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Showing results for "risk".

261. 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

262. Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/overview.html
     July 01, 2021 - non-indicated conditions. 2,3,4   The use of antipsychotics in children and adolescents can increase the risk … which can have serious implications for future health outcomes. 6,7,8  Additionally, there are serious risks … cardiac arrhythmias, extrapyramidal side effects, sedation, and somnolence. 9 Despite known health risks … provided a trial of psychosocial treatment may unnecessarily incur the metabolic and physical health risks … therapies may lead to poorer mental and physical health outcomes. 13,14,15  In addition, given the health risks

263. 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

264. 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.

265. 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

266. 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

267. 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?

268. 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?

269. 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.

270. 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.

271. A Better Approach for Screening Women for Intimate Partner Violence in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/impact-stories/better-approach.pdf
     November 06, 2024 - demonstrates the use of an electronic health record (EHR)-based tool to improve confidential screening and risk … n Clinicians determined what follow-up care to recommend based on risk level, including immediate outreach … use of the non-interruptive alert increased the overall rate of screening for IPV from 45% to 65% (Relative … Risk, 1.46 (95% CI, 1.44-1.49, P<0.001)). … Only 9 patients were identified as at risk for IPV using the nurse-led screening, while 130 were identified

272. 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.

273. 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

274. 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

275. 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

276. 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

277. 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

278. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
     January 01, 2024 - Moving from Adverse Events to Underlying Risks Methods initiated in safety science for the petro-chemical … AE Prioritization Framework Sources of risks and hazards Preventable (High – Low) Not Preventable … of the root hazards/risks (causes) using the Eindhoven Classification Matrix – Medical Version. … Age-related risks of long-term oral anticoagulant therapy. Arch Intern Med. … Sensemaking of patient safety risks and hazards. Health Serv Res.

279. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
     July 01, 2023 - At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … Slide 16: Managing Error and Risk 3 Say: To improve outcomes, human error, at-risk behavior, and … 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.

280. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
     May 16, 2016 - Recommended Practice: Identification of Neonatal and Pediatric Patients at Risk • Determine risk for … A lateral approach minimizes risks of vessel laceration.6,8 • Use blunt dissection vs. trocar use … Risk reduction in pleural procedures: sonography, simulation and supervision. … zero-risk environment. … Iatrogenic pneumothorax: etiology, incidence, and risk factors.