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ahrqpubs.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
December 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Telemedicine
Universal ICU Decolonization Protocol
Toolkit to Engage High-Risk … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings ( PDF , 1.36 … 2017
Page originally created December 2017
Internet Citation: Toolkit to Engage High-Risk
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
June 24, 2022 - ’s local data warehouse and research portfolio, which may include legal counsel to manage liability risk … NAM2019 What special vulnerabilities or risks are anticipated in the study population? … NAM2019 The risk/benefit ratio of trial participation? … Generally, an intervention is not reasonable and necessary if its risks outweigh its benefits. … Generally, an intervention is not reasonable and necessary if its risks outweigh its benefits.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Information for families and patients on fall risk reduction?
6. … The cause of a fall is often an interaction between patient’s risk, the environment, and patient risk … Increase in hazardous environments increases the risk of falls. … status, continence, and other patient risks.
5. … A patient who is taking four or more oral medications is at risk for falling.
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ahrqpubs.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Scope
The operating room is a very high-risk, problem-prone patient care environment. … The operating room is a very high-risk, problem-prone patient care environment. … equipment blocking visibility and communication between surgical
team members) and increase infection risks … and corridors) or storage, for instance, were evaluated as to whether they were
likely to present risks … around the patient, avoiding
flow disruptions in these areas, such as bumps, trips, and related safety risks
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ahrqpubs.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … statute, regulation, and case law, the informed consent process requires explanations of the benefits and risks … Make sure the interpreter understands the information, especially if the patient's life may be at risk … When a minor child interprets, the child is in a very vulnerable position and the practice is at risk
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - 3
Rationale for Use of Checklists1-4
Checklists help to facilitate safety in high-complexity, high-risk … Key Safety Elements: Standardize When Possible
Preoperative briefing
Review plan for patient care, risks … mental model
Include reviews of—
Patient information
C/S procedure
Indications
Anticipated complications
Risk … Safety
20
Key Safety Elements: Standardize When Possible
Use routine and standardized hemorrhage risk … Safety
31
Key Safety Elements: Teamwork Training
Have situational awareness around maternal and fetal risks
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/848.html
January 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … proficiency; how an innovative artificial intelligence communication system can identify and mitigate health risks
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - Page 42
14
Pressure Injury risk assessment
BEST PRACTICE
15
Pressure Injury Risk Assessment
Next … step in prevention
Goal: to identify patients at risk
16
Risk Assessment Scales
Only one part of risk … For risk assessment in pediatrics. … 34
Identify Best Practices
Risk assessment:
Which standardized risk assessment scale do you plan to … When do you plan to complete risk assessments?
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ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Rationale for Use of Checklists 1-4
Checklists help to facilitate safety in high-complexity, high-risk … Review plan for patient care, risks, or concerns.
Typically led by the obstetrician/surgeon. … Risk.
Medical history.
Fetal status.
Type of anesthesia. … Slide 21: Key Safety Elements: Standardize When Possible
Use routine and standardized hemorrhage risk … 32: Key Safety Elements: Teamwork Training
Have situational awareness around maternal and fetal risks
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - October 2017
On-Time Falls Prevention
8
Falls High-Risk Report:
High-Risk Criteria
Risk criteria identified … Report:
High-Risk Criteria
Risk determined based on a combination of the following elements:
Presence … risk factors
October 2017
On-Time Falls Prevention
10
Rules for Determining High Risk
Rule #1: … Rule #3: High Risk Based on New Contributing Risk Factor Within 7 Days:
Residents will be flagged as … Risk Factors Report.
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ahrqpubs.ahrq.gov/pcor/library-of-resources/index.html
April 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Effective Health Care Program : provides access to systematic evidence reviews on the benefits and risks
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ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - Miller’s team is studying the role of the ambulatory care environment in elevating the risk of a CVD … That’s because the widely used Framingham risk score—an algorithm used to estimate a person’s 10-year … cardiovascular risk—is based on a long-term ongoing study of mostly older, white men, Dr. … “How does that account for cardiovascular risk factors in young, Black female patients?” she asks. … A broader, systems-based approach to addressing CVD risk factors also might include assessing whether
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Baseline
Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Prevention Practices
Tool 5C: Assessing Comprehensive Skin Assessment
Tool 5D: Assessing Standardized Risk … Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission … Determine whether there is any documentation of the completion of the standardized risk assessment. … For each patient, determine on which dimensions of the standardized risk assessment there was a score … Calculate the percentage of abnormally scored dimensions of the standardized risk assessment that are
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-3/share-tool3.pdf
April 01, 2014 - regulation, and
case law, the informed consent
process requires explanations
of the benefits and risks … Make sure the interpreter understands the
information, especially if the patient’s life may be at risk … When a minor child interprets, the child is in a very vulnerable position and the practice is at
risk
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ahrqpubs.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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ahrqpubs.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.
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - Boothman, J.D., Executive Director, Clinical Safety and Chief Risk Officer, University of Michigan Health … ARM, formerly with the University of Illinois-Chicago and now Director, Office of Patient Safety and Risk … Scott, Ph.D., R.N., Manager of Patient Safety and Risk Management, University of Missouri
Kelly M. … Driver, J.D., M.B.A., CEO of The Risk Authority Stanford and Chief Risk Officer of Stanford Health Care … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention, Assistant Vice Chancellor
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ahrqpubs.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.
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ahrqpubs.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