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pbrn.ahrq.gov/teamstepps-program/training/index.html
March 01, 2024 - teams strengthen teamwork and communication skills together and identify and address patient safety risks
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pbrn.ahrq.gov/funding/process/grant-app-basics/apptips.html
July 01, 2021 - project involves clinical research, are the plans for 1) protection of human subjects from research risks … evaluate the justification for involvement of human subjects and the proposed protections from research risk … relating to their participation according to the following five review criteria: 1) risk to subjects … , 2) adequacy of protection against risks, 3) potential benefits to the subjects and others, 4) importance
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pbrn.ahrq.gov/news/blog/ahrqviews/health-literacy-objectives.html
October 01, 2021 - to want to participate in decisions when they understand all the options, their benefits, harms, and risks
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pbrn.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - study 2 in the New England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk … While these are reportable events, we can assume the risks are more widespread; safety events in many
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/pbrn-bibliography-by-author
January 01, 2015 - Risks for jaw osteonecrosis drastically increases after 2 years of bisphosphonate therapy.
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pbrn.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
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pbrn.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
June 01, 2022 - We risk witnessing patient and health professional safety events because of workforce depletion. … affordable, environmentally responsible, and protects patients and health professionals from safety risks
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - E nhance Services for High-Risk Patients. … Slide 9: High Risk Target Populations
There may be several target populations at high risk of readmission … Slide 10: Transitional Care for High-Risk Patients
Transitional Care for High-Risk Patients
Slide … Transitional Care Plan:
Identifies post-hospital needs, patient priorities, and readmission risks and … the plan to address those needs, priorities and mitigate risks in the 30 days post discharge.
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pbrn.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
June 01, 2023 - changes are of particular importance and whom to contact if a change occurs is key to ensuring that risks
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pbrn.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
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pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod3-guide.html
September 01, 2020 - These include when:
Choosing treatments—weighing risks and benefits. … instead of relative risk. … sense of personal or individual risk. … What Are the Risks of Having a Stent; 2013. … Communicating Risks and Benefits: An Evidence-Based User's Guide. U.S.
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pbrn.ahrq.gov/news/blog/ahrqviews/hard-questions-about-telehealth.html
June 01, 2021 - We also need to pursue research and monitor potential risks to patient safety associated with telehealth
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pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-i.pdf
July 01, 2017 - These tools increase
knowledge, improve risk estimates, increase patient’s involvement in decisions, … Shared Decision-Making
July 2017 6.I-3
discussions to focus on the critical risk/benefit tradeoffs … to success lies in training physicians and other members of the
care team to:
communicate about risks … expressed needs when making
recommendations for care.18
Clinical decision support tools, such as risk … can follow-up with patients to
determine whether they understood that they had options, how much the risks
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pbrn.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Post the stories of reduced risks (include data!).
Celebrate your success.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-july2015.pptx
January 01, 2015 - Describe how a malpractice insurance company can facilitate a safe surgery collaborative to help mitigate risk … agents of loss” in surgical lawsuits
Failure to rescue in postop patients
Inadequate recognition of risk … Surgery Partnership
22
Surgery Data from CRICO
From 2009: Annual Benchmarking Report Malpractice Risks … Surgery Partnership
23
Surgery Data from CRICO
From 2009: Annual Benchmarking Report Malpractice Risks … TeamSTEPPS likely to be core
Involving attending physicians the most challenging, even full-time
High risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
January 01, 2013 - Here are some other risks:
An IV pole could cause a patient to trip. … Slide 25
SAY: A risk score of 50 puts this patient at risk for a fall. … risks, such as mobility challenges, medications, mental status, and continence needs. … the patient and family (if possible), and key risks and interventions are checked on the paper tool shown … to have a dedicated care plan form within the medical record to help make staff aware of a patient’s risks
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pbrn.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
June 18, 2015 - Each time you take an antibiotic, you increase your risk of developing a
resistant infection in the … Understanding the risks of using antibiotics when not needed
leads to good, safe care.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
November 03, 2022 - determinants of health are presenting their research in a 3-part
webinar called “Addressing Social Risks
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pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - An informed consent includes the risks and benefits of the procedure and must be fully explained so that … consent process is an opportunity to not only inform the patient and their family about the possible risks … A patient may consent to a procedure without having a full understanding of the risks involved, especially … Risks, benefits, and alternatives should be explained using terms and language understood by the patient … In some facilities, this requires reporting to the patient’s physician, risk management department, and
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - r You are at risk of malpractice lawsuits related to informed
consent. … Explain benefits, harms,
and risk of all options
X percent of patients will report that the description … ■ The principal risk of this survey is a small risk of loss of confidentiality. … The survey
team has many procedures in place to reduce this risk.
Who Spoke with You. … r I provide information on the test/treatment/procedure, risk/benefits, and
alternatives to patients