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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
July 28, 2016 - Description
This tool provides discharge planners with a set of prompts to identify readmission risks … and to take steps to ensure those risks are addressed in the transitional care (discharge) plan. … message from this person-centered view of readmissions is that no single issue defines readmission risk … Take a “whole-person” view of transitional care and ongoing care needs to better identify not only risk … team from the outpatient setting.
2
Whole-Person Care Transitional Planning Tool
3
Readmission Risks
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www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
January 01, 2024 - Use risk analysis to develop a "risk-of-infection" measure and incorporate the risk
measures into the … Age, risk score, length-of-stay risk score, PIM2 score risk score, and the invasive
procedure risk … Then, 30% of the
age risk score, 20% of the length-of-stay risk score, 5% of the PIM2 risk score, and … It also incorporated the technique of risk analysis to
generate a composite risk score for 5 types … and evaluate risk of infection associated with these
interventions using the risk model.
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web1.html
December 01, 2017 - Understand the focus on Medicaid as the catalyst for promoting "whole-person" care for all high-risk … Enhance Services for High-Risk Patients. … Older adults are not the only adults at high risk of readmission. … Patients with readmission risks are not limited to Medicare. … Patients with readmission risks are not limited to the "penalty condition" list.
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www.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - combine adjudication data with data from Vizient to determine which specific factors contribute to risks … for diagnostic errors, and to use risk estimates to calculate incidence and impact of factors contributing … An expert-guided machine-learning approach to estimate the incidence, risk and harms associated with … To identify the risk factors associated with diagnostic delays for infectious diseases that are frequently
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
June 02, 2025 - Conditions High-Risk Change in Condition
New
Contributing
Risk Factors ADL Decline and Other Clinical … at high 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/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
June 02, 2025 - Page 42
14
Pressure Injury risk assessment
BEST PRACTICE
15
Pressure Injury Risk Assessment
Next … step in prevention
Goal: to identify patients at risk
16
Risk Assessment Scales
Only one part of risk … For risk assessment in pediatrics. … 34
Identify Best Practices
Risk assessment:
Which standardized risk assessment scale do you plan to … When do you plan to complete risk assessments?
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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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - Refine the approach to intravenous (IV) vancomycin perioperative prophylaxis and balance benefits with risks … of MRSA or other SSI
Reduces potential cost and duration of future healthcare
Benefits and Risks of … IV Vancomycin
Risks:
Infusion reactions
Nephrotoxicity
AHRQ Safety Program for MRSA Prevention: … The impact of a reported penicillin allergy on surgical site infection risk. … The impact of a reported penicillin allergy on surgical site infection risk.
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www.ahrq.gov/pqmp/measures/index.html
June 09, 2025 - Excellence for Pediatric Quality Measurement (CEPQM) NQF Endorsement Number: 3136
Initial Risk … Pregnancies Measure Domain: Availability of Services Measure Subdomain: High-Risk Obstetrics COE: … Pregnancies Measure Domain: Availability of Services Measure Subdomain: High-Risk Obstetrics COE: … Mount Sinai Collaboration for Advancing Pediatric Quality Measures (CAPQuaM)
High-Risk Deliveries … To Provide Obstetrical Anesthesia Measure Domain: Availability of Services Measure Subdomain: High-Risk
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
September 01, 2017 - 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 … 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 root … high-risk change in conditions.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7c.pdf
June 02, 2025 - P-Value
Medicaid Reference
Private 0.96 (0.78, 1.18) 0.69
No Insurance 0.67 (0.25, 1.76) 0.42
a Relative … Risk Estimate
b Confidence Interval
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www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
January 01, 2024 - Each model appears to be generally and similarly well calibrated, except for a bump between predicted
risks … Cesarean delivery rates and
neonatal morbidity in a low-risk population. … Physician cesarean delivery rates and
risk-adjusted perinatal outcomes. … Risk-adjusted cesarean rates:What risk factors for cesarean delivery are
important to practicing obstetricans … Risk-adjustment for measuring health care outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - support tool was associated with lower
hospitalization rates and lower patient medication complexity risks … Assessment
2007-2009
$193,952
Final Report
Purpose: Assess the risks associated with the oral … Key Findings/Impact: Each stage of the medication use process poses risks to oral
chemotherapy safety … Assessment
2007-2009
$199,977
Final Report
Purpose: Understand the patient experience and risks … to reduce risks of patient harms due to medication use, misuse, or non-use.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpraapf.pdf
June 02, 2025 - Smoker SSI risk
Q:0.0102893
Event169
Other pt SSI risk
Q:0.00046
Q:0.00564387
Q:0.124589 … Gate4
Malnourished pt SSI risk
Gate5
Obese but not diabetes
pt SSI risk
Gate233
Elderly … Gate90
Pt w/ skin lesion SSI risk
Gate278
Pt w/ high temperature
SSI risk
Gate392
COPD
Gate394 … risk
Event686
Chronic risk (underlying
heart disease)
Gate302
pt stops smoking, SSI
risk … Event550
Acute risk
Event558
Chronic risk (underlying
heart disease)
Event553
Acute risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4c_combo_psi06-pneumothorax-bestpractices.pdf
May 20, 2016 - Recommended Practice: Identification of Patients at Risk
• Determine risk for iatrogenic pneumothorax … 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/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_Final.pdf
October 01, 2016 - What are the risks—or harms—of antibiotics? … What is our nursing home doing to decrease the chance of these risks? … Decrease your risk of experiencing any harm, including C. diff infections and
antibiotic resistance … What are the risks—or harms—of antibiotics?
VI. … What is our nursing home doing to decrease the chance of these risks?
VII.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7a.pdf
June 02, 2025 - Black 0.52 (0.37, 0.73) <0.001
Hispanic 1.04 (0.78, 1.39) 0.78
Other 0.63 (0.39, 1.01) 0.05
a Relative … Risk Estimate
b Confidence Interval
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is mistakenly … 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. … for healthy, risk-reducing choices.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
October 01, 2024 - Contact precautions, a type of transmission-based precaution, are used to reduce the risk of person-based … A third proposed approach is a “risk-based” strategy for use of contact precautions, where gowns and … personnel is greatest, potentially optimizing the benefits and minimizing potential risks and resource … assessment to determine the potential benefits and risks associated with contact precautions within … Methicillin-resistant Staphylococcus aureus infection and hospitalization in high-risk patients in the
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www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
January 01, 2024 - The following HFE
prospective risk identification methods were used to identify potential risks: (a) … HFE risk prioritization methods were used through
focus groups. … The more likely a safety risk is to contribute to negative
outcomes, the more important the safety risk … Once importance of safety risks was calculated, actionability
on those safety risks also needed to be … (72 hours)
• Moderate risk (48-72 hours)
• High risk (24-48 hours)
The home care visit occurred in