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www.cpsi.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
August 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … issues such as hypertension, obesity, and diabetes, they were significantly more vulnerable to the risks … important ground by exploring how differences in job characteristics and household composition impacted risks … In contrast, workers in office-based jobs who are able to work remotely have a significantly lower risk
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
December 13, 2013 - Use the largest size possible to reduce airway resistance, keep work of breathing low,
reduce the risk … resistance met, apply suction on withdrawal
– This technique should not routinely be used due to risk … size, and length of tube; catheter insertion
depth; reason for tracheostomy; potential individual risks … ■ Infection
– Bronchitis/tracheitis may cause increase in purulent secretions with an increased risk … ■ Aspiration is a risk associated with fractured tracheostomy tubes or other foreign objects.
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www.cpsi.ahrq.gov/evidencenow/heart-health/cholesterol/control.html
September 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … cholesterol levels and diet and exercise guidelines for lowering cholesterol levels and heart disease risk
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www.cpsi.ahrq.gov/ncepcr/tools/assessments/health-2.html
September 01, 2013 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Confidence or ability to manage their own health.
___ Quality of life.
___ Other health behaviors, risks … and your staff to conduct the assessment(s).
___ The potential for reimbursement.
___ The health risk … The work of addressing risks identified on a health assessment does not have to fall entirely on clinicians … Alcohol Use
X
X
X
X
X b
Depression
X
X
X b
X b
Fall Risk
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www.cpsi.ahrq.gov/opioids/implementing-what-works/compendium-intro.html
January 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … have been extensive efforts to address the opioid epidemic, little attention has been given to the risks … Adults in Primary Care Practices Case Study (PDF, 880 KB)
Creating a Work-Around to Implement Fall Risk … Screening for Older Adults Using Appointment Notes Case Study (PDF, 414 KB)
Implementing Opioid Risk
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www.cpsi.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6i-shared-decisionmaking.html
April 01, 2023 - These tools increase knowledge, improve risk estimates, increase patient's involvement in decisions, … benefited from an increased level of understanding that allowed discussions to focus on the critical risk … key to success lies in training physicians and other members of the care team to:
Communicate about risks … expressed needs when making recommendations for care. 18
Clinical decision support tools, such as risk … can follow-up with patients to determine whether they understood that they had options, how much the risks
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www.cpsi.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - application to inform and encourage older adults to initiate dialogue with a clinician regarding the risks … highly reliable systems that address communication and coordination challenges that pose patient safety risks … assessment and risk surveillance. … Real-time surveys reveal important safety risks during interhospital care transitions for neurologic … design, development, implementation, and evaluation) to identify and address the salient issues and risks
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - of stay, subsequent surgeries and incisional herniation.2,3
• Proper identification of patients at risk … Though many risk factors are non-modifiable, there are factors that can be
addressed by hospitals, such … Determine risk factors for postoperative wound dehiscence
and identify patients at risk.1-3,7
Reduce … • Educate patient about risk factors of noncompliance with postoperative instructions. … Abdominal wound dehiscence in adults:
development and validation of a risk model.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - Changing CVC dressings too frequently can increase the risk of introducing bacteria to the entry site … When we enter or access a central venous line, we should remember that every entry increases the risk … As we discussed, improper disinfection procedure of hubs, connectors, or ports can increase the risk … of contamination, misuse, and disconnection of the central line, so discuss among the team the risks … They found that the implementation of checklists and bundles appeared the strongest risk reductions.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-lipid-algorithm.pdf
December 14, 2015 - provider
Y
N
History of ASCVD or ACS
N
Y Recent ACS or recurrent
ASCVD
Calculate 10-y CVD risk … :
measure lipid levels and BP,
assess risk factors and
medications
10-y risk >10% or LDL-C
level … ≥ 190 mg/dL or DM
N
10-y risk 5-10%
N
Positive lifestyle changes;
optimize comorbid conditions … Repeat CVD risk evaluation
5-10%, every 2 y
<5%, every 5 y
Advise high-dose statin,
consider … Management of dyslipidemia for cardiovascular disease risk reduction: synopsis
of the 2014 U.S.
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www.cpsi.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Pressure Ulcer Dashboard
Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs. … new analyses by age, deeper explorations of common activities prior to fall, and enhanced analyses of risk … falls, as well as the ability to filter by fall assistance and use of medication known to increase risk
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www.cpsi.ahrq.gov/evidencenow/heart-health/aspirin/pcor.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … patient-centered outcomes research (PCOR) findings and guidelines for aspirin use in people at high risk
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www.cpsi.ahrq.gov/evidencenow/heart-health/cholesterol/control-spn.html
September 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … cholesterol levels and diet and exercise guidelines for lowering cholesterol levels and heart disease risk
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www.cpsi.ahrq.gov/evidencenow/heart-health/cholesterol/statins.html
September 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … University reviews current recommendations for the use of statins in lowering cholesterol and reducing CVD risk
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Increased risk of death.
Falls are a major safety concern for nursing facilities. … Examples of these risk factors are illustrated in Figure 3 .
Figure 3. … Extrinsic fall risk factors
Environmental hazards.
Unsafe equipment. … , they can be managed in a way to reduce the resident's risk of falling. … risk.
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www.cpsi.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The pandemic has undoubtedly put those successes at risk, but this study should provide motivation for … After adjustment, the relative risk of experiencing an adverse event diminished for all five patient
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-algorithm.pdf
December 14, 2015 - algorithm: discussion with
provider
Y
N
History of ASCVD or ACS
N
Y
Recent stent
Calculate 10-y CVD risk … :
measure lipid levels and BP,
assess risk factors and
medications
Age < 60 and 10-y risk >10% … N
10-y risk 5-10% or
age 60-69 and 10-y risk >10%
N
Positive lifestyle changes;
optimize comorbid … conditions
Repeat CVD risk evaluation
5-10%, every 2 y
<5%, every 5 y
Advise aspirin (81 mg daily … Management of dyslipidemia for cardiovascular disease risk reduction: synopsis
of the 2014 U.S.
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www.cpsi.ahrq.gov/innovations/index.html
August 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … topics in this section
Innovations
Downloadable Databases
Connecting Those at Risk … Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways … Pathways Community HUB Manual: A Guide to Identify and Address Risk Factors, Reduce Costs, and Improve
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www.cpsi.ahrq.gov/challenges/past/sdoh/index.html
July 01, 2022 - including:
Development and deployment of heat shelters in areas of high heat-related illness (HRI) risk … Targeted contact for individuals known to be at high risk of HRI. … readiness of hospitals, emergency departments, and emergency medical services in areas of high HRI risk … Funding targeted to provide air conditioning for at-risk homes. … Urban development to reduce heat island effects and improve canopy coverage in high HRI risk areas.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-2txt.html
July 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … Patient safety risks of documenting "resume home meds" not understated.