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healthcare411.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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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - Care Planning
This tool provides
discharge planners with a
set of prompts to identify
readmission risks … and to take
steps to ensure those risks are
addressed in the transitional
Day-to-day readmission … Description
This tool provides discharge planners with a set of prompts to identify readmission risks … and to
take steps to ensure those risks are addressed in the transitional care (discharge) plan. … Accessed July 28, 2016.
2
WHOLE-PERSON CARE TRANSITIONAL PLANNING TOOL
Readmission Risks and
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healthcare411.ahrq.gov/evidencenow/projects/heart-health/evidence/blood-pressure.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Blood Pressure Control Evidence and Resources
High blood pressure is a major risk … Blood Pressure
This in-depth patient education booklet explains high blood pressure and the potential risks
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healthcare411.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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healthcare411.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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healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - autologous PRP demonstrated a statistically
significant increase in complete wound closure or healing (Relative … We extracted or calculated relative risk
(RR) and corresponding 95 percent confidence intervals for … or unclear risk of bias. … small (<300) or the confidence intervals included substantial benefits and harms
(defined as 0.25 relative … risk reduction or increase).
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
February 10, 2014 - column if any of the risks for slow healing criteria are present. … See 3.2.6 for healing risk criteria.
3.2. At-Risk for Delayed Healing Report
3.2.1. … Report Description
The Ulcers At Risk for Delayed Healing Report displays only ulcers at risk for delayed … Report Example: At Risk for Delayed Healing Report
On-Time Pressure Ulcers At Risk for Delayed Healing … Nutrition
On-Time Nutrition Risk
On-Time Nutrition Risk Report calculations
This column is used to
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … Ensure that known risk factors for falls are assessed. … Page 78
‹#›
Care Planning Assessment
All risk factors identified on the fall risk factor assessment … that care plans address all areas of risk.
‹#›
Assessment of Care Plan Performance
See the sample … A care plan addressing every deficit on the fall risk factor assessment has been developed and is being
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
August 31, 2017 - Generally, a score of 18 or less indicates at-risk status. … factors and 1-3 for the last risk factor. … Generally, a score of 14 or less indicates at-risk status. … Use: Individualize the care plan to address the needs of at-risk patients. … PRESSURE ULCER RISK ASSESSMENT CASE STUDY
Mr.
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healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1
Say:
Just Culture helps us understand risk and … At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … Slide 19: Managing Error and Risk 1
Say:
To improve outcomes, human error, at-risk behavior, and … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … for healthy, risk-reducing choices.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Individual is not educated about potential risk and sees no value in established policies to prevent … Manage by:
Removing incentives for at-risk behaviors. … Educate about potential risks.
Redesign of system factors. … Risk management. … J Healthc Risk Manag. 2013;33(2):11-20.
What are the Outputs from the Solutions Meeting?
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healthcare411.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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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - This toolkit, developed through an AHRQ Patient Safety Learning Lab , consists of a formal risk … Being hospitalized puts patients at further risk for falls due to illness and the newness of the hospital … theoretical underpinning that fall prevention in hospitals is a three-step process: (1) assessing fall risk … evidence-based fall prevention intervention that uses bedside tools to communicate patient-specific risk … modalities provided access to real-time safety plans at the bedside, including patient-specific fall risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Risk can be minimized with solutions
that integrate medication risk management efforts into transitional … risk management efforts into
transitional care models. … to enhance
communication between patients and families and their care providers, thus reducing the risks … Modeling Risk and Reducing Liability Through Better
Communication and Teamwork. … examined, 78 percent involved an
element of informed consent or SDM, primarily in the areas of treatment risks
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
February 16, 2011 - Specification of appropriate pressure ulcer risk and monitoring tools
c. … if your facility has a process to screen patients for pressure ulcer risk. … Do you use either the Norton or Braden pressure ulcer risk assessment tool?
If Yes, STOP. … Decide which scale will be used for performing risk assessment. … Determine who will complete the daily skin and risk assessments. Tool 4A.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Performance of care planning that addresses each risk factor identified during risk factor assessment … Slide 38
SAY: Risk assessment is the cornerstone of prevention. … Calculate the percentage of patients who have a completed risk score. … Slide 40
SAY: For a risk factor assessment to make a difference, all the risk factors identified in … Ensure that the care plan addresses all areas of risk.
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healthcare411.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6d-internet.html
April 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … They can also research health conditions, take personal health assessments (e.g., disease risks, healthy
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healthcare411.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - Among Hispanic participants, incarceration was associated with hyperglycemia (Adjusted Risk Ratio (ARR … ): 2.1), but not with hypertension risk. … Associations between incarceration history and risk of hypertension and hyperglycemia: consideration … Automating risk stratification for geriatric syndromes in the emergency department. … The study found that treatment by the highest-rated agencies available decreased risks of hospitalization
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healthcare411.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
November 01, 2018 - Then mark with an "X" the risk points in the process where things could go wrong and lead to a recurrence … identify with arrows where in the process team strategies and tools might eliminate or mitigate the risk … Have other groups successfully used specific team tools to reduce similar process risk points? … Benefits outweigh risks
Evidence-based
Measurable
Desired result can be measured with objective … Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
September 14, 2017 - 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 … Driver, J.D., M.B.A., CEO of The Risk Authority Stanford and Chief Risk Officer of
Stanford Health … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention,
Assistant Vice Chancellor