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healthcare411.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
May 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Teams are at risk whenever they are over- or underloaded. The reason? … Task assistance rebalances the workloads of team members to reduce this risk. … Vulnerability to error is increased when people are under stress, are in high-risk situations, and are
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - Every course of antibiotics carries these risks—and nursing home residents get a lot of antibiotics each … long-term care
They comprise about 40% of all prescriptions
Antibiotics can cause harm to residents
High risk … of side effects and adverse events
Major risk factor for Clostridium difficile infection
Driver of antibiotic
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healthcare411.ahrq.gov/health-literacy/research/index.html
January 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Opportunities
Tools and Data for Researchers
Informed Consent and Authorization Toolkit for Minimal Risk … Research
The Informed Consent and Authorization Toolkit for Minimal Risk Research toolkit helps
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Quality Forum states: “Healthcare organizations must systematically identify
and mitigate patient safety risks … 11 Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate
• Using an individualized assessment of risk … factors for each specific patient allows
categorization of operative mortality risk into low (l%-3%
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healthcare411.ahrq.gov/evidencenow/heart-health/cholesterol/guideline.html
September 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk … published in Circulation in 2011, outlines how to treat high blood cholesterol in adults to reduce risk
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healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Area-level indicators
Risk-adjusted (age, sex,poverty)
*Not included in the AHRQ QI Toolkit
Slide … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and … pressure ulcer risk (using Braden Scale or other tool) upon admission and every 24 hours thereafter, … using valid risk assessment, with results documented in the patient's chart. … Slide 67
Looking Back and Looking Forward
Retrospective Reviews
Appropriate Risk Assessment
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - Risk assessments are most effective when increased risk for a fall is identified and communicated early … They gave an update on the risk assessment process changes. … The staff are transitioning to risk-based assessment and interventions tied to each identified risk factor … Before they used more of a definitional risk-based assessment and interventions. … For example, are staff individualizing care plans according to risk factors found on risk assessment?
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - When falls occur with assistance, it suggests that staff have identified at-risk patients and are in … 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 factor assessment need to be addressed in the care plans. … Ensure that the care plans address all areas of risk.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html
February 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … What is a standardized assessment of risk factors for falls, and how should this assessment be conducted … How should identified risk factors be used for fall prevention care planning?
3.5.
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healthcare411.ahrq.gov/evidencenow/heart-health/aspirin/detailing.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Primary Care
Resource description: This facts-at-a-glance handout for clinicians summarizes evidence, risk
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healthcare411.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - for thrombosis) or > 4.0 (at risk for hemorrhage) over 90 days, using
repeated measures analysis. … clinicians and patients regarding
warfarin regimens is unsettlingly common and places patients at risk … 200
Introduction
For patients with atrial fibrillation and other conditions associated with a risk … unsafe/high (INR > 4), or safe (INR
≤ 2 but ≥ 4), based on cutoff values associated with increased risks … Risk factors
for complications of chronic anticoagulation. A
multicenter study.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/workforce-executive-summary.pdf
October 01, 2016 - conditions
Patient engagement
Intensive care coordination
by MAs
Enhanced, patient-centered
risk … Grand
Junction,
Colorado
Small, independent
practice
Rural, small
town
Patient-centered risk … In one
program, women with at-risk pregnancies received intensive interventions such as home visits … Through home visits by community health worker programs, patients at risk for
specific health-related … issues receive intensive monitoring, for example elderly patients at risk
for falls or patients with
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healthcare411.ahrq.gov/hai/cusp/modules/index.html
August 01, 2019 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk … Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk
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healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module11/slimplement.html
March 01, 2014 - Studying the process to identify risk points. … Implementing interventions aimed at eliminating the risk points.
Testing the intervention. … Identify risk points. … Determine which TeamSTEPPS tools or strategies would work best to eliminate the process risk points. … List the risk points you intend to address
List the TeamSTEPPS tools and strategies that
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healthcare411.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … example, external consultants helped practices use their electronic health record data to identify at-risk … EvidenceNOW is having on these practices and their patients, including identifying and treating patients at risk … Oklahoma Practice
"Progress under EvidenceNOW included increasing blood pressure measurement for at-risk
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healthcare411.ahrq.gov/coronavirus/long-covid.html
March 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … many potentially overlapping entities, likely with different biological causes and different sets of risk … Further, many at-risk and minority populations face barriers that can exacerbate the impact of Long COVID … research and to improve the care of people living with multiple chronic conditions who are at increased risk
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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … and creates a culture of inquiry and dialogue in which people feel safe to share openly and to take risks … It must include engagement of key stakeholders, such as senior leaders, risk managers, staff, patients
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healthcare411.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
July 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … care practices to improve quality of care, while achieving measurable improvements in cardiovascular risk … Older Adults , which will provide important lessons on avoiding harms in this under-recognized and high-risk … disorders to stem the epidemic of deaths and harms from opioid and polysubstance use in all population at risk
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - NICU) experience at least one episode of BSI.2
• Low-birth-weight infants with BSIs are at increased risk … Factors
Identify the risk factors that are most common among neonates
for bloodstream infection and … Recommended Practice: Assess neonatal patients for risk factors
• Assess all neonatal NICU patients … Risk factors for neonatal BSI include2-5:
○ Gestational age at birth <32 weeks or birth weight <1,500 … extremities or the scalp (in neonates or young infants) can be used as
an insertion site.11
○ The risks
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healthcare411.ahrq.gov/priority-populations/observances/womens-history/index.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Hospital that focuses on actionable research to increase health equity and reduce health disparities in at-risk … Burstin is widely recognized for her work in patient-reported outcomes, risk adjustment, disparities, … document disparities in the quality of relationships between physicians and patients from socially at-risk