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pbrn.ahrq.gov/pqmp/measures/deliveries-with-blood-bank.html
August 01, 2021 - Publications
Measure Implementation & Quality Improvement
PQMP Grantees
High Risk … Transfusion Services Available
Measure Domain: Availability of Services Measure Sub-Domain: High-Risk … last reviewed August 2021
Page originally created August 2021
Internet Citation: High Risk
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pbrn.ahrq.gov/funding/policies/informedconsent/index.html
April 01, 2019 - Protection of Human Subjects
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk … Management
Contracts
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk … Next Page
Table of Contents
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk … Research and Quality (AHRQ) has developed the Informed Consent and Authorization Toolkit for Minimal Risk … 2012
Internet Citation: The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - of transition communication
techniques to ensure a shared mental
model of plan of care and perceived risks … The process
could include a discussion of risks and
benefits of using continuous EFM versus
intermittent
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pbrn.ahrq.gov/policymakers/hrqa99b.html
October 01, 2014 - devices; (II) ways to improve the effective use of drugs, biological products, and devices; and (III) risks … of new uses and risks of combinations of drugs and biological products.
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pbrn.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
This toolkit … Research Summaries for Consumers
These free research summaries discuss the benefits and risks of different
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
October 01, 2014 - Using Six Sigma® methodology to improve handoff communication in high-risk patients. … Know the plan, share the plan, review the risks: a method of structured communication for the emergency
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pbrn.ahrq.gov/teamstepps/instructor/essentials/implguide3.html
November 01, 2018 - Risk Reduction Strategies (Corrective Actions):
A detailed (step-by-step) risk reduction strategy … An explanation for each root cause determined to NOT warrant risk reduction intervention. … of person(s) responsible for each step of the risk reduction strategy. … for each step of the risk reduction strategy.
… Benefits outweigh risks.
Evidence-based.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - For example, the outcome of medical
decisions is often incorrectly phrased in terms of “risks” and “ … For example, a 40-year-old
woman with no cardiac risk factors and nonspecific chest pain has an abnormal … respectively.25 These estimates can be depicted using graphic images
showing grids or icons representing risks … Improving physician communication about treatment deci-
sions: reconsideration of “risks vs benefits. … Evidence-based risk communication: a
systematic review.
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pbrn.ahrq.gov/news/newsletters/e-newsletter/857.html
March 01, 2023 - AHRQ News Now
Events
Large-Scale Program To Reduce Heart Disease Risk … Today's Headlines:
Large-Scale Program To Reduce Heart Disease Risk Could Have Meaningful Health Benefits … Poorly Coordinated Healthcare Increases Infection Risk Following Ventricular Device Implantation, Study … Large-Scale Program To Reduce Heart Disease Risk Could Have Meaningful Health Benefits
A new AHRQ-funded … Health and Nutrition Examination Survey and 10-year atherosclerotic cardiovascular disease (ASCVD) risk
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pbrn.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
March 01, 2021 - Management Evidence and Resources
People with elevated levels of cholesterol are at increased risk … to manage blood cholesterol can reduce the chance of having a heart attack for people at increased risk … factor and an increased risk of a CVD event (>=10% in 10 years). … The USPSTF recommended discussing statin use in similar patients with more moderate risk of a CVD event … All patients at high risk should receive a high- or moderate-intensity statin unless contraindicated
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pbrn.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - to develop knowledge and recommendations to improve U.S. nursing homes’ ability to respond to high-risk … kidney transplantation for older transplant candidates: a new microsimulation model for determining risks
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - Executive Collaborates To Develop and Implement a Plan Addressing Safety Issues
Considers patient risks … Involves frontline providers to help reduce risks. … Psychological safety is the degree to which team members feel that their environment supports the interpersonal risk … Meet with hospital departments (risk management, quality improvement) to ensure that L&D CUSP efforts … Managing the Risk of Learning: Psychological Safety in Work Teams. In West M, ed.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
May 01, 2015 - Department, Hospital Medicine, Social Work, Case Management, Behavioral Health, Palliative Care, Quality, Risk … Name: ____________________ Phone/Email: _____________________________
ED Care Plan Example 1
High-Risk … high potential for abuse]
· [Medical ethics do not require prescribing a medication when you judge the risks … findings
· 2 Chest CT Jan, Feb 2015, unremarkable
· Stress Thallium Mar 2015, normal
For Help With High-Risk … [date plan was created and/or last updated]
Reason for Care Plan:
· [short phrase to describe high risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - and manner of providing feedback, resulting in
14 variable quality of communication
Data security risks … damage to professional relationships if
negative feedback is delivered14 15
14 Fear of medicolegal risks … together with upstream EDs to modify
feedback delivery processes to allay fears about medi
colegal risks
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pbrn.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Newsletter
AHRQ News Now
Events
Heart Failure Patients’ Risk … [PDF, 9 MB])
Today's Headlines:
Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals
Patients with heart … hospitals with higher 30-day readmission rates and deaths from all causes have a 24 percent higher risk … failure admitted to hospitals that perform poorly on mortality and readmission measures have higher risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
September 01, 2012 - encounter, they often are not empowered
to speak up when they recognize that a patient’s safety is at risk … Legal Rev Commentary Suppl Healthcare Risk Manage 2003(May 1-3).
7. … I improved my understanding of patient safety risks to
LEP patients
1 2 3 4 5
4. … care team before
seeing the patient where the team leader describes team roles, goals, plans, and risks … care team before
seeing the patient where the team leader describes team roles, goals, plans, and risks
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
September 01, 2012 - encounter, they often are not empowered
to speak up when they recognize that a patient’s safety is at risk … Legal Rev Commentary Suppl Healthcare Risk Manage 2003(May 1-3).
7. … I improved my understanding of patient safety risks to
LEP patients
1 2 3 4 5
4. … care team before
seeing the patient where the team leader describes team roles, goals, plans, and risks … care team before
seeing the patient where the team leader describes team roles, goals, plans, and risks
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pbrn.ahrq.gov/sites/default/files/docs/page/WomensHealth.pdf
July 01, 2015 - before and after QI interventions in which providers contacted their patients to discuss medication risks … ACE-I/ARB/statins were not consistently using contraception or were not
consistently informed of the risks … Due to the potential risks of long-
term HT use, it is equally important that women between the ages … Further, breast cancer risk increases with age, and medication use among women at increased risk
is … Discrimination and sexual risk among young urban pregnant women of
color.
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pbrn.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - Understanding Risk and Human Behavior Slide 7. Managing Error and Risk Slide 8. … At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … Managing Error and Risk
Say:
To improve outcomes, human error, at-risk behavior, and reckless … To achieve optimal outcomes, organizations must design robust systems that minimize risks. … It is critical to reinforce behaviors that will reduce risk and deter behaviors that increase risk.
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Slide 14: Fall Risk Assessment
Slide 15: Step 1: Fall Risk Screening/Assessment
Use a reliable … Add unit-level risk factors as needed. … Other risks:
IV pole.
Orthostatic hypotension.
Oxygen tubing. … Image: Paper labeled “fall risk.” … Choose a tool for assessing risk factors.