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Total Results: 4,557 records

Showing results for "risk".

281. Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
     January 01, 2024 - Quality (AHRQ R21 HS19532). 1 ABSTRACT Purpose: Physician-patient miscommunication with inadequate risk … Risk management resources were compared by estimated time and costs for processing patient complaint … Informed consent accounted for 41% of total risk management files. … the lists of risks to combine minor risks lacking numerical estimates of probability. … of total risk management files) and 47 medical errors (24% of total risk management files).

282. 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

283. 170-Cusp-Science-Safety-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
     October 01, 2024 - Slide 3 Risks of Healthcare-Associated Infections (HAI) SAY: The risk of healthcare-associated infections … The risk is even higher for patients in intensive care units (ICU), where 30 percent develop an HAI. … This reduces the risk that future patients will be harmed by the same type of error. … Given her trauma, he was concerned about Susan’s bleeding risks. … The hospital didn’t have a standardized protocol for VTE risk assessment.

284. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
     December 01, 2017 - How will you reduce the risk of it happening again? How will you know the risk is reduced? … Slide 13: How Will You Reduce Risk of Recurrence? … Slide 16: How Will You Reduce Risk of Recurrence? … Slide 19: How Will You Know Risks Were Reduced? … Post the stories of reduced risks (with data!). Share with others.

285. 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.

286. 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.

287. 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.

288. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4r_combo_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.

289. Making Adjustments to Health Care Quality Scores | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
     January 01, 2023 - of the patient population, specifically whether—as a group—patients in one facility are at greater risk … Risk adjustment is a complex statistical enterprise. … [1] [2] Why adjust for risks or severity? … Most common risk adjustments—for age, prior medical history, or comorbidities—are considered a good idea … Risk Adjustment for pediatric quality indicators. Pediatrics 2004 Jan;113(1 Pt 2):210-6.

290. Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar1/aspire_webinar1.ppt
     January 01, 2011 - Penalty Focus Has Created Blinders Medicare Focus Medicare patients are not the only patients at risk … of readmission Older adults are not the only adults at high risk of readmission Medicare may not always … have the highest readmission rate of all payers Patients with readmission risks are not limited to … readmissions These are not the diagnoses with the highest rates of readmissions Patients with readmission risks … hospital’s readmission reduction goal Analyze your own hospital’s data to identify patients at high risk

291. Staff Safety Assessment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
     January 01, 2006 - complete the following: List all defects that have the potential to cause harm Discuss the three greatest risks … What will you do to reduce the risk of recurrence? 4. … 23 What Will You Do To Reduce the Risk of Recurrence? … 24 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.

292. SDOH & Practice Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/sdoh/practice-improvement.html
     August 01, 2023 - Assessing Patient Social Risks and Needs There are numerous tools to help identify social needs patients … currently have and their risks for developing social needs. … Below are the five screening tools they studied that are still in use: HealthBegins Upstream Risks … Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE)  includes

293. Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
     December 01, 2012 - Understanding Risk and Human Behavior Slide 7. Managing Error and Risk Slide 8. … At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … Managing Error and Risk   Say: To improve outcomes, human error, at-risk behavior, and reckless … 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.

294. Putoolssect7 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
     February 16, 2011 - knowledge of pressure ulcer prevention, analyze patient care processes to identify where there are risks … Interest or requirement in the project What the project needs from stakeholder Perceived attitudes and risks … Interest or requirement in the project What the project needs from stakeholder Perceived attitudes and risks … Project Background (keep this brief) General aims Initial Risks Expected Outcomes Benefits … factors and 1-3 for the last risk factor.

295. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
     November 01, 2017 - report is designed to help clinicians see changes in resident status earlier and intervene earlier when risks … Slide 9: Falls High-Risk Report: High-Risk Criteria Say: The Falls High-Risk Report displays the … Slide 10: Falls High-Risk Report: High-Risk Criteria Say: High fall risk is determined by a combination … high risk. … Risk Factors included in the Falls High-Risk Report.

296. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
     May 01, 2017 - 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 … 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

297. Abt Single-Sided Body Template (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
     June 02, 2025 - Name Room High-Risk Existing Conditions High-Risk Change in Condition New Contributing Risk Factors … risk are displayed. … risk of an injurious fall; for each resident, his or her risk criteria are noted. … risk. … of Falls Risk Factors Date: ___/___/___ High-Risk Existing Conditions High-Risk Change in Condition

298. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.html
     February 01, 2016 - Choose the Model To Assess VTE and Bleeding Risk Chapter 5. … Hold the Gains, and Spread the Results References Appendix A: Tools and Resources Appendix B: Risk … This failure mode can be broken down further into (1) VTE risk assessment is not routine or standard; … customization of order sets is desirable to serve the needs of populations with particularly high bleeding risks … Preventable risk factors (e.g., central line) are not optimally managed.

299. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
     February 01, 2016 - Choose the Model To Assess VTE and Bleeding Risk Chapter 5. … Hold the Gains, and Spread the Results References Appendix A: Tools and Resources Appendix B: Risk … This failure mode can be broken down further into (1) VTE risk assessment is not routine or standard; … customization of order sets is desirable to serve the needs of populations with particularly high bleeding risks … Preventable risk factors (e.g., central line) are not optimally managed.

300. TeamSTEPPS® Diagnosis Improvement: Infographic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-infographic.pdf
     February 01, 2022 - Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. … harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures. … KC/PDFs/Insight_Comm_2012.pdf https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures