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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
January 25, 2008 - • Use a risk assessment index or other criterion to select a subset of important reports for
mapping
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
June 01, 2005 - control over the occurrence of medical errors; intent to adopt
various technologies to reduce the risk
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/survey-methods-research/summary-research-meeting.pdf
January 01, 2019 - Also, some people also do not want to risk their ability to get
care in the future or damage their physician
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - Weekly huddle to review residents at risk with CNA staff
2. … Weekly nutrition-at-risk meetings
3. Wound rounds
4. … Weekly huddle to review residents at risk with CNA staff
2. … Risk management meetings; use as complementary tool during risk review at the nursing-unit level
… Weekly huddle to review residents at risk with CNA staff
2.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapc.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix … Designing and Testing Methods to Stratify Risk of Surgical Site Infections
Chapter 4. … Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … (For risk, this might be expanded to one-year or more.)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - clinical knowledge and experience to answer relevant questions
■ Familiarity with the organization’s risk
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk is reduced? … Slide 43: How Will You Know Risks Were Reduced?
Say:
Plan how you will measure success. … Slide 44: How Will You Know Risks Were Reduced? … Slide 45: How Will You Know Risks Were Reduced? … Show your staff that you’ve reduced the risks for patient harm.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
June 01, 2021 - Antibiotic Side Effects
Risk of antibiotic side effects and adverse reactions
• Antibiotic use is … the most important risk factor for developing multidrug-resistant infections, which
contribute to over … adverse reactions and drug-drug interactions of commonly used antibiotics
Antibiotic classes and risk … Meta-
analysis of antibiotics and the risk of community-
associated Clostridium difficile infection. … Cumulative antibiotic exposures over time and
the risk of Clostridium difficile infection.
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/adelman-summit2016.pdf
January 01, 2016 - Determine causes and risks;
3. Evaluate interventions;
4. Accountability;
5. … placed for them that was intended for
another patient
AHRQ Funded Study (R21HS023704)
Assess Risk … 36
PPV (95% CI) 20.9% (17.9-24.0) 5.4% (3.7-7.1)
Electronic Triggers to Identify Patients at
High Risk … for Estimating the Frequency �of Diagnostic Errors
Electronic Triggers to Identify Patients at High Risk … for Diagnostic Errors
Electronic Triggers to Identify Patients at High Risk for Diagnostic Delays
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapa.html
May 01, 2018 - ASPE
Office of the Assistant Secretary for Planning and Evaluation, HHS
BRFSS
Behavioral Risk … CI
Confidence Interval
MLBW
Moderately Low Birthweight
OR
Odds Ratio
RR
Relative … Risk
VLBW
Very Low Birthweight
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide207.html
October 01, 2014 - effective psychosocial interventions with pregnant patients:
Physician advice regarding smoking-related risks … (2-3 minutes); videotape with information on risks, barriers, and tips for quitting; midwife counseling
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
October 01, 2015 - Sustainability
Preventing CAUTI: Focus on Culturing Stewardship
Tools To Help Mitigate Device Risk … Some CVCs have a higher complication risk than others. … For example, a femoral CVC has a high risk of infection (especially in obese adults) and thrombosis, … whereas a subclavian CVC has lower infection risk but poses an increased risk for pneumothorax. … Mechanical complications include urethral trauma, hematuria, immobility, and fall risk.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
May 20, 2016 - Evaluate each patient upon admission for the risk
of developing VTE. … Recommended Practice: VTE Risk Assessment
• Develop standardized VTE risk assessment that delivers … level.3,4
• Integrate VTE risk assessment into admission and transfer order sets.3
• Identify at-risk … patients3-5:
o Assess each patient’s VTE risk at admission. … o Use the VTE risk assessment to triage patients into low-, moderate-, or high-risk
categories.3,5
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - The
electronic reports are:
Transfer Risk Report – High Risk
Transfer Risk Report – Medium Risk … Reports – High
Risk and Medium Risk
SAY:
Transfer Risk reports (High Risk and Medium Risk … What are the most frequent risk factors that high-risk
residents have? … Rules for High and Medium Transfer Risk
Risk Factors Risk Level
Row
No. … Rule 2: High risk based on polypharmacy AND at least
4 risk factors from existing high-risk diagnoses
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www.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
August 01, 2018 - involvement of human subjects and proposed protections according to the following review criteria:
Risk … Adequacy of protection against risks. … various reasons, some related to the claims about the research protocol (e.g., for exemption or the risk … inadequate procedures to maximize privacy and confidentiality or subjects not adequately informed about risks
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Recommended Practice: Assess risk factors
• Determine which pediatric patients are at increased risk … o High-risk surgery (e.g., emergent and prolonged procedures, open vs. laparoscopic). … • Use nasogastric tubes selectively since they can increase the risk of aspiration. … Development and validation of a risk calculator
predicting postoperative respiratory failure. … Postoperative pulmonary complications: an update on risk assessment and
reduction.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Recommended Practice: Assess risk factors
• Determine which pediatric patients are at increased risk … o High-risk surgery (e.g., emergent and prolonged procedures, open vs. laparoscopic). … • Use nasogastric tubes selectively since they can increase the risk of aspiration. … Development and validation of a risk calculator
predicting postoperative respiratory failure. … Postoperative pulmonary complications: an update on risk assessment and
reduction.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Hot water and soap may dry the skin and increase the risk for pressure ulcers.
5. … A low Braden score is associated with increased pressure ulcer risk.
44. … Hot water and soap may dry the skin and increase the risk for pressure ulcers.
True
5. … A low Braden score is associated with increased pressure ulcer risk.
True
44. … Does the education provided address risk assessment tools and procedures?
7.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-pcor.pdf
November 01, 2016 - Management
Rationale for Cholesterol Management
People with elevated levels of cholesterol are at increased risk … to manage blood cholesterol can reduce the chance of
having a heart attack for people at increased risk … an evidence-based guideline on treating high
blood cholesterol to reduce heart disease and stroke risk … • Unless contraindicated or not tolerated, all patients at high risk
should receive a high- or … Services Task Force (USPSTF) released
recommendations supporting statin use in adults at increased risk
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - Ensure unit team has resources to reduce risks. … What could you do to reduce risk?
How do you know risk was reduced? … Do staff believe risks have been reduced?
Return to Contents
Slide 31. … What are potential risks during the day; how can we reduce these risks? … Safety survey to identify at-risk departments.
Mandatory science of safety training.