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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool0a.docx
January 01, 2011 - formulary been reviewed to see if certain medicines (e.g., sleep aids) should be restricted in patients at risk … Physicians: Are patients’ medications checked for their risk of causing falls? … Transport: Are patients who are at high risk for falls supervised when taken off the unit for diagnostic
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2c.docx
January 28, 2013 - Examples of processes might include initial fall risk factor assessments (e.g., when does it occur, who … does it, what happens if a patient is found to have risk factors) or postfall management. … If a process does not exist (for example, there is no process to assess fall risk factors upon admission
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/staff-safety-assessment.docx
March 01, 2017 - Care Safety Modules
Staff Safety Assessment
Purpose: To tap into your experience to determine risks
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/slimplement.pptx
February 03, 2006 - opportunity for improvement
Developing a flowchart or map of the process
Studying the process to identify risk … points
Implementing interventions aimed at eliminating the risk points
Testing the intervention
Sustaining … Page ‹#›
Implementation Planning
10
Page ‹#›
Step 4: Design a TeamSTEPPS Intervention
List the risk … Flowchart or map the process during which the target problem/ challenge/opportunity occurs
Identify risk … points
Determine which TeamSTEPPS tools or strategies would work best to eliminate the process risk
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan.pptx
January 20, 2006 - opportunity for improvement
Developing a flowchart or map of the process
Studying the process to identify risk … points
Implementing interventions aimed at eliminating risk points
Testing the intervention
Sustaining … 05.2 Page ‹#›
Page ‹#›
Office-Based Care
10
Step 4: Design a TeamSTEPPS Intervention
List the risk … Flowchart or map the process during which the target problem/ challenge/opportunity occurs
Identify risk … points
Determine which TeamSTEPPS tools or strategies will work best to eliminate the risk points
State
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www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
May 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The CUSP model draws on the wisdom of frontline providers who have practical knowledge about safety risks … which errors are treated as an opportunity to learn about root causes and prevent future errors and risks
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
February 01, 2019 - Other serious risks associated with antipsychotic medication use in children include
extrapyramidal … who are not first given the benefit of a
trial of psychosocial treatment may unnecessarily incur the risks … Other serious risks associated with antipsychotic medications in children include
extrapyramidal side … Antipsychotic medication use among children and risk of
diabetes mellitus. … Antipsychotics and the risk of type 2 diabetes mellitus
in children and youth.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-table-4.pdf
May 24, 2016 - be prescribed regular
ongoing ICS treatment, since the
occurrence of a severe exacerbation is a
risk … factor for future exacerbation and ICS-
containing medications significantly reduce
the risk of asthma-related
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1d.docx
January 28, 2013 - Business Case
Program Background (keep this brief)
General Aims
Initial Risks
Expected Outcomes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
March 01, 2017 - Indwelling device use and antibiotic resistance in nursing homes: identifying a high-risk group. … There is no known evidence that shows the risks or benefits of changing gloves prior to or immediately … reduce urethral and bladder injury (e.g., irritation, hemorrhage, ulceration), which increases the risk … still indicated, the catheter should be replaced to hasten resolution of symptoms and to reduce the risk … However, there is no evidence that suprapubic catheters reduce the risk of bacteriuria in the urine.
-
www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
April 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … operating room
- Correct type and size
|___| Essential imaging available
|___| Risk … of hypothermia – operation longer than 1 hour
- Warmer in place
|___| Risk of venous … Anesthesia safety check completed
|___| Type of anesthesia
|___| Anticipated airway and aspiration risk
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Kenyon2014.pdf
February 01, 2014 - , in clinical practice, it is difficult to determine which hospitalized children with asthma are at risk … Delineating risk factors for short- and long-term asthma rehospitalization may help to
target discharge … transition and chronic care improvement efforts to high-risk populations. … interval, whereas other characteristics are asso-
ciated with risk at more distant time intervals. … Risk factors for readmission to
hospital for asthma in childhood. Thorax 1994;49:33-6.
4.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - Slide 10
Explain Your Reasoning, Continued
SAY:
Or you can talk about the risks of antibiotics in … Also, exposure to antibiotics puts your mom at risk for developing future infections with resistant bacteria … The risks of antibiotic use may not align with residents who have expressed their wishes for comfort … Keep in mind that the risk and benefit balance at the end of life of all medical treatments, including … Educating residents and family members about the risks of antibiotic treatment is recommended prior to
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - processes, further aids in the development of high-quality patient care by allowing providers to mitigate risks … speaking up if they do not agree with task assignments and protocols or when they see patient safety risks … ratios exceed best practice based on the unit’s acuity and rate of volume change, there is an increased risk … How will you reduce the risk of recurrence?
How will you know it worked?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-table4.pdf
January 01, 2010 - makes the case for prevention
and treatment irrefutable; overweight children
are also at increased risk … Endocrinol
Metab 2005; 90(3):1871-
1887
Scientific
statement
Clinicians should assess obesity risk … in all
children, integrating information about the
patient’s BMI, medical risk, and current eating
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
December 31, 2015 - maintenance organizations found that exposure to atypical antipsychotics
was associated with a fourfold risk … enrolled in a state Medicaid plan
found that those starting an antipsychotic had three times the risk … Long-term consequences of pediatric obesity and other metabolic
disturbances include higher risk of … However, among adults, in general, minority groups are at
much greater risk for diabetes than whites
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
November 20, 2014 - Example:
Perform comprehensive fall risk assessment on admission, daily, or if condition deteriorates … Team
A Unit Team comprises staff members who provide daily direct patient care by:
Conducting fall risk … for assistance with toileting)
Page 58
‹#›
Electronic Health Record
What information about fall risk … the most logical place in the record to collect, organize, and assess information about patient fall risk
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
May 01, 2017 - Risk management for ambulatory surgery centers. J Ambul Care Manage. 2007 Apr; 30(2) 114-15. … An analysis of risk factors and adverse events in ambulatory surgery. … Risk management for ambulatory surgery centers. J Ambul Care Manage. 2007 Apr; 30(2) 114-15. … An analysis of risk factors and adverse events in ambulatory surgery.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-5-table-4.pdf
January 01, 2014 - Children who are at risk of
neutropenia, are immunocompromised, or
immunosuppressed may have microbes … Improving outcomes for
severe sepsis and septic
shock: Tools for early
identification of at-risk … Improving
outcomes for severe sepsis
and septic shock: Tools for
early identification of at-risk … Considering the high risk
of death associated with sepsis, antimicrobial
drugs need to be administered … severe sepsis or septic shock, but may be
justified in selected subsets of septic patients
at high risk
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/7-things.pdf
March 01, 2017 - Risk factors of nosocomial catheter-associated urinary
tract infection in a polyvalent intensive care … Examination of biofilm formation and risk of infection
associated with the use of urinary catheters … When implementing a leg bag cleaning
and use protocol, do a risk assessment that
takes manufacturer … Facilities can do a risk assessment to de-
termine the pros and cons of reusing leg
bags. … This risk assessment could consider
manufacturer’s instructions.