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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - patient satisfaction and patient experience of care surveys have been shown to predict malpractice risk … . 4 Eliminating or reducing the risks and hazards in the delivery of patient care should yield safer … MODULE 2: Obtaining Organizational Buy-In and Support
Obtaining senior leadership and risk management … This team is responsible for working with legal counsel, claims, and risk management staff to establish … The use of patient satisfaction surveys and alternative coding procedures to predict malpractice risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
November 20, 2014 - Conducting pressure injury risk
assessments.
Planning care for risk prevention. … Unit staff tell the Wound Care Team about high-risk patients or if skin problems occur. … Page 65
23
Electronic Health Record Opportunities
What information about pressure injury risk factors … logical place in the record to collect, organize, and assess information about patient pressure injury risk … plan/documentation
Staff Education: RN, CEO, CNO, PCT
2-hour didactic competency training:
Braden risk
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healthcare411.ahrq.gov/talkingquality/measures/understand/patient-comments.html
February 01, 2016 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … J Risk Uncertain 1997;14(3):235–57. [4] Schwartz LM, Woloshin S, Black WC, Welch HG. … What does it mean to understand a risk? Evaluating risk comprehension. … Risk as feelings. Psychol Bull 2001 Mar;127(2):267-86. [7] Redelmeier DA, Rozin P, Kahneman D.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Performance of standardized risk assessment within 24 hours of admission. … Risk assessment is the cornerstone of prevention. … Ensure that a standardized risk assessment was performed within 24 hours of admission. … For risk assessment to make a difference, all areas of risk identified on the standardized risk assessment … Ensure that the care plans address all areas of risk.
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healthcare411.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar03/logicmodelsl.html
July 01, 2013 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The Full Services Partnership addresses needs and risks.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - The value of
level 1 lies in identifying potential high-risk focus areas for
health care organizations … For example, placing pro-
viders at risk of reduced payments (i.e., penalties) vs. op-
portunities for … Additional
examples could be developed and mapped into to
determine the impact and tradeoffs of provider risks … This is where payers can shift more risk and
accountability to providers because it will be supported … Additional
work will be needed to study if any of these payment levers
increase the risk of burnout and
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/876.html
August 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … monitoring, also based on the systematic review, found postpartum home monitoring significantly reduced the risk … Implementation of suicide risk estimation analytics to support mental health care for quality improvement … Factors associated with lung cancer risk factor documentation. … Adapting an electronic STI risk assessment program for use in pediatric primary care.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
November 01, 2017 - they need to help their patients adopt the
ABCS of cardiovascular disease prevention: Aspirin in high-risk … and
almost one-third of deaths are caused by CVD (the CVD mortality rate is 251 per
100,000).2 CVD risk … Over 90 percent of practices have access to CVD
risk stratification tools. … ASCVD Risk Estimator Update 2014. … http://tools.acc.org/ASCVD-Risk-Estimator/#page_about
6 http://www.implementationscience.com/content
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/hugheshalbert.pdf
December 19, 2014 - breast
cancer prevention on psychological and behavioral
outcomes including: knowledge of breast cancer
risk … seen
in the proportion of women who had correct knowledge
about physical activitiy and breast cancer risk … At
baseline, 61% of women reported that being physically
inactive increases risk of developing breast
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healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
July 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … In addition to communication failures, patients on labor and delivery (L&D) units are at risk of medication … use of inappropriate interventions, or interventions provided in an unsafe manner, also increases the risk
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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Others as appropriate
Board Members
Members of the hospital or system board
Quality, Safety, and Risk … Management
Selected leaders from these areas:
Quality
Safety
Risk management
Patient relations … types
Vice-Presidents
Emergency department
Operating room
Surgery
Obstetrics
Other high-risk … Unit-Level Staff
Emergency department
Radiology
Surgery
Obstetrics
Pharmacy
Other high-risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Identifying and communicating risk at the earliest possible time.
‹#›
14
Toolkit Approach
The Toolkit … on optimizing the effectiveness of interventions by:
Tailoring interventions to address individual risk … (3-12/05)
Added Alert re-
meds to Scale
(11-12/05)
Developed Education
Brochure on meds
and fall risk … 05)
Started AARs
(safety
huddles) on
test units 10-
12/06
Teachback
w/pts 11/06
Put pts on high risk … ,
Morse score > 50, on
anticoagulants, low
platelets 12/06
Use yellow wrist bands
on high falls risk
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … Ensure that known risk factors for falls are assessed. … Slide 41: Care Planning Assessment
All risk factors identified on the fall risk factor assessment … Tailored approach to each patient, based on the patient’s risk factors. … Ensure that care plans address all areas of risk.
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healthcare411.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … and Independent Input Identify Your Unit's Safety Issues Develop a Plan of Action How Will You Know Risk … Identifying Contributing Factors What Will You Do to Reduce the Risk of Recurrence?
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
June 01, 2018 - Slide 18
Challenge
Inadequate Risk Assessments and Reassessments
Image of young man with clipboard … and image of rubber stamp
Slide 19
Opportunity
Accurate and effective risk assessments
Employing … critical thinking and clinical judgment
Consistency in approach
Identifying and communicating risk … possible time
Slide 20
Tools
Morse Fall Scale (3H)
STRATIFY Scale (3G)
Medication Fall Risk … target education to address gaps in staff knowledge
Environmental safety
Medications associated with risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - services staff
Facilities engineer
Managers
Senior manager
Quality improvement/safety/risk … Determine who will complete the fall risk factor assessment on admission. Tool 4A. … Cathy April √
Tool 4C Assess Staff Education and Training Peggy and Jim April √
Determine How Risk … Team June √
Get Team buy-in on who does risk assessment and when (Nursing/4 hours). … Determine who will complete the fall risk factor assessment on admission. Tool 4A.
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healthcare411.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
April 01, 2021 - needs-driven technical and culture-based solution for subcritical test results, management of high-risk … professionals to actively track subcritical test results (e.g., pulmonary nodules) and monitor high-risk … electronic registry for urology clinic staff to monitor men on active surveillance for prostate cancer risk … jirovecii pneumonia (PJP) prophylaxis patterns among patients with rheumatic diseases receiving high-risk … a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk
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healthcare411.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Risk-adjustment methods—mathematical models that correct for differing characteristics within a population … However, the science of risk adjustment is still evolving. … Experts acknowledge that better risk-adjustment methods are needed to minimize the reporting of misleading
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healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … If a person is colonized with MRSA, they have an increased risk of developing a MRSA infection and also … Removing MRSA from the patient cuts the risk of infection and transmission of the germ to other people … nursing homes because residents are older and more prone to having health conditions that increase their risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - When falls occur with assistance, it suggests that staff have identified at-risk patients and are in … Accurately completing the fall risk factor assessment within 24 hours of admission.
2. … Putting appropriate care planning in place that addresses each risk factor identified during fall risk … Slide 41
SAY: For risk factor assessment to make a difference, all risk factors identified on the risk … Ensure that the care plans address all areas of risk.