-
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
-
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?
-
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.
-
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
-
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
-
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.
-
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
-
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
Relative … Risk
VLBW
Very Low Birthweight
Publication: 10-0058-EF
-
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.
-
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.
-
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
-
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
-
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?
-
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.
-
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.
-
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?
-
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
-
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.
-
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.
-
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