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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - To
reduce the risk of errors, these medications
require special safeguards such as the
following: … The key safety elements are the following:
• Discussing risks and benefits of
oxytocin use for labor … Using the maintenance
infusion to administer a bolus
manually is a high-risk practice that
should … transition communication
techniques to ensure a shared
mental model of plan of care and
perceived risks … The key safety elements are the following:
• Having unit-established processes
for conveying risks
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cahps.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-8.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … health coaches (registered nurses, dietitians, respiratory therapists, and pharmacists) who help at-risk … challenging to translate the probabilistic nature of the evidence about treatments when discussing the risks … Each publication provides background on a specific clinical condition while comparing the benefits, risks … Using plain language, the booklet describes the basics of blood pressure and the risks of hypertension
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cahps.ahrq.gov/patient-safety/patients-families/index.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
This toolkit … Research Summaries for Consumers
These free research summaries discuss the benefits and risks of different
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Discovery form
· Root cause analysis
· Eindhoven model
· Failure mode and effects analysis
· Probabilistic risk … of transition communication techniques assures a shared mental model of plan of care and perceived risks … · Include a discussion of risks and benefits of using continuous EFM versus intermittent auscultation … timely, clear information to patient and family to explain what is happening, what needs to happen next, risks
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepslhandouts.pdf
July 25, 2012 - for
Patients With
Limited English Proficiency
Overview/Objectives
Understand the safety risk … teen
$71 million lawsuit
2 TeamSTEPPS LEP Patient Safety | Essentials
Essentials
High-Risk … Surgery
Transitions in care, including intake and discharge
Medication reconciliation
Added Risk … history
Latex allergy almost missed before surgery
“Opportunity” Scenario
What are the risks
-
cahps.ahrq.gov/questions/videos/index.html
August 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Patients and families who engage with healthcare providers help lower risks and improve their care.
-
cahps.ahrq.gov/ncepcr/research/health-literacy.html
September 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … step process for shared decision making that includes exploring and comparing the benefits, harms, and risks
-
cahps.ahrq.gov/health-literacy/professional-training/shared-decision/index.html
March 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
-
cahps.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Protection of Human Subjects
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk … Priorities include:
Research on patient safety
Identification of risks, hazards, and patient harm … patient safety practices) and the adaptation, refinement, and sustainment of those strategies to address risks … Patient characteristics that might influence the risk of experiencing a patient safety event, for example … to develop, implement, evaluate, and spread effective patient-centered models of care for people at risk
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cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Slide 4: High-Alert Medications 1
High-alert medications are "drugs that bear a heightened risk of … 4,5 , 6,7
Use of a uniform mixed preparation unitwide for all patients to reduce variability and risk … Ensures a shared mental model of plan of care and perceived risks—
Between shifts. … Slide 16: Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of oxytocin … Slide 27: Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of intrapartum
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cahps.ahrq.gov/hai/tools/cauti-hospitals/toolkit-use.html
December 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Toolkit to create or enhance a culture of safety can significantly decrease rates of CAUTI and other risks
-
cahps.ahrq.gov/npsd/quality-patient-safety/index.html
August 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … sufficient volumes of patient safety data to identify more rapidly the trends and underlying patterns of risks
-
cahps.ahrq.gov/news/blog/ahrqviews/ahrq-in-2020.html
January 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … explored several timely topics, including the use of human factors engineering to reduce patient safety risks … possible to identify and track patient safety concerns and sets the stage for learning how to mitigate risks … Top prize winners developed innovative plans to identify women at risk and provide needed support.
-
cahps.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … frontline staff and prescribing clinicians should be encouraged to understand both the benefits and risks
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - of transition communication techniques assures a shared mental model of plan of care and perceived
risks … Family Engagement (CUSP)
Key Perinatal Safety Elements
Examples/customizable components
Discuss risks … Use unit-established process for conveying risks and benefits of magnesium sulfate use to patient and … Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus. … Patient comfort and education
· Discuss risks and benefits of magnesium sulfate with patient and family
-
cahps.ahrq.gov/npsd/what-is-npsd/index.html
May 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … identify and track patient safety concerns for the purpose of learning how to mitigate patient safety risks
-
cahps.ahrq.gov/antibiotic-use/acute-care/safety/index.html
June 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … antibiotic prescribing and administration should be encouraged to understand both the benefits and risks
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - assessing risk of hemorrhage upon admission to antepartum or L&D units can identify individuals at risk … · Risk assessment may include presence of clinical conditions that increase risk of hemorrhage, or … Because only 5 to 10 percent of obstetric hemorrhages occur in patients with risks for hemorrhages,1 … Use of transition communication techniques assures a shared mental model of plan of care and patient risks … timely, clear information to patient and family to explain what is happening, what needs to happen next, risks
-
cahps.ahrq.gov/teamstepps/lep/handouts/leptragenda.html
December 01, 2012 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Learning Objectives:
Understand the evidence on patient safety risks to LEP patients.
-
cahps.ahrq.gov/teamstepps/lep/handouts/lepcourseeval.html
December 01, 2012 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … I improved my understanding of patient safety risks to LEP patients
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