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Total Results: 4,557 records

Showing results for "risk".

341. Puh-Impmenu (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
     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 Dietary … healing Skin rounds Weekly nutrition risk huddle Weekly risk huddle for Nursing and Rehab … Weekly wound review meetings Weekly wound rounds Weekly risk meetings On-Time Weekly … management meetings Weekly risk meetings Weekly wound review meeting Weekly wound rounds

342. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
     September 03, 2014 - Patient, is meant to give you a comprehensive overview and background on hemodialysis patient safety risks … The module begins with a background on hemodialysis risks and the importance of proper clinical care. … surgeon for the facility Competition for VA surgeon resources Training of VA surgeons regarding catheter risks … facility, competition for VA surgeon resources, and inadequate training of VA surgeons regarding catheter risks … Vascular access-related infections, definitions, incidence rates, and risk factors.

343. CHIPRA 213: Section 2 Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-2-tech-specs.pdf
     June 02, 2025 - children identified as having Sickle Cell Anemia who received anticipatory guidance regarding the risks … as follows: The percentage of eligible children who received anticipatory guidance regarding the risks … Anticipatory Any written or face-to-face verbal communication regarding the risks and guidance benefits … of children younger than 18 years of age with SCA who received anticipatory guidance regarding the risks

344. Final Progress Report: Electronic Clinical Surveillance To Measure and Improve Safety in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
     January 01, 2024 - We sought to determine the frequency and risk factors for three types of outpatient care gaps. … falls, laboratory monitoring, ACEi/ARBs PURPOSE This study sought to identify the frequency and risk … To add to the growing literature on outpatient care, we studied the frequency and risk factors for … Multivariable models were used to estimate associations (e.g., relative risks and 95% confidence intervals … Though use of this data allowed us to efficiently study a large population and a wide variety of risk

345. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
     January 01, 2024 - Improve the assessment of risk factors for VTE upon admission and discharge. … factors for VTE (no risks – 46.3%, 1-2 risk factors – 60.3%, ≥3 risk factors – 80.5%, p<.001). … factors, p=.013 patients with ≥3 risk factors). … ) who were categorized to be at high risk, and 23 of 30 patients (77%) who were at the highest risk … Inpatients % prophylaxis % prophylaxis Highest risk 34 52 % 36 47% High risk 49 43 % 38 62% Moderate

346. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
     February 01, 2018 - for falls, profiles those risks, and compiles aggregate data postfall to improve postfall analyses. … at highest risk for a fall. … Report Example: Falls High-Risk Report A sample Falls High-Risk Report appears below. … Risk Factor Within 7 Days High- Risk Rule 1 High- Risk Rule 2 High- Risk Rule 3 Not … Fall Risk Determination 3.1.5.1. Components of Fall Risk Rules 3.1.5.2.

347. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
     January 01, 2023 - and patterns in patient safety concerns, and to provide insight in how to mitigate patient safety risks … identify patterns in patient safety concerns, and provide insights on how to mitigate patient safety risks … Risk Factors by Patient Age The figures below display RISK FACTORS by PATIENT AGE. … FACTORS Risk factors can impact the occurrence and outcome of Fall Incidents. … the 9,045 records, 5,622 (62.2%) indicated sensory impairment as a risk factor.

348. Chart Abstraction Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
     December 14, 2011 - Key component of the bundle was admission risk assessment followed by daily risk assessment. … The admission assessment should include both a risk assessment (to evaluate risk of developing a pressure … The prompt identification of at-risk patients using a validated risk assessment tool is essential for … Intersection of: "Occurrence A of Risk Category Assessment: Standardized Pressure Ulcer Risk Assessment … Set (1.1.1.1)" "Risk Category Assessment: Occurrence A of Standardized Pressure Ulcer Risk Assessment

349. Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
     June 02, 2025 - Physicians took on a quality improvement (QI) project to enhance the assessments of opioid treatment risks … in the clinic’s older adult population, including the risk of developing opioid use disorder (OUD) … ▶ They conducted a one-hour training on risks of opioid use in older adults for 27 staff. … Focus on High Leverage Change: Risk Assessment PRACTICE SNAPSHOT: Westfield Family Physicians ▶ A … 25% Quality Improvement Tools Implemented ▶ A modified existing EHR dot phrase to identify opioid risks

350. NPSD Data Spotlight - Falls: Associated Factors and Clinical Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
     March 01, 2023 - regions, and years --- providing a learning resource and insight on how to mitigate patient safety risks … Figure 5 – Risk Assessment Prior to Fall by Age and Sex Risk Factor(s) Prior to Fall Figure 6 shows … risk factors. … Combinations of these risk factors were indicated for 20.9% (144 / 690) of records. … Assessment Prior to Fall Risk Factor(s) Prior to Fall Conclusions Appendix A.

351. 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/slides.html
     November 01, 2017 - they fall Slide 8: Falls High-Risk Report How many residents triggered for highest risk of … Slide 9: Falls High-Risk Report: High-Risk Criteria Risk criteria identified based on: A review … New contributing risk factors Slide 11: Rules for Determining High Risk Rule #1: High … Rule #3: High Risk Based on New Contributing Risk Factor Within 7 Days: Residents will be … fall will only be linked to one risk factor on the Summary of Falls Risk Factors Report.

352. 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/reports.html
     November 01, 2017 - Although all nursing home residents may be at risk of a fall, the Falls High-Risk Report will enable … at high risk are displayed. … highest risk of an injurious fall; for each resident, his or her risk criteria are noted. … risk. … the Falls High-Risk Report .

353. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
     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 … 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.

354. Acute Care Learning From Defects
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
     November 01, 2019 - uncomplicated biliary infections 2 Piperacillin/tazobactam started empirically Patient does not have risk … How will you reduce the risk of the adverse event from happening again? … How will you know the risk is reduced? … Antibiotic Decision Making AHRQ Safety Program for Improving Antibiotic Use – Acute Care Make Sure Risks … Do staff believe risks were reduced?

355. AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201809.html
     January 01, 2019 - Shah combed through the toolkit and seized on the device risk checklist as a tool that could provide … Shah saw an opportunity to customize the AHRQ toolkit’s device risk checklist to account for a number … This allows Shah not only to determine whether certain types of patients are at a higher risk for CAUTI … By identifying specific personnel, along with any mistakes that increase the risk of CAUTI, Shah can … Potential pre-contamination risks: Everything from prior incontinence, antibiotic use, and basic hand

356. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
     October 01, 2024 - Hospitals face pressures, including balancing safety risks with costs. … providing essential safety-related information, but clear lines are drawn between human error and at-risk … Due to psychological safety, there is no risk when people report their errors and near-misses. … The hospital does not have a standard VTE risk assessment protocol. … Framework for analyzing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7.

357. Saworksheet (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.docx
     June 02, 2025 - How frequently is the risk assessment tool completed? … When are residents screened for pressure ulcer risk? … Do you screen all residents for pressure ulcer risk at the following times: a. … Do you screen residents for pressure ulcer risk with the following diagnoses? a. … Do you develop a care plan for residents at risk of developing a pressure ulcer?

358. Did You Know, Safety Infographic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/03-diagnostic-safety-infographic.pdf
     August 01, 2021 - Improve Diagnostic Safety strategy. 1- CRICO Strategies, 2014 Annual Benchmarking Report: Malpractice Risks … Medical Institutions; 2015. https:// www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process … To Improve Diagnostic Safety https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process

359. Final Progress Report: Composite Measures of Surgical Performance (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/dimick-report.pdf
     January 01, 2024 - morbidity compared to simple rates of risk-adjusted hospital morbidity. … in 2008) to explain future (2009), hospital-level variation in risk-adjusted morbidity. … We first used an “empty model” that contained only patient variables for risk- adjustment. … risk-adjusted morbidity in 2009. 2008 Hospital Rankings 2009 Risk-Adjusted Morbidity Odds Ratio, … Colon resection 25 20 Risk-adjusted morbidity (2009) 15 10 5 0 Risk-adjusted morbidity

360. Pressure Ulcer Prevention Toolkit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
     June 02, 2025 - Prevention Practices Tool 5C: Assessing Comprehensive Skin Assessment Tool 5D: Assessing Standardized Risk … Completion Date for Plan Fall risk factor assessment is performed within 24 hours of admission … Determine whether there is any documentation of the completion of the standardized risk assessment. … For each patient, determine on which dimensions of the standardized risk assessment there was a score … Calculate the percentage of abnormally scored dimensions of the standardized risk assessment that are