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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/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/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/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/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
June 02, 2021 - Sputum culture should be obtained for residents with this risk
factor.1,8,9
Treatment
• In additional … case-by-case basis taking into account
frequency of exacerbations, resident preferences, potential risk … Low risk of primary
Clostridium difficile infection with tetracyclines: a
systematic review and metaanalysis … Antibiotic
prescribing choices and their comparative C. difficile
infection risks: a longitudinal case-cohort … FDA Drug Safety Communication: Azithromycin
(Zithromax or Zmax) and the risk of potentially fatal
heart
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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/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
October 01, 2016 - Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
· What are the risks—or … or she feels to a nurse or doctor.
· What is our nursing home doing to decrease the chance of these risks … First, we share information and help you understand the risks of antibiotics. … Talk with your family member and his or her doctor about the benefits and risks of taking an antibiotic … myself or another staff member, if you want more information—or have concerns—about antibiotics and the risks
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - Guide Engaging Residents,
Educate & Engage Residents, Family Family Toolkit/Tool 2 2
What are the risks—or … What is our nursing home doing to decrease the chance of these risks? … – First, we share information and help you understand the risks of antibiotics.
– Second, we have an … • Talk with your family member and his or her doctor about the benefits and risks of taking
an antibiotic … myself or another staff member, if you want more information—or
have concerns—about antibiotics and the risks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
April 01, 2016 - .4 Eliminating or reducing the risks and hazards in the delivery of patient care should yield safer … – Alignment of the plan to the organization’s strategic
and risk/quality/patient safety goals. … Implementation Risk Implementation Risk
■ Assessment of the Implementation Risk … should address
risks associated with allocating resources (human and
other) to implement, spread, … )
■ Include potential risks to the organization if the
practices and principles are not fully integrated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/addexercises.pdf
August 08, 2025 - Report: High Risk or Nutrition Report: Medium Risk.
a. True
b. … Report: High Risk or Nutrition Report: Medium Risk.
a. True
b. … Report: Medium Risk, based on
medium-risk criteria. … On the Nutrition Risk Report: Medium Risk, Resident F appears to be high risk
rather than medium risk … Nutrition Risk Report: High Risk
b. Nutrition Risk Report: Medium Risk
c. Weight Summary Report
d.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp6.pdf
May 01, 2013 - Risks and benefits of omega 3 fats for
mortality, cardiovascular disease, and
cancer: systematic review … Dietary calcium intake and risks of stroke, its subtypes, and
coronary heart disease in Japanese: the … Vitamin D intake and risks of systemic
lupus erythematosus and rheumatoid arthritis in women.” … Risk in Communities Study. … Effects of vitamins C and E and beta-carotene on the risk of
type 2 diabetes in women at high risk of
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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
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - Risk Factors for Falls
A risk factor for falling is one that, in clinical studies, has been found to … Risk Factors Related to the Resident
The most important risk factors for falls having to do with the … frequently and be alert for any
furniture, equipment, or other items that might make a fall likely – fixing risks … Risk factors are always present. We all have risk factors for falls. … tailored to those risk factors.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2024.xlsx
January 01, 2024 - They include the relative frequencies of reports by the documented risk for pressure ulcer, and timing … of first pressure ulcer risk assessment. … Dashboard Name Worksheet Name
Documented Increased Risk for Pressure Ulcer PRU_1
Documented … for Pressure Ulcer
Increased Risk of Pressure Ulcer Percentage Frequency
At increased risk for pressure … ulcer 72.6% 3,434
Not at increased risk for pressure ulcer 14.9% 704
Unknown 12.5% 589
NOTE: The
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect. … Negative contributing factors are those that harmed or increased the risk of harm for a patient. … Describe how you know you have reduced the risk. … Specific Interventions To Reduce the Risk of the Defect
Who Will Lead This Effort? … How will you know the risk is reduced?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
December 01, 2017 - participating facilities implement team-based strategies with the help of a facilitator to improve risk … These strategies allow staff to intervene in a timely manner with at-risk residents to reduce the incidence … Staff use the meetings and reports to identify residents at high risk of developing pressure ulcers and … The reports help catch 'medium-risk' residents before they become 'high risk' for pressure ulcers. … for pressure ulcers and to track the results of efforts to reduce those risks.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/036-sources-pathways-mrsa-one-pager.docx
October 01, 2024 - inpatients who are colonized with MRSA will develop invasive infection during their stay, and this risk … patients’ natural defenses.
· Medical devices or procedures can be life-saving but poses increased risk … Preventing device- and procedure-related infections addresses the elevated infection risks that devices … Risk factors for developing clinical infection with methicillin-resistant Staphylococcus aureus (MRSA … Risk factors for nosocomial bacteremia due to methicillin-resistant Staphylococcus aureus.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
April 30, 2008 - more conservative dosing; (2) identifying patients with
mental health problems that increase risk of … patient populations.12, 13 Physician “best practice” must
balance the need for pain relief against the risks … Reducing Risk of Prescription Errors
To reduce risk for prescription errors, two tools have been provided … We relied on a “Less is more” paradigm, focusing first on highlighting risks to prevent
medication error … Because of the inherent risks related to opioid prescription, we
have designed a system that can help
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
June 02, 2025 - huddle
Weekly risk huddle of Nursing and Rehab
Weekly wound review meetings
Weekly … risk meeting
On-Time Pressure Ulcers at Risk for Delayed Healing Report
Care plan meeting … management meeting
Root cause analysis for new pressure ulcers or pressure ulcers at risk for … delayed healing
Skin rounds
Weekly nutrition risk huddle
Weekly risk huddle for Nursing … and Rehab
Weekly wound review meetings
Weekly wound rounds
Weekly risk meetings