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Showing results for "risk".

261. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     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.

262. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     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.

263. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     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

264. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     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

265. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
     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.

266. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
     January 01, 2024 - Follow-up Study on CPOE and Medication Errors A direct comparison of error-risks associated with old … 22 errors risks, and reduced the likelihood of seven others. … However, nine error risks remained unchanged, three were addressed but offsetting error risks emerged … , two error-reducing functions were eliminated, and six new error risks were introduced. … The new CPOE remedied some of its predecessor’s error risks, but several remain, and new ones were

267. Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
     January 01, 2024 - to high risk status. … factors and active bleeding or obvious bleeding risks. … to high risk, and 11% were at very high VTE risk. … with medium-risk characteristics, and 19% were in the high-risk category. … The distribution of VTE risk, severity of illness, and patient days of the population at risk were

268. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
     May 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.

269. Labor and Delivery Unit Safety: Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
     July 01, 2023 - assessing risk of hemorrhage upon admission to antepartum or L&D units can identify individuals at risk … Risk assessment may include presence of clinical conditions that increase risk of hemorrhage, or patient … Because only 5 to 10 percent of obstetric hemorrhages occur in patients with risks for hemorrhages, 1 … Use of transition communication techniques assures a shared mental model of plan of care and patient risks … timely, clear information to patient and family to explain what is happening, what needs to happen next, risks

270. Imp-Handouts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
     June 02, 2025 - You could use the Transfer Risk Report to identify those residents at highest risk and start with them … Report – High Risk and Medium Risk Care Plan Meetings X Dietary Department Internal Review X … On-Time risk reports help identify residents at risk for potentially avoidable hospitalizations and … The purpose of using the reports is to identify persons with risks associated with avoidable hospitalization … Reports provide information about current and changing risks for pressure ulcer healing and can aid

271. Appendix C. Site Visit Protocol | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
     April 01, 2018 - Risk-Informed Interventions Chapter 4. Conclusions and Next Steps Appendix A. … If and when is the patient or family instructed of potential risks for surgical site infection? … patient populations At-risk procedures, such as those requiring invasive devices Causes, risks, … What the potential infection risks with this process? … What steps does the surgical team take to reduce the risk?

272. Challenges in Approaching Diagnostic Safety Unique to Children | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
     August 01, 2023 - the consequences of not treating specific illnesses are devastating.” 16 The juxtaposition of the risk … When definitive tests exist, such tests may expose children to greater risks than similar testing in … malignancy over their lifetime. 26,27 Thus, clinicians caring for children must carefully weigh the risks … and diagnostic yield associated with computed tomography and fluoroscopy. 28-30 The risks of testing … children with medical complexity (CMC) represents a population with considerable diagnostic safety risks

273. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
     December 01, 2017 - Does information exist to identify residents at risk? How can this information be used? … 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.

274. The Impact of Standardized Order Sets on Quality and Financial Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ballard_12.pdf
     February 02, 2008 - percent confidence interval (CI): 0.66 (0.45; 0.97) or 0.67 (0.46; 0.98); and Core Measures compliance (relative … risk adjustment. … .24 We therefore applied a simple approximation24 to obtain a better estimate of the true adjusted relative … risk. … What's the relative risk?

275. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
     November 01, 2016 - Does information exist to identify residents at risk? How can this information be used? … preventing adverse events Are 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 changes to care plans.

276. Final Progress Report: Occult Uterine Cancer and Power Morcellation in Hysterectomy and Myomectomy (pdf file)
     www.ahrq.gov/sites/default/files/2025-06/xu-report.pdf
     January 01, 2025 - and used multivariable logistic regressions to identify risk factors. … First, our assessment of the risks and outcomes of occult uterine cancer was based on experience from … TAH), risk of perioperative mortality and complications at the time of hysterectomy, risk of having … occult uterine cancer, impact of power morcellation on risk of mortality from uterine cancer, and risk … The estimated risks of occult uterine sarcoma and leiomyosarcoma in this project are generally consistent

277. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
     November 01, 2017 - Some identify a profile of risk factors; others focus on a particular risk factor. … of falls that have occurred for residents with each risk factor included in the Falls High-Risk Report … 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

278. Measure: Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
     May 01, 2013 - ● Rates of cesarean delivery for women without other risk factors can be influenced by the number … College of Obstetricians and Gynecologists (ACOG).7 The 2013 ACOG Committee Opinion cites evidence of risks … than vaginal birth, including risks to mothers and children, and only 4 dimensions where vaginal birth … had greater risk than cesarean delivery.8 Advantages of the Measure ● This measure is specified to … Comparing risks of cesarean and vaginal birth to mothers, babies, and future reproductive capacity: a

279. Final Progress Report: Systematic Evaluation of Operating Room Scheduling Across the Perioperative Process (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/li-chang-report.pdf
     January 01, 2024 - and min( –C), respectively; the second type is about trade-offs between the expected returns and the relative … risks, especially when objectives are inconsistent with each other; and the third type is about trade-offs … Second, for trade-offs between returns and risks, we apply the portfolio theory. … Regarding the expected return as the mean or as the first-order effect, and the variance as the risk … expected value of deviations D, cannot be further minimized or, given an expected value of D, the risk

280. Final Progress Report: ED Staffing and Patient Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/bickell-report.pdf
     January 01, 2024 - Parameter estimates were converted to relative risks to present the data in a more clinically useful … Time is a terrible thing to waste: The risk of appendiceal rupture. … Time & the risk of ruptured tubal pregnancy. Obstet Gynecol 2004 104: 789-794 16. … Characteristics Relative Risk 95% CI CT in ED 2.20 1.92 2.53 Triage 1.39 0.96 2.03 Age <=18y … Time & the risk of ruptured tubal pregnancy.