-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - Slide 1
Educational Objectives
SAY:
This presentation will describe the patient safety risks that … Slide 3
Risks of Healthcare-Associated Infections
SAY:
The risk of healthcare-associated infections … The risk is even higher for patients in intensive care units, where 30 percent develop an HAI. … This reduces the risk that future patients will be harmed by the same type of error. … He assessed the patient for her venous thromboembolism (VTE) risk and followed the VTE risk protocol,
-
www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
December 01, 2023 - older
adults, such as screening
for opioid-related risks
(falls, etc.) or medication
management. … for opioid
related risks (falls, etc.) … , such as screening
for opioid-related risks
and recommendations
for improved medication
management … A policy and agreed
upon standard of
practice about
screening for risks of
adverse events in older … An opioid treatment
agreement/plan
customized for older
adults that describes
risks specific to older
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - May focus on a particular risk factor. … Quarterly Summary of Falls Risk Factors (by Unit or Facility). … 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 care plan changes.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - May focus on a particular risk factor. … Report—High Risk. … 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 care plan changes.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table2.pdf
January 01, 2011 - Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
Hypertension is a risk … particularly hypertension), and early deaths
resulting from heart disease or stroke, to
assess the risks … Risk factors and risk behaviors accelerate the
development of atherosclerosis, and risk
reduction delays … culminates in thrombosis,
III Expert Panel on Integrated
Guidelines for Cardiovascular
Health and Risk … on Integrated Guidelines for
Cardiovascular Health and
Risk Reduction in Children
and Adolescents:
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
June 03, 2025 - Who is responsible for completing the transfer risk assessment? … at risk for hospitalization? … Report – High Risk and Medium Risk
1. … Weekly transfer risk meeting
8. … on the report to ensure that data on the report agree with staff
knowledge of residents’ health and risks
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - 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 … Mitigate those risks.
Prioritize residents who may need care plan changes.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
December 01, 2017 - 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
-
www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - compared to lower-risk patients. … rates after adjusting for patient risk factors. … This
“volume” effect was limited to high-risk (SAPS II between 30 and 41) and very-high-risk
patients … measures for risk-adjusted
measures of quality. … The risks of risk adjustment. JAMA 1997; 278(19):1600-1607.
(13) Gonnella JS, Louis DZ, Gozum ME.
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - determine whether, and, if so, to what extent, this approach was effective in reducing nosocomial infection risks … index (measuring the intensity of efforts to intervene in the care of patients to reduce infection risks … Methods
The developed risk index score ranges from 0 to 3 and depends on the number of risk factors … clean operations; 37% in high-risk clean-contaminated operations; 61% in high risk contaminated and … In terms of risk factors for SSI in HIV-infected patients, we found that HCV infection was the only risk
-
www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - for the HAC with our pooled relative risk
estimate from the meta-analysis, using the formula: … In the above formula, RR indicates the pooled relative risk estimate from our meta-analysis, and Pr(D … We then calculated excess
mortality based on the estimated relative risk and the underlying mortality … For each HAC, we list the number of studies, the range
of relative risk of death estimates from those … Estimates of relative risk for mortality varied and
included two studies showing protective effects
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - for the HAC with our pooled relative risk
estimate from the meta-analysis, using the formula: … In the above formula, RR indicates the pooled relative risk estimate from our meta-analysis, and Pr(D … We then calculated excess
mortality based on the estimated relative risk and the underlying mortality … For each HAC, we list the number of studies, the range
of relative risk of death estimates from those … Estimates of relative risk for mortality varied and
included two studies showing protective effects
-
www.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
February 01, 2023 - morbidity and mortality by about 20 percent; it also reduces hospital admissions by 28 percent and the risk … Diagnosing and treating heart disease in its early stages is crucial to reducing patients’ risks of serious … collection of resources to help primary care practices implement the best evidence for reducing cardiac risks … It includes Integrating Cardiovascular Disease Risk Calculators into Primary Care , a guide to help … primary care physicians assess their patients’ risk of a cardiovascular disease event.
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - Slide 28: How Will You Know Risks Were Reduced? … Ask:
How will you know the risks were reduced? … Slide 30: 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
June 02, 2025 - report is designed to help clinicians see changes in resident
status earlier and intervene earlier when risks … for high risk. … Contributing Risk Factors included in
the Falls High-Risk Report. … of Fall Risk Factors Report. … Report
Slide 8: Falls High-Risk Report
Slide 9: Falls High-Risk Report
Slide 10: Falls High-Risk
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - risk factors, persons at high risk for pressure ulcers and whose risk factors have recently changed. … Are those residents at risk or with changing risk factors being identified? … There are concerns that the information on risk and changing risk may not be readily available to members … They can provide timely information on risk and changing risk to those making care decisions. … In addition, you want to identify how they identify changes in risks and how the risks get used to make
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - We present a plan to help teams that
include RPs address risks related to invasive devices in the hospital … whereas a subclavian CVC has lower
infection risk but poses an increased risk for pneumothorax. … members by—
o Sharing patient stories about where harm was averted
o Explaining the significant risks … respiratory therapists, and other disciplines on following
standard processes and reducing infection risks … Analysis and considerations of options and risks.
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - We present a plan to help teams that
include RPs address risks related to invasive devices in the hospital … whereas a subclavian CVC has lower
infection risk but poses an increased risk for pneumothorax. … members by—
o Sharing patient stories about where harm was averted
o Explaining the significant risks … respiratory therapists, and other disciplines on following
standard processes and reducing infection risks … Analysis and considerations of options and risks.
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - We present a plan to help teams that
include RPs address risks related to invasive devices in the hospital … whereas a subclavian CVC has lower
infection risk but poses an increased risk for pneumothorax. … members by—
o Sharing patient stories about where harm was averted
o Explaining the significant risks … respiratory therapists, and other disciplines on following
standard processes and reducing infection risks … Analysis and considerations of options and risks.
-
www.ahrq.gov/hai/cusp/modules/identify/identify.html
December 01, 2012 - What Will You Do To Reduce the Risk of Recurrence?
Slide 25. … How Will You Know the Risk Is Reduced?
Slide 26. … Discuss the three greatest risks.
Rank these risk factors. … What will you do to reduce the risk of recurrence?
How will you know the risk is reduced? … Sensemaking of patient safety risks and hazards. Hlth Svcs Res 2006;41(Aug 4 Pt 2.):1555-1575.