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  1. www.ahrq.gov/hai/cusp/toolkit/staff-safety-assessment.html
    December 01, 2012 - Staff Safety Assessment CUSP Toolkit Determine what risks are present in your unit Purpose … This form is designed to tap into your experience at the front line of patient care to determine what risks
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide_slides.pptx
    December 01, 2014 - Risk Change Report Intervention History for Nutrition Risk Reports: High and Medium Risk Resident Clinical … reports December 2014 Pressure Ulcer Prevention 4 Nutrition Reports: High Risk and Medium Risk Provides … and Medium Risk Criteria Sorts residents into high and medium risk using two criteria to determine level … Risk change report December 2014 Pressure Ulcer Prevention 31 Risk Change Report: Resident Changes … Report: High Risk   High-Risk Residents Room Diet Diet Order Date Supple-ments PT OT Speech Social
  3. 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.
  4. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
    August 01, 2022 - The rates of potential safety risks f associated with abnormal lab results significantly decreased after … Specifically, the rate of potential safety risks decreased from 155 per 1,000 patients to 54 per 1,000 … and the main findings the grantee has reported regarding patient safety risks are correlational rather … improve patient outcomes when performed collectively and reliably. 13 f Potential patient safety risks … g Serious potential safety risks are defined as those events where the project team, when looking for
  5. www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
    January 01, 2024 - example, for a given proposed name, similarity to high-frequency drugs should be seen as presenting more risk … and testing methods used to evaluate new drug names,” Public testimony before FDA’s Drug Safety and Risk
  6. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
    May 01, 2018 - for Pneumococcal Immunization: Discharged hospital patients age 65 and over or ages 6-64 with a high risk … Note: Importance: Patients who have problems taking their medications as prescribed are at risk
  7. 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.)
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
    March 01, 2020 - The effectiveness and risks of long-term opioid therapy for chronic pain: A systematic review for a … Guideline for Prescribing Opioids for Chronic Pain: • Conduct of an individualized assessment of risks … • Most studies examined the effect of opioid stewardship interventions on reducing the potential risks … Practices Harms Due to Opioids 10-7 opioid stewardship interventions on reducing the potential risks … the relative risk in the dose reduction period was 1.01 (95% confidence interval [CI], 0.95 to
  9. 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.
  10. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
    July 01, 2023 - In obstetrical emergencies where benefit-to-risk ratio favors surgical intervention. … of error. 12 The risks and benefits of low- versus. high-dose oxytocin protocols remain an active … Probabilistic risk assessment. Causal tree worksheet. … Use unit-established process for conveying risks and benefits of oxytocin use to patient and family. … and documentation of the discussion about risks, benefits, and alternatives should be documented to
  11. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
    November 01, 2019 - 1 De-escalation of antibiotics led to a 28% reduced risk of death compared with no de-escalation. 10 … Study Relative risk of mortality (95% confidence interval) Alvarez-Lerma, 2006 0.58 (0.24–1.42) Giantsou … Garnacho-Montero, 2014 0.68 (0.5–0.93) Leone, 2014 1.34 (0.72–2.47) Paskovaty, 2015 0.79 (.037–1.7) Overall relativerisk of mortality 0.68 (0.52–0.88) Identifying Targets AHRQ Safety Program for Improving Antibiotic
  12. 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.
  13. 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
  14. 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
  15. 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
  16. 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.
  17. Cerner-Q-A-Session (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
    June 02, 2025 - Rehabilitation Program o Guru Patel is the Director of Clinical Informatics in the Office of Quality and Risk
  18. 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 RelativeRisk VLBW Very Low Birthweight
  19. 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.
  20. 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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