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www.cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Slide 14: Fall Risk Assessment
Slide 15: Step 1: Fall Risk Screening/Assessment
Use a reliable … Add unit-level risk factors as needed. … Other risks:
IV pole.
Orthostatic hypotension.
Oxygen tubing. … Image: Paper labeled “fall risk.” … Choose a tool for assessing risk factors.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
May 01, 2013 - ● Rates of cesarean delivery for women without other risk factors can be influenced by the number … College of Obstetricians and Gynecologists
(ACOG).7 The 2013 ACOG Committee Opinion cites evidence of risks … than vaginal birth, including risks to mothers and children, and
only 4 dimensions where vaginal birth … had greater risk than cesarean delivery.8
Advantages of the Measure
● This measure is specified to … Comparing risks of cesarean and vaginal birth to mothers, babies, and
future reproductive capacity: a
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table2.pdf
January 01, 2011 - Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
Hypertension is a risk … particularly hypertension), and early deaths
resulting from heart disease or stroke, to
assess the risks … Risk factors and risk behaviors accelerate the
development of atherosclerosis, and risk
reduction delays … culminates in thrombosis,
III Expert Panel on Integrated
Guidelines for Cardiovascular
Health and Risk … on Integrated Guidelines for
Cardiovascular Health and
Risk Reduction in Children
and Adolescents:
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www.cahps.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - of the patient population, specifically whether—as a group—patients in one facility are at greater risk … Risk adjustment is a complex statistical enterprise. … [1] [2]
Why adjust for risks or severity? … Most common risk adjustments—for age, prior medical history, or comorbidities—are considered a good idea … Risk Adjustment for pediatric quality indicators.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-technical-specs.pdf
February 05, 2020 - High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Technical … Description
Reporting on the extent to which high risk women are delivered at facilities
with 24/ … Identify those deliveries associated with high risk
conditions
1. … Maternal record: High Risk Diagnoses
2. Maternal record: Complicated Delivery
3. … These are considered women in potential need of high risk services
(“high risk” for short)
Step 4
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www.cahps.ahrq.gov/hai/tools/cauti-hospitals/toolkit-impl.html
October 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Poster on Urinary Catheter Risks and Indications ( PDF , 570 KB) (Appendix E of Toolkit for Reducing … Tract Infections in Hospital Units: Implementation Guide)
Educate and motivate staff regarding the risks … Risks of overuse of urine culturing are also covered in this tool. … Archived Webinars
Building a Team and Process to Reduce CAUTI Risk (April 8, 2014) Accessible ( Microsoft
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www.cahps.ahrq.gov/health-literacy/professional-training/informed-choice.html
May 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Literacy and Cultural Competence updates
Many individuals do not understand the benefits, harms, and risks … that hospitals and clinical teams can use to ensure that people understand the benefits, harms, and risks … presenting choices comprehensively, engaging patients and families, and explaining benefits, harms, and risks … University Health System Used AHRQ Tools
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/index.html
April 23, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Relationship Between Electronic Nicotine Use and General Health
February 27, 2024
Bleeding Risks … Catalyze Staff Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk … in Training for Learning Health Systems Scientists
January 16, 2024
Researchers Identify Risk … Related to Falls
October 17, 2023
New Data Resources Provide Insights Into Patient Safety Risks
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www.cahps.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Protection of Human Subjects
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk … Priorities include:
Research on patient safety
Identification of risks, hazards, and patient harm … patient safety practices) and the adaptation, refinement, and sustainment of those strategies to address risks … Patient characteristics that might influence the risk of experiencing a patient safety event, for example … to develop, implement, evaluate, and spread effective patient-centered models of care for people at risk
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-2-tech-specs.pdf
January 24, 2019 - 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
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www.cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html
February 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … What is a standardized assessment of risk factors for falls, and how should this assessment be conducted … How should identified risk factors be used for fall prevention care planning?
3.5.
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www.cahps.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod3-guide.html
September 01, 2020 - These include when:
Choosing treatments—weighing risks and benefits. … instead of relative risk. … sense of personal or individual risk. … What Are the Risks of Having a Stent; 2013. … Communicating Risks and Benefits: An Evidence-Based User's Guide. U.S.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
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 either … 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.
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www.cahps.ahrq.gov/evidencenow/heart-health/cholesterol/guideline.html
September 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk … published in Circulation in 2011, outlines how to treat high blood cholesterol in adults to reduce risk
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www.cahps.ahrq.gov/policymakers/chipra/statesummaries/co-spotlight.html
July 01, 2015 - Colorado supported the implementation of an electronic risk assessment tool
To get a fuller picture … of the health risks facing adolescents, demonstration staff in Colorado and New Mexico—
Developed … an electronic questionnaire that screens adolescents for social and behavioral risk factors, including … ’ tablets so they can discuss health risks with adolescents during their visit. … SBHCs also reported that aggregating the screening data helped them identify the risk factors common
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www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … Slide 16: Managing Error and Risk 3
Say:
To improve outcomes, human error, at-risk behavior, and … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … 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.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
November 09, 2017 - report is designed to help clinicians see changes in resident
status earlier and intervene earlier when risks … for high risk. … Contributing Risk Factors included in
the Falls High-Risk Report. … of Fall Risk Factors Report. … Report
Slide 8: Falls High-Risk Report
Slide 9: Falls High-Risk Report
Slide 10: Falls High-Risk
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www.cahps.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … often are not ready to take on the responsibility for medication management, including during the high-risk … Xiao also identified hazards or preventable risks to medication safety for older adults during care … The project also aims to identify medication risks to patient safety among underserved populations with … The goal of that 4-year project was to understand and reduce risks of central line-associated bloodstream
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www.cahps.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
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - All multicomponent interventions also included an assessment of falls risk. … percent (95% CI, 0.2 to 1.1) while in the control group this was 1.5 percent (95% CI, 0.9 to 2.6) for a relative … risk reduction of 0.29 (95% CI, 0.1 to 0.87). … was not powered to assess falls separately, yet it is worth noting that the point estimate for the relative … Use of initial risk assessment and recording as the main nursing intervention in identifying risk of