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Showing results for "risk".

221. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     June 02, 2025 - In other words, if we knew who was at high risk or had a recent change in risk, would we do things … Some identify a profile of risk factors; others focus on a particular risk factor. … MATERIALS:  Falls High-Risk Report  Quarterly Summary of Falls Risk Factors (by Unit or Facility …  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

222. Puh-Factraining-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     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

223. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
     December 01, 2014 - May focus on a particular risk factor. … Identify residents with recent changes in risks. Profile risks for each resident in report. … Each Self-Assessment worksheet is designed to help nursing home staff review how they: Screen for risks … Mitigate those risks. Prioritize residents who may need changes to care plans. … How the nursing home identifies risk factors for adverse events and communicates changes in risk to clinical

224. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
     December 01, 2014 - Does information exist to identify residents at risk? How can this information be used? … preventing adverse events Proactive rather than reactive Identify residents with recent changes in risks … Profile risks for each resident in report Prioritize residents for possible changes to their treatment … Worksheet Each Self-Assessment worksheet is designed to help nursing home staff review how they: Screen for risks … associated with each of the On-Time program’s adverse events Mitigate those risks Prioritize residents

225. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
     January 01, 2024 - Results: The project generated new epidemiological evidence of patient safety risks and adverse events … We also sought to use epidemiological data to develop and implement “eMeasures” to monitor these risks … risks. … the increased number of medications available and fractured care across multiple providers, safety risks … At least 25% of patients with the highest-risk conditions (e.g., vasculitis) or highest-risk immunosuppressants

226. Module 2: Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
     August 14, 2015 - 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.

227. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
     January 01, 2025 - The purpose of this project was to use Failure Mode Effects Analysis (FMEA) to identify modifiable risks … technique to identify risks associated with inpatient-to-ambulatory transitions; the FMEA, in turn, … analysis techniques as a means to identifying and reducing risks. … Though this is a sensible approach to understanding how risks emerge, there are fundamental challenges … analysis may convey an impression that risks are well understood when, in fact, meaningful sources

228. Appendix A, Pt. 3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
     April 01, 2018 - Results The odds ratios for SSI in each NNIS System risk index category (compared with the risk in … Risk factors related to operating rooms include patient-associated risks, the operating room environment … The CD4+ lymphocyte count is clinically relevant for stratifying the risks in HIV-infected patients. … Risk Infection Factors in the Total Hip Replacement - Arjona et al. … Spinal fusion without instrumentation has a 1-5% risk of infection.

229. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
     June 01, 2025 - Similarly, many widely used clinical risk calculators, such as the CHA₂DS₂-VASc score for stroke risk … delivery, it also introduces new risks that must be carefully understood and addressed. … To maximize the benefits of AI while minimizing harm, it is critical to examine the underlying risks … In healthcare, hallucinations pose an even greater risk. … Given the risks of bias, hallucinations, and lack of transparency described above, this shift places

230. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
     January 01, 2017 - It reduces risks for future patients by improving work processes and increasing compliance. … Slide 27 How Will You Know Risks Were Reduced? ASK: How will you know the risks were reduced? … Slide 29 How Will You Know Risks Were Reduced? … ASK: Are there other ways to assess whether risks were actually reduced? … With supporting data, show your staff the reduced risks for patient harm.

231. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide3.html
     February 01, 2016 - Choose the Model To Assess VTE and Bleeding Risk Chapter 5. … for VTE or without multiple VTE risk factors. … the highest of all risks for VTE. … In view of underlying high risk, even patients who have an active malignancy without additional risk … patients, or with LMWH for higher risk patients.

232. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
     February 01, 2016 - Choose the Model To Assess VTE and Bleeding Risk Chapter 5. … for VTE or without multiple VTE risk factors. … the highest of all risks for VTE. … In view of underlying high risk, even patients who have an active malignancy without additional risk … patients, or with LMWH for higher risk patients.

233. 003-Ss-Antimicrobial-Prophylaxis-Part-2-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
     April 01, 2025 - There are several risks associated with prolonged prophylaxis. … , and increased risk of acute kidney injury. … Slide 18 Benefits and Risks of IV Vancomycin SAY: There are benefits to including IV vancomycin as … Therefore, again, the benefits must be weighed against the risks. … Slide 39 Case Study: How To Know Risk Is Reduced? SAY: How do you know that risk is reduced?

234. 001-Ss-Antimicrobial-Prophylaxis-1-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/001-ss-antimicrobial-prophylaxis-1-fg.docx
     April 01, 2025 - strategies to reduce SSI risk. … prophylaxis agents effective against MRSA and how to appropriately use them, while balancing benefits and risks … benefit of including vancomycin as part of antimicrobial prophylaxis should be weighed against the risks … In light of this, and balancing the risks and benefits of using vancomycin, who should receive vancomycin … are four phases in which interventions related to antimicrobial prophylaxis take place to reduce the risks

235. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
     September 01, 2017 - Risk. … Content is based on review of the published literature on the risks and treatments associated with the … Transfer Risk Reports (high- and medium-risk residents) provide a weekly snapshot of residents at risk … 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

236. Best Practices for Promoting Emotional Well-Being in Nursing Home Residents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
     March 01, 2022 - The image below illustrates a range of risk of spreading COVID-19 for diff erent activities. … example, a social activity such as an exercise group could be offered in multiple ways to minimize risk … Visitation Nursing homes should develop visitation policies for a variety of scenarios, keeping in mind the risks … For example, outdoor visits generally pose fewer risks than indoor visits, but weather and medical conditions … for outdoor visits may increase the risk of overheating or dehydration.

237. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
     October 01, 2017 - at risk and quantify the level of this risk. … ’s risk status. … scores of the risk assessment tool, but also other factors placing the patient at risk. … prevent pressure injuries is to create a care plan that is responsive to the patient’s pressure injury risks … plan addresses this risk.

238. 133-Clabsi-Prevention-Central-Line-Insertion (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/133-clabsi-prevention-central-line-insertion.docx
     October 01, 2024 - Each location has its own risks and should be considered on a case-by-case basis. · Subclavian vein: … catheter-related thrombosis. · Femoral vein: Should be avoided if possible, due to significant increase in risk … of infection.7 · Risks include: infection due to proximity of the groin, catheter-related thrombosis … Risk of infection due to central venous catheters: effect of site of placement and catheter type. … The risk of bloodstream infection associated with peripherally inserted central catheters compared with

239. Facapplycusp (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
     June 02, 2025 - behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is mistakenly … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … 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. … for healthy, risk-reducing choices.

240. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - Summary scores from the FMEA are presented in Table 1, which shows the relative risk for each step as … risks on the highest risk steps. … Across all steps, risks were estimated to decrease by 45 percent. Table 2. … The FMEA predicted that the IT strategy implemented in one IDS reduced risk scores in the highest risk … Managing the risks of organizational accidents.