being addressed, whether it is the CEO, risk manager, or frontline … – Alignment of the plan to the organization’s strategic and risk/quality/patient safety goals. … Implementation Risk ■ Assessment of the Implementation Risk should address … risks associated with allocating resources (human and other) to implement, spread, or sustain the … ) ■ Include potential risks to the organization if the practices and principles are not fully integrated