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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
November 09, 2017 - report is designed to help clinicians see changes in resident
status earlier and intervene earlier when risks … for high risk. … Contributing Risk Factors included in
the Falls High-Risk Report. … of Fall Risk Factors Report. … Report
Slide 8: Falls High-Risk Report
Slide 9: Falls High-Risk Report
Slide 10: Falls High-Risk
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pbrn.ahrq.gov/pqmp/measures/index.html
Sexual Activity
(2)
Adolescent Tobacco Use
(1)
Availability of Services
(14)
High-Risk … Excellence for Pediatric Quality Measurement (CEPQM) NQF Endorsement Number: 3136
Initial Risk … Pregnancies Measure Domain: Availability of Services Measure Subdomain: High-Risk Obstetrics COE: … Pregnancies Measure Domain: Availability of Services Measure Subdomain: High-Risk Obstetrics COE: … Mount Sinai Collaboration for Advancing Pediatric Quality Measures (CAPQuaM)
High-Risk Deliveries
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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/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
June 24, 2022 - ’s local data warehouse and research portfolio, which may include legal counsel to manage liability risk … NAM2019 What special vulnerabilities or risks are anticipated in the study population? … NAM2019 The risk/benefit ratio of trial participation? … Generally, an intervention is not reasonable and necessary if its risks outweigh its benefits. … Generally, an intervention is not reasonable and necessary if its risks outweigh its benefits.
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - In addition, risk assessment may be used to identify different levels of risk. … at risk and quantify the level of this risk. … Remember that risk assessment scales are only one part of a pressure ulcer risk assessment. … as nurses can identify people at high risk or no risk. … ulcer risk status.
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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/2024-01/joseph3-report.pdf
January 01, 2024 - Scope
The operating room is a very high-risk, problem-prone patient care environment. … The operating room is a very high-risk, problem-prone patient care environment. … equipment blocking visibility and communication between surgical
team members) and increase infection risks … and corridors) or storage, for instance, were evaluated as to whether they were
likely to present risks … around the patient, avoiding
flow disruptions in these areas, such as bumps, trips, and related safety risks
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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/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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - 3
Rationale for Use of Checklists1-4
Checklists help to facilitate safety in high-complexity, high-risk … Key Safety Elements: Standardize When Possible
Preoperative briefing
Review plan for patient care, risks … mental model
Include reviews of—
Patient information
C/S procedure
Indications
Anticipated complications
Risk … Safety
20
Key Safety Elements: Standardize When Possible
Use routine and standardized hemorrhage risk … Safety
31
Key Safety Elements: Teamwork Training
Have situational awareness around maternal and fetal risks
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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/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/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6d-internet.html
April 01, 2023 - They can also research health conditions, take personal health assessments (e.g., disease risks, healthy
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pbrn.ahrq.gov/challenges/cds-connect/index.html
February 01, 2024 - Agrees to assume any and all risks and waive claims against the Federal Government and its related entities
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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/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