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  1. www.cahps.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod2-slides.html
    September 01, 2020 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Know the benefits and risks of each option Understand how they relate to your patient's situation and … Compare treatment options—risks and benefits. Questions to ask provider. … Help clarify patients' preferences for risks and benefits of options. … Improves accurate risk perceptions of possible benefits and harms among patients.
  2. www.cahps.ahrq.gov/research/findings/studies/index.html?page=1
    January 01, 2024 - Among Hispanic participants, incarceration was associated with hyperglycemia (Adjusted Risk Ratio (ARR … ): 2.1), but not with hypertension risk. … Associations between incarceration history and risk of hypertension and hyperglycemia: consideration … Automating risk stratification for geriatric syndromes in the emergency department. … The study found that treatment by the highest-rated agencies available decreased risks of hospitalization
  3. www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Root Cause Analysis Learn From Defects Form Failure Mode and Effects Analysis   Probabilistic Risk … Worksheet Discovery Form Root Cause Analysis Failure Mode and Effects Analysis Probabilistic Risk … Discuss the three greatest risks. Rank these factors. … Question 3: What will you do to reduce the risk of reoccurrence? … Sensemaking of patient safety risks and hazards. Hlth Svcs Res 2006;41(Aug 4 Pt 2.):1555-75.
  4. www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-38.pdf
    December 17, 2010 - Measure Name: Cesarean Rate for Low-risk First Birth Women C. Measure Definition a. … infants delivered via elective cesarean delivery had significantly higher rates of mortality (adjusted risk … ratio [aRR]: 2.1), risk of special care admission (aRR: 1.4), and respiratory morbidity (aRR: 1.8)). … C-section 17.8% No data by race/ethnicity or other, and this rate is not limited to low-risk
  5. www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/about.html
    September 01, 2020 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … the issue of patient safety for LEP and culturally diverse patients, including common causes and high-risk … impact of an increasingly diverse nation on health care delivery, quality and cost drivers, and role of risk … recommendations that aim to both improve detection of medical errors across diverse populations and prevent high-risk … At minimum, hospitals should focus on addressing the root causes that lead to high-risk scenarios for
  6. www.cahps.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
    September 01, 2022 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … To use it, clinicians determine a hospital patient’s risk of falling and develop a tailored falls prevention … Then hospital staff talk to patients as part of routine care at the bedside about their risk for falling … the most feasible falls prevention strategies for a community-based patient using three individual risk … factors: mobility limitations; medications that can increase the risk of falling; and osteoporosis.
  7. www.cahps.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
    November 01, 2022 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … improved the delivery of heart healthcare in four important areas: Counseling on aspirin use among high-risk … support provided to mostly small, rural practices in North Carolina reduced 10-year cardiovascular risk … for patients at high risk of a stroke or heart attack by using a risk-stratified, population management
  8. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
    July 02, 2008 - At least one or two care processes, such as skin assessment and pressure injury risk assessment. … Ensure the known risk factors for pressure injuries are assessed. … Tool 5D 39 Assessment of Care Planning All the risk factors identified in the pressure injury risk … Tailor your approach to each patient, based on the patient’s risk factors. … Pressure injury risk factor assessment is performed accurately within 24 hours of admission.    
  9. www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/chapter3.html
    September 01, 2020 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … nurses, technicians, front desk staff, and interpreters) will be able to: Understand patient safety risks … team member can use to stop the action at any time when there is any concern for miscommunication or risk … The module provides facts and statistics regarding the increased patient safety risk to LEP patients … Hospitals will highlight risks specific to their LEP population and work with unit staff to refine and
  10. www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-section6b.pdf
    May 17, 2019 - Tables 8a-e: RiskRisk Estimate Adjusted Model- 7 Day Estimat e Std Dev P-Value Estimat e LCL Estimat e UCL OR … Risk Estimate Adjusted Model- 14 Day Estimat e Std Dev P-Value Estimat e LCL Estimat e UCL OR … Risk Estimate Adjusted Model- 30 Day Estimat e Std Dev P-Value Estimat e LCL Estimat e UCL OR … Risk Estimate Adjusted Model- 365 Day Estimat e Std Dev P-Value Estimat e LCL Estimat e UCL
  11. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
    September 14, 2017 - Boothman, J.D., Executive Director, Clinical Safety and Chief Risk Officer, University of Michigan Health … ARM, formerly with the University of Illinois-Chicago and now Director, Office of Patient Safety and Risk … Scott, Ph.D., R.N., Manager of Patient Safety and Risk Management, University of Missouri - Kelly … Driver, J.D., M.B.A., CEO of The Risk Authority Stanford and Chief Risk Officer of Stanford Health … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention, Assistant Vice Chancellor
  12. www.cahps.ahrq.gov/patient-safety/settings/index.html
    July 01, 2023 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Setting AHRQ has developed a wealth of materials focused on a wide range of patient safety risks
  13. www.cahps.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/nyc.html
    March 01, 2021 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … need to help their patients adopt the ABCS of cardiovascular disease prevention: A spirin in high-risk … Heart disease is the primary cause of death in the city, and prevalence of cardiovascular disease (CVD) risk … support ABCS-driven care Three expert webinars on topics related to evidence-based management of CVD risk … care practices [AcademyHealth, 2017] Using Practice Facilitation in primary care settings to reduce risk
  14. www.cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
    March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1 Human Error: Inadvertently completing the wrong … At-Risk Behavior: Choosing to behave in a way that increases risk where risk is not recognized, or … Reckless Behavior: Choosing to consciously disregard a substantial and unjustifiable risk. 1. … Slide 19: Managing Error and Risk 1 Human Error At-Risk Behavior Reckless Behavior … believed insignificant or justified Manage through: Removal of incentives for at-risk behaviors
  15. www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … CULTURE Have leaders established methods to identify risks and provide employees opportunities to … FUTURE RISKS Are there other areas in the organization where this could happen?       … FUTURE RISKS Are there opportunities to improve trainings, competencies and orientation sessions
  16. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - Medication affecting risk of falls Sedative and psychotropic medication, or medication with drowsiness … ”*: Number of higher risk patients: 8 Chart: full medication review requested? … For any of the 20 patients who are “higher risk”*: Number of higher risk patients: Chart: full medication … * In some wards all patients are counted as high risk, for other wards only some. … Completion Date for Plan Fall risk factor assessment is performed within 24 hours of admission
  17. 0129Table9 (pdf file)

    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table9.pdf
    January 01, 2008 - Table 9 – Analysis of Disparities in Readmission Risk Based on Race/Ethnicity 2005-2009 AHRQ Revisit … [1.20 – 1.29] Other 1.03 [0.98 – 1.07] Table 10 – Analysis of Disparities in Readmission Risk … 1.26] Native American 1.09 [0.99 - 1.20] Table 11 – Analysis of Disparities in Readmission Risk
  18. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - Performance of care planning that addresses each risk factor identified during risk factor assessment … Slide 38 SAY: Risk assessment is the cornerstone of prevention. … Calculate the percentage of patients who have a completed risk score. … Slide 40 SAY: For a risk factor assessment to make a difference, all the risk factors identified in … Ensure that the care plan addresses all areas of risk.
  19. www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-7-a-table-10-11-12.pdf
    January 01, 2008 - Table 10 – Analysis of Disparities in Readmission Risk … Hispanic 1.33 [1.20 – 1.48] Other 1.08 [0.95 – 1.22] Table 11 – Analysis of Disparities in Readmission Risk … 1.06 - 2.07] Native American 1.26 [1.06 - 1.50] Table 12 – Analysis of Disparities in Readmission Risk
  20. www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
    January 01, 2014 - to recommendations focused on global developmental screening using tools that focus on identifying risk … CAHMI* Follow-up for children at risk for delays: proportion of children who were determined to … to be at significant risk for development, behavioral, or social delays who received some level of … Parent-reported quality of preventive care for children at-risk for developmental delay. … to be at significant risk for development, behavioral, or social delays who received some level of

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