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  1. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Are governance/senior leaders regularly and thoroughly briefed on risks and hazards? b. … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings? f. … Comments Leadership and Culture Are governance/senior leaders regularly and thoroughly briefed on risks … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings? … There is strong consensus that improved communication between providers and patients about risks to
  2. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - objective of this form is to access the knowledge at the frontlines of patient care to determine what risks … List all defects that have the potential to cause harm on your L&D unit, Discuss the three greatest risks … , and Rank these risk factors. … How will you know the risk is reduced? Question 1. … Do staff members believe risks were reduced?
  3. www.cpsi.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.
  4. www.cpsi.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
  5. www.cpsi.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
    September 01, 2023 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … a digital healthcare tool to help breast cancer patients better understand their treatment options, risks … providers can use artificial intelligence (AI) to identify which cardiac disease patients are most at risk … Decision Precision+ , pulls electronic health record (EHR) data to provide individualized benefit and risk
  6. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
    January 01, 2012 - 1 = Moderate risk 2 or above = High risk 3H: Morse Fall Scale for Identifying Fall Risk Factors … 25-45: Moderate risk >45: High risk ______ * Weak gait: Short steps (may shuffle), stooped but able … calculated by (risk level score) x (number of medications in that risk level category). … Fall Scale for Identifying Fall Risk Factors,” or 3G, “STRATIFY Scale for Identifying Fall Risk Factors … medication-related risk for falls.
  7. www.cpsi.ahrq.gov/data/visualizations/prevalence-fh-mfd.html
    October 01, 2023 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … or multifactorial dyslipidemia), type of lipid, cohort, age, sex, race/ethnicity, BMI percentile, or risk … Abbreviations: CARDIAC = Coronary Artery Risk Detection in Appalachian Communities; CI = confidence … CARDIAC: A cardiovascular risk detection screening program including evaluation for obesity, dyslipidemia … Recruited middle schools from seven different geographic areas with student populations at increased risk
  8. www.cpsi.ahrq.gov/research/findings/final-reports/iomracereport/reldataapa.html
    May 01, 2018 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … 2009 ASPE Office of the Assistant Secretary for Planning and Evaluation, HHS BRFSS Behavioral Risk … Full Name CI Confidence Interval MLBW Moderately Low Birthweight OR Odds Ratio RR RelativeRisk VLBW Very Low Birthweight Publication: 10-0058-EF
  9. www.cpsi.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.
  10. www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
    December 01, 2017 - Intrinsic Fall Risk Factors Slide 5. Intrinsic Fall Risk Factors (continued) Slide 6. … Intrinsic Fall Risk Factors (continued) Slide 7. Extrinsic Fall Risk Factors Slide 8. … Extrinsic Fall Risk Factors (continued) Slide 9. … Extrinsic Fall Risk Factors (continued) Slide 10. Physical Restraints Slide 11. … Staff Strategies to Reduce Fall Risk Slide 12b.
  11. www.cpsi.ahrq.gov/evidencenow/heart-health/cholesterol/primary-prevention.html
    September 01, 2018 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … description: This webinar slide deck and script reviews recommendations for lipid testing and CVD risk
  12. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - Routinely assessing patient risk during this period is critical to facilitate tailoring appropriate … If left unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … Consider using a pharmacist for complex medication regimens or high-risk patients. … • Advise high-risk patients to let the primary care practice know if they are thinking about going … Risk stratification may help practices more efficiently allocate resources to high-risk patient groups
  13. www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Probabilistic Risk Assessment. Causal Tree Worksheet. … objective of this form is to access the knowledge at the frontlines of patient care to determine what risks … Discuss the three greatest risks. Rank these risk factors. … How will you know the risk is reduced? Question 1. … Do staff members believe risks were reduced?
  14. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
    January 01, 2012 - equipment and devices.1 • Pressure ulcer rates are high in children, particularly those with high-risk … from 2.4 to 7.7 per 1,000 pediatric discharges (across all children).2-4 In subgroups at particular risk … (3.5 times the odds of children without the complication), even after adjusting for numerous other risk … documentation record for the completion of a total skin assessment and risk assessment.11,12 … Risk assessment & prevention of pressure ulcers 2011 supplement. Toronto, ON: RNAO; 2011. 11.
  15. www.cpsi.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Therefore, when unintended risks and hazards associated with the delivery and management of care are … To reduce safety risks to patients, health systems expend considerable resources to prevent medication … errors in the hospital setting. 1-3 Increasingly, inpatient medication risk management efforts focus … These findings further support the need for the development of effective risk management strategies to … Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother 2005; 39:1161-8. 21.
  16. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - objective of this form is to access the knowledge at the frontlines of patient care to determine what risks … List all defects that have the potential to cause harm on your L&D unit, • Discuss the three greatest risks … , and • Rank these risk factors. … How will you know the risk is reduced? • Question 1. … Do staff members believe risks were reduced?
  17. www.cpsi.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
    October 01, 2016 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The toolkit provides ways to educate residents and their family members about antibiotics and the risks … is a handout that can be given to residents to provide basic information about antibiotics and their risks … Need Them Can Cause More Harm Than Good is a handout that can be given to residents to  explain the risks
  18. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
    May 17, 2016 - Recommended Practice Details of Recommended Practice Assess for risk of wound dehiscence. … Determine risk factors for postoperative wound dehiscence and identify pediatric patients at risk.2- … Be mindful that smoking poses an increased risk of postoperative wound dehiscence. … Risk factors for abdominal wound dehiscence in children: a case-control study. … Abdominal wound dehiscence in adults: development and validation of a risk model.
  19. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
    January 01, 2012 - Assessment at Admission and Daily Evaluate all patients for pressure ulcers and pressure ulcer risk … (using Braden Scale or other tool) upon admission and every 24 hours thereafter, using valid risk … o Agrees on the use of a standard risk assessment tool (for example, Braden Scale); facilities may … ulcer risk assessment will be used as the standard in your organization. … Risk assessment & prevention of pressure ulcers.
  20. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
    June 05, 2016 - Note: The current version of the AHRQ QI software does not have risk-adjustment capabilities. … However, the tools described below include information about risk adjustment that will be relevant when … The “trend-observed,” “trend-observed-expected,” and “trend-risk-adjusted- smoothed” worksheets can be … The “trend-risk-adjusted-smoothed” worksheet can be used to compare the risk- adjusted rate and smoothed … The “trend-risk-adjusted-average” worksheet can be used to track how a hospital’s performance on an

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