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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
December 01, 2017 - : High Risk report, based on high-risk criteria. … : Medium Risk, based on medium-risk criteria. … : High Risk and Medium Risk reports below were generated for a single nursing unit. … On the Nutrition Risk Report: High Risk, the data for Resident C should be verified. … On the Nutrition Risk Report: Medium Risk, Resident F appears to be high risk rather than medium risk
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www.ahrq.gov/research/findings/final-reports/ssi/ssiaps.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … stratification metrics must reflect this new data; (4) risks of SSI associated with emergency surgery … duration) to predict the rate of SSI in high-risk and low-risk procedures. … Current risk adjustment tools are too simple; evidence-based risk factors need to be identified and measured
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - Overall, recipients’ Risk Scores have declined 24 percent (p<.001). … physicians—those whose PARS Risk Scores are associated with malpractice claims risk, generally those … Coding System, Database, and Risk Scores. … This study focused on use of the PARS tool for analysis of individual physicians’ relative risk. … Chicago: Aon Risk Solutions; October 2015.
27.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraaparef.html
September 01, 2018 - Risk infection factors in the total hip replacement. … Infectious risk factors related to operating rooms. … Risk factors for postoperative infection. … Surgical site infection risk in patients with diabetes, June 2011. https://lermagazine.com/article/surgical-site-infection-risk-in-patients-with-diabetes … Risks of intestinal anastomoses in Crohn's Disease. Annals of Surgery , 213(1):37, 1991.
F.
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - understanding of the safety implications and
without formal evaluation of the ‘hidden’ system-based risks … Given this exposure, we are clearly
overdue for a formal analysis of the systems-based risks associated … number of powerful probabilistic modeling formalisms to help understand and manage systems-
based risks … performance of each component
(human, technical, and organizational), our goal was to gain insight into risks … tolerance among the clinicians
Perceptions about the risks associated with a specific case
Confidence
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www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - The data were summarized into seven modules (IT safety management systems, risk
assessment, change management … To mitigate the hazards identified in the previously conducted proactive risk
assessment (PRA) with respect … Resilience 1R18 HS017902-01
The data were summarized into seven modules (IT safety management systems, risk … Health information technology risks. The Risks Digest 2010; 26. … Re: Health information technology risks (Kenzo, RISKS-26.30).
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www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - Replacing these artefacts by computerized versions may introduce new
risks.
Methods. … Although this
malleability leads to risks of its own, they seem to be more than balanced by the risks … Organizing patient safety research to identify risks and
hazards. … Managing the Risks of Organizational Accidents. … Reducing Risks, Protecting People: HSE's Decision-
making Process.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises2.html
December 01, 2017 - Exercise #1: Risk Criteria and Rules
Please choose the best answer to the questions. … Days column on the Risk Change Report. … How many residents have high nutritional risk? … Should these residents also display on the High-Risk Nutrition Report? … Sample Risk Change Report
Name
Room Number
Nutrition Risk
Change Within 7 Days
Increase
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
December 01, 2017 - When examining the risk of residents who have not fallen but have one of the other risk factors, it is … Step 1: Identify which of the five risk areas contribute to resident's fall risk. … Step 1: Identify which of the five risk areas contribute to the resident's fall risk. … A given resident may have one, several or all of these types of risks. … Exceptions may include residents felt to be high-risk due to risk factors not included on the current
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … Create Algorithm
Literature review identified electronic data that are manifestations, but not risks … Identifying Potential Risks and Outcomes in Procedures of Interest
Each site collected potential … Risk stratification models should weigh relative contribution of each risk, not just yes/no.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17123-Weingart-draft-1.pdf
January 01, 2022 - Official
Denise Burgess (denise.burgess@ahrq.hhs.gov)
2.0 ABSTRACT
Purpose: We sought to assess the risks … Results: Each stage of the medication use
process poses risks to oral chemotherapy safety. … of oral chemotherapies.1
Additional risks associated with oral chemotherapy use in ambulatory oncology … They identified risks associated with temozolomide that
were not identified by the capecitabine FMEA … However, given the relatively clear and consistent
pattern of risks and recommendations that evolved
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/2.html
December 01, 2017 - Intervention History for Nutrition Risk Reports: High Risk and Medium Risk
3.2.1. … to the two Nutrition Risk Reports. … Nutrition Risk Reports. … Only the report for high-risk residents is shown. … nutritional risk.
3.2.4.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/transfer.html
September 01, 2017 - On-Time Preventable Hospital and Emergency Department Visits
Electronic Reports
Transfer Risk … Sample High-Risk Transfer Report
Facility Name:
Unit:
Report Date:
Resident Name and Advance … Sample High-Risk Transfer Report (continued)
Resident Name and Advance Directive Status
High-Risk … Diagnoses Associated With Transfer Risk
Age
DNR,DNH, MOLST, or POLST Order in Place … Sample High-Risk Transfer Report (continued)
Resident Name and Advance Directive Status
High-Risk
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
September 18, 2011 - Methods
Create Algorithm
Literature review identified electronic data that are manifestations, but not risks … risk factors. … From that search, 24 additional potential risk factors were included in the Master Risk Factor table … HHSA-290-2006-00020 ACTION task order #8
Methods
Identifying Potential Risks and Outcomes in Procedures … 6), number of procedures (5), surgery duration (4) and BMI and postop hemoglobin at 3 times each
Risks
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www.ahrq.gov/pqmp/measures/risk-assessment-pregnant-women.html
August 01, 2021 - Behavioral Health Risk Assessment for Pregnant Women
Measure Domain: Perinatal Care
Measure
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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-Hook_25.pdf
February 26, 2008 - Assessing for Risks of Anticipated Physiologic Falling
Almost 75 percent of the citations that met the … Patients who have none of the identified fall risks (i.e., injury risk, special
conditions, or anticipated … Patient education about these risks and
safety precautions to reduce risk are essential for these patients … for accidental falling and to choose interventions that will reduce risks
Strength of Evidence Supp … Assessing for Risks of Anticipated Physiologic Falling
Strategies to Prevent Unanticipated Physiologic
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www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
February 26, 2008 - Assessing for Risks of Anticipated Physiologic Falling
Almost 75 percent of the citations that met the … Patients who have none of the identified fall risks (i.e., injury risk, special
conditions, or anticipated … Patient education about these risks and
safety precautions to reduce risk are essential for these patients … for accidental falling and to choose interventions that will reduce risks
Strength of Evidence Supp … Assessing for Risks of Anticipated Physiologic Falling
Strategies to Prevent Unanticipated Physiologic
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapt.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … SIR predicted infection risk better than the basic risk index for the procedures that we examined. … We hypothesize that improved risk adjustment is due to consideration of these extra risk factors. … Given its inferior risk stratification performance, the basic risk index should no longer be used when
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
May 10, 2018 - to the patient’s absolute CVD risk. … On the other hand, the adverse
effects appear to be relatively independent of CVD risks. … different levels of
underlying CVD risks. … It assumes a relative risk reduction of 25% with statin therapy. … Most trials enrolled patients with some
elevation in LDL or who had elevated risks due to diabetes.
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www.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
January 01, 2024 - thromboembolism, or post-acute coronary syndrome using
administrative data, studying heterogeneity of risks … PURPOSE/STUDY OBJECTIVES
Aim 1: To determine how GIB risk (total-, upper- and lower-GIB risk) among … Our
study results demonstrate that these risks may be similar, and, in some individuals, the
use … approaches to mitigate risk. … claims data of ACS patients following PCI,
we discovered that ticagrelor was associated with a 25% relative