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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-051017.pptx
January 01, 2017 - TeamSTEPPS Monthly Webinar
4
Today’s Presenters
Barbara Helliwell, RN, BSN, PHN
Director, Patient Safety & Risk … TEAMSTEPPS 05.2
Slide ‹#›
May TeamSTEPPS Monthly Webinar
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How our Journey Began…
Kaiser Corporate Risk … Slide ‹#›
May TeamSTEPPS Monthly Webinar
Acknowledgements
Southern California Kaiser Permanente Risk
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinars/index.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … and Training for Your Fall Prevention Program (42 min) ( PDF of the Slides , 1.79 MB)
Using Fall Risk
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healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … On-Time uses electronic medical records to develop weekly reports that identify residents at risk of
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_fall-prevention.docx
September 20, 2017 - members in those testing areas are now responsible for the patients’ care and need to know they are at risk … The Unit Team comprises staff members who provide daily direct patient care by:
· Conducting fall risk … Integrating communication regarding fall risk into regular communication, such as during shift handoffs … Creating visual cues or reminders, such as logos indicating elements of the fall risk care plan (like … Questions to consider with electronic records include:
· What information about fall risk factors is
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - · I am concerned that the risks of prescribing another course of antibiotics outweigh the potential … I worry about allergic reactions, antibiotic resistance, and the risk of her getting an infection caused … I don’t want to risk hurting her with a medicine that she very likely does not need. … do not want to give her an antibiotic if she does not truly need it, because this could put her at risk … Her actions helped to reduce further risk to the resident.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
October 01, 2017 - The Unit Team comprises staff members who provide daily direct patient care by:
Conducting fall risk … Integrating communication regarding fall risk into regular communication, such as during shift handoffs … Creating visual cues or reminders, such as logos indicating elements of the fall risk care plan (like … Questions to consider with electronic records include:
What information about fall risk factors is … the most logical place in the record to collect, organize, and assess information about patient fall risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-6mon-post-intervention.pdf
August 23, 2018 - for cardiovascular disease (e.g.,
statin use among those at risk): (check all that apply)
Practice … Learning Collaborative
demo_prog_mh_collab 1 = Yes 2 = No
Million Hearts: Cardiovascular Disease Risk … practice uses to improve cardiovascular preventive care (e.g., prescribing
aspirin for patients at risk … practice performance on cardiovascular disease prevention measures (such as aspirin for patients
at risk … CPCQ_rapid_cycles Using rapid cycling, piloting, pre-testing, or other vehicles for reducing the risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The team immediately placed a call to the risk management department, and they responded immediately … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Risk of depression.
Risk of suicide. … Risk of depression.
Risk of suicide. … CANDOR will train risk managers, organization leaders in approaching these difficult discussions.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - PRACTICE TIPS are actions to take to reduce the risk of
infections in long-term care (LTC) facilities … PRACTICE TIPS
Health care workers can reduce the risk of infection by—
▪ Cleaning hands with an … Other risk factors include the use of intravenous catheters (IVs) or
other catheters, treatment with … • If that is not possible, place infected residents with low-risk residents. … When cohorting is not possible, place infected
residents with residents who are at low risk.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/bckgrndqiteam.doc
August 07, 2012 - Support Staff (e.g., Technicians, Ward Clerks, Nurse’s Aides)
Staff from Safety, Quality, or Risk
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Image: Medical papers labeled “fall risk.” … Slide 14: Toolkit Approach
The Toolkit includes accurate, evidence-based, and effective risk assessments … Identifying and communicating risk at the earliest possible time. … optimizing the effectiveness of interventions by:
Tailoring interventions to address individual risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - What happens if a patient is found to have risk factors or experiences a fall? … Slide 13
SAY: Here is an example of a process map from an initial patient risk assessment using the … The gray boxes are the risk assessment processes. … notice that the ED’s EMR does not interface with the ICU’s EMR, which creates problems in completing the risk … Note all the places where the risk assessment can break down.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … What happens if a patient is found to have risk factors or experiences a fall? … Slide 13
Say: Here is an example of a process map from an initial patient risk assessment using … The gray boxes are the risk assessment processes. … Note all the places where the risk assessment can break down.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
October 01, 2016 - WellMed assumes
risk for all of its Medicare Advantage patients and, using the flexibility of capitated … WellMed highlights its leadership in medical risk management, effective disease management
and chronic … Physicians are incentivized to track and intervene with high-risk patients to keep readmission
rates … The PCC team assigns or adjusts the risk level of each patient, based on clinical
parameters. … chronic
conditions based on their risk stratification scores.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
February 25, 2014 - They
should also encourage risk taking and nontraditional ideas,
activities, and actions. … solutions;
• Encouraging people to speak up, even to differing views;
• Encouraging people to take risks
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptx
January 01, 2017 - TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Slide ‹#›
Small Office Setting
Nature of Risk in the Medical Office … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Slide ‹#›
Small Office Setting
6
Nature of Risk in the … When patients have difficulty with these self-management activities, they are at risk for adverse events
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … A Unit Team comprises staff members who provide daily direct patient care by:
Conducting fall risk … Slide 19: Electronic Health Record
What information about fall risk factors is already part of the … the most logical place in the record to collect, organize, and assess information about patient fall risk
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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … ___
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Organizational Structure
Organizational chart showing connections among safety, risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Slide 15
SAY: The Toolkit includes evidence-based and effective risk assessment tools. … Tailoring pressure injury interventions to address individual patient risk factors is a best practice … For example, are staff individualizing care plans according to risk factors found on risk assessment? … SAY: Equally important for sustainability is to ensure that prevention strategies to decrease the risk … Some of the practices, such as doing a pressure injury risk assessment upon admission, can be hardwired
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healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
February 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … On-Time Falls Prevention to help nursing homes with electronic medical records identify residents at risk