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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.
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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).
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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.
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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
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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.
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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.
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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.
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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.
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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.
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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.
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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
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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
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www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
January 01, 2024 - LFR MFS≤25
Moderate fall risk MFR 25risk HFR MFS≥55
Frail Frail For this study, frail … FREgait (FREg): These moments of fall risk start and end in the Gait Phase. … Suggesting that the low bed had
a higher risk of falling. … high-fall-
risk trial, indicative of instability. … “Decreasing the Frequency of Frail Elderly Patient
Falls by Limiting Exposure Risks in Hospital Patient
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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.
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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.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
November 01, 2023 - identified the risk associated with different patient room layouts and features … ■ A Patient Safety Risk Assessment (PSRA) Toolkit was designed and tested in three hospitals to help … ■ Various computational models to assess healthcare risks and adverse events related to the built … Firefighting to innovation: using human factors and ergonomics to tackle slip, trip, and fall risks in … considerations for the built
environment and provides a quality check tool that
allows teams to prioritize risks
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd.pdf
November 01, 2023 - identified the risk associated with different patient room layouts and features … ■ A Patient Safety Risk Assessment (PSRA) Toolkit was designed and tested in three hospitals to help … ■ Various computational models to assess healthcare risks and adverse events related to the built … Firefighting to innovation: using human factors and ergonomics to tackle slip, trip, and fall risks in … considerations for the built
environment and provides a quality check tool that
allows teams to prioritize risks
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
March 22, 2008 - risk category. … A higher index reflects higher risk for medical malpractice claims. … Complaint-related feedback to physicians reduces patient complaints and may help address
litigation-related risks … Risk, safety, and the dark side of quality.
Br Med J 1997; 314: 1775.
14. … Patient complaints and malpractice risk in a regional
healthcare center.
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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
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www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
January 01, 2024 - persistent user,4 this hazard of surgery
often remains unmentioned, even as surgeons routinely discuss risks … Compounding the individual health risks posed by chronic opioid use are increased risks
associated with … The signs
and symptoms of pain-opioid use disorder risks include sleep disturbance, secondary physical … To minimize risks for patients, strategies include minimizing
preoperative exposure to opioids, setting … patients who go on
to be persistent users can help shape conversations with patients when discussing the risks