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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/CombatCare.pdf
March 18, 2014 - Although not life threatening, the error placed the patient at
unnecessary risk, delayed his disposition … Instructor Comments
This scenario illustrates the potential risks of low workload. … Instructor Comments
This scenario illustrates the potential risks of low workload.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - All multicomponent interventions also included an assessment of falls risk. … percent (95% CI, 0.2 to 1.1) while in the control group this was 1.5 percent (95% CI, 0.9 to 2.6) for a relative … risk reduction of 0.29 (95% CI, 0.1 to 0.87). … was not powered to assess falls separately, yet it is worth noting that the point estimate for the relative … Use of initial risk assessment and recording as the main nursing intervention in identifying risk of
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
January 01, 2011 - Patient Safety, Quality, and Cost
Drivers
Greater risk of line infections, surgical infections, … Risk Management
Multiple liability exposures arise when
providing care to LEP populations, such … Scenarios
High-risk clinical situations that need immediate
attention to prevent adverse events … activities and strategies can help
hospital leaders initiate an agenda to address
patient safety risks … Legal Rev Commentary Suppl Healthcare Risk Manage 2003(May 1–3).
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Information for families and patients on fall risk reduction?
6. … The cause of a fall is often an interaction between patient’s risk, the environment, and patient risk … Increase in hazardous environments increases the risk of falls. … status, continence, and other patient risks.
5. … A patient who is taking four or more oral medications is at risk for falling.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
January 01, 2011 - patients
Present five key strategies for improving detection of medical errors and preventing high-risk … population
Nearly 25 million people in the United States (8.6%) are defined as LEP and therefore at risk … Patient Safety, Quality, and Cost Drivers
Greater risk of line infections, surgical infections, falls … longer hospital stays compared to English-speaking patients with the same clinical condition
Greater risk … of activities and strategies can help hospital leaders initiate an agenda to address patient safety risks
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - Miller’s team is studying the role of the ambulatory care environment in elevating the risk of a CVD … That’s because the widely used Framingham risk score—an algorithm used to estimate a person’s 10-year … cardiovascular risk—is based on a long-term ongoing study of mostly older, white men, Dr. … “How does that account for cardiovascular risk factors in young, Black female patients?” she asks. … A broader, systems-based approach to addressing CVD risk factors also might include assessing whether
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - Page 42
14
Pressure Injury risk assessment
BEST PRACTICE
15
Pressure Injury Risk Assessment
Next … step in prevention
Goal: to identify patients at risk
16
Risk Assessment Scales
Only one part of risk … For risk assessment in pediatrics. … 34
Identify Best Practices
Risk assessment:
Which standardized risk assessment scale do you plan to … When do you plan to complete risk assessments?
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pbrn.ahrq.gov/nursing-home/learning-modules/post-vaccination.html
December 01, 2022 - This series of two learning modules features strategies to help nursing home teams minimize infection risk … Module 1: Minimizing Infection Risk: Protect
The safety precautions that you take are just as important … HD version ]
Module 2: Minimizing Infection Risk: Prevent
Vaccinations can prevent severe illness
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pbrn.ahrq.gov/data/visualizations/prevalence-fh-mfd.html
October 01, 2023 - or multifactorial dyslipidemia), type of lipid, cohort, age, sex, race/ethnicity, BMI percentile, or risk … Abbreviations: CARDIAC = Coronary Artery Risk Detection in Appalachian Communities; CI = confidence … CARDIAC: A cardiovascular risk detection screening program including evaluation for obesity, dyslipidemia … Recruited middle schools from seven different geographic areas with student populations at increased risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - October 2017
On-Time Falls Prevention
8
Falls High-Risk Report:
High-Risk Criteria
Risk criteria identified … Report:
High-Risk Criteria
Risk determined based on a combination of the following elements:
Presence … risk factors
October 2017
On-Time Falls Prevention
10
Rules for Determining High Risk
Rule #1: … Rule #3: High Risk Based on New Contributing Risk Factor Within 7 Days:
Residents will be flagged as … Risk Factors Report.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-detail-aid.pdf
April 01, 2016 - patients’ risk of CV endpoints. … Framingham Risk Score
(Global CVD)
+ Diabetes mellitus
Reynolds Risk Score + C-reactive protein (CRP … Risk Score for men. … Calculating cardiovascular risk for primary prevention
ASCVD Calculator
Framingham Risk Score(ATP-III … calculator)
Framingham Risk Score(Global CVD)
Reynolds Risk Score
References
Acrobat
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Baseline
Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - 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 M. … Driver, J.D., M.B.A., CEO of The Risk Authority Stanford and Chief Risk Officer of Stanford Health Care … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention, Assistant Vice Chancellor
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pbrn.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/east-asheville.html
March 01, 2021 - East Asheville team "rolled up its sleeves and worked together to develop a way to do [heart disease risk … systems—including the practice's own EHR—could not extract the crucial data needed to calculate the risk … While some practices might have given up once it was clear it was not possible to get the risk scores … As a result, in the first eight months of 2017, East Asheville calculated heart event risk scores for … "It's very powerful for patients to see their risk of a heart attack over the next 10 years," said James
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Prevention Practices
Tool 5C: Assessing Comprehensive Skin Assessment
Tool 5D: Assessing Standardized Risk … Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission … Determine whether there is any documentation of the completion of the standardized risk assessment. … For each patient, determine on which dimensions of the standardized risk assessment there was a score … Calculate the percentage of abnormally scored dimensions of the standardized risk assessment that are
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pbrn.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - to create report cards that are most useful to patients. 1
Patient Safety Measures:
Screening, risk-assessment … Appropriate use of DXA scans in women under 65 years who do not meet the risk factor profile for osteoporotic … Percentage of all cardiac stress imaging performed for initial detection and risk assessment in patients … who are asymptomatic and at low risk for coronary heart disease. … However, with the exception of a few high-risk procedures, researchers have not yet determined the exact
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/sleep-problems-primary-care-north-carolina-family-practice
January 07, 2022 - Patients with hypertension, pain syndromes, and depression had a significantly increased risk for all … Patients who reported limited activity had a significant risk of restless legs syndrome. … Patients with the highest risk for sleep disturbance are those with pain, mental illness, limited activity … physiopathology, population, Prevalence, primary care, Primary Health Care, Research, Research Support, response, Risk
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/effect-motivational-interviewing-prescription-opioid-adherence
January 07, 2022 - FINDINGS: Participants demonstrated a significantly reduced risk of prescription opioid misuse, decreased … PRACTICE IMPLICATION: MI can be effectively delivered in outpatient settings for older adults who are at risk … Methods, Motivation, Motivational Interviewing, New York, nursing, older, Pain, patient, Patients, Risk
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Rationale for Use of Checklists 1-4
Checklists help to facilitate safety in high-complexity, high-risk … Review plan for patient care, risks, or concerns.
Typically led by the obstetrician/surgeon. … Risk.
Medical history.
Fetal status.
Type of anesthesia. … Slide 21: Key Safety Elements: Standardize When Possible
Use routine and standardized hemorrhage risk … 32: Key Safety Elements: Teamwork Training
Have situational awareness around maternal and fetal risks
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/orthostatic-vital-sign.html
January 01, 2013 - When a patient is on a medication that may cause orthostasis and has other risk factors for falls. … Use this tool in conjunction with clinical assessment and a standard assessment of fall risk factors … (e.g., Tool 3H, "Morse Fall Scale for Identifying Fall Risk Factors," or Tool 3G, "STRATIFY Scale … for Identifying Fall Risk Factors" ) to determine a patient's risk factors for falls, and then plan care … A significant change in vital signs with a change in position also signals increased risk for falls.