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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/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/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/professionals/prevention-chronic-care/improve/coordination/webinar03/logicmodelsl.html
July 01, 2013 - The Full Services Partnership addresses needs and risks.
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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/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/patient-safety/resources/learning-lab/index.html
February 01, 2024 - application to inform and encourage older adults to initiate dialogue with a clinician regarding the risks … highly reliable systems that address communication and coordination challenges that pose patient safety risks … assessment and risk surveillance. … Real-time surveys reveal important safety risks during interhospital care transitions for neurologic … design, development, implementation, and evaluation) to identify and address the salient issues and 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.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-feb2015.pptx
January 01, 2015 - Respected, knowledgeable, influential
Able to dedicate time
Willing to own the project and take risks … Use existing internal data: quality, risk management, patient satisfaction, etc. … Front Lines to
C-Suite
Slide ‹#›
23
Persuading Administration
Cost of errors to your organization
Risk
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pbrn.ahrq.gov/innovations/index.html
August 01, 2021 - topics in this section
Innovations
Downloadable Databases
Connecting Those at Risk … Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways … Pathways Community HUB Manual: A Guide to Identify and Address Risk Factors, Reduce Costs, and Improve
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pbrn.ahrq.gov/health-literacy/publications/ten-attributes.html
January 01, 2024 - Addresses health literacy in high-risk situations, including care transitions and communications about … The AHRQ Academy Playbook on Integrating Behavioral Health in Primary Care
Toolkit to Engage High-Risk … Addresses health literacy in high-risk situations, including care transitions and communications about … High-risk decisions, situations, and transitions demand more attention to health literacy. … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation: High-Risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - 1 = Moderate risk
2 or above = High risk
3H: Morse Fall Scale for Identifying Fall Risk Factors … 25-45: Moderate risk
>45: High risk
______
* Weak gait: Short steps (may shuffle), stooped but able … calculated by (risk level score) x (number of medications in that risk level category). … Fall Scale for Identifying Fall Risk Factors,” or 3G, “STRATIFY Scale for Identifying Fall Risk Factors … medication-related risk for falls.
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pbrn.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - Pressure Ulcer Dashboard
Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs. … new analyses by age, deeper explorations of common activities prior to fall, and enhanced analyses of risk … falls, as well as the ability to filter by fall assistance and use of medication known to increase risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Hot water and soap may dry the skin and increase the risk for pressure ulcers.
5. … A low Braden score is associated with increased pressure ulcer risk.
44. … Hot water and soap may dry the skin and increase the risk for pressure ulcers.
True
5. … A low Braden score is associated with increased pressure ulcer risk.
True
44. … Does the education provided address risk assessment tools and procedures?
7.
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pbrn.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - The pandemic has undoubtedly put those successes at risk, but this study should provide motivation for … After adjustment, the relative risk of experiencing an adverse event diminished for all five patient
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - This toolkit, developed through an AHRQ Patient Safety Learning Lab , consists of a formal risk … Being hospitalized puts patients at further risk for falls due to illness and the newness of the hospital … theoretical underpinning that fall prevention in hospitals is a three-step process: (1) assessing fall risk … evidence-based fall prevention intervention that uses bedside tools to communicate patient-specific risk … modalities provided access to real-time safety plans at the bedside, including patient-specific fall risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
November 17, 2020 - • Common, Costly
• Health equity issue
• Health system ill-designed to meet the needs of
those at risk … • Prevention interventions targeted at reducing the
prevalence of common chronic disease risk factors … with
a particular focus on interventions to reduce the
likelihood those “at risk” will go on to develop … MCC
• Targeted interventions to improve health and reduce the
risk of adverse events and complications … issues
• Targeted interventions for those who have complex
management issues and who are at “high risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - Routinely assessing patient risk during this period is critical to facilitate tailoring
appropriate … If left
unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … Consider
using a pharmacist for complex medication regimens or high-risk patients. … • Advise high-risk patients to let the primary care practice know if they are thinking about
going … Risk
stratification may help practices more efficiently allocate resources to high-risk patient groups
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
June 05, 2016 - Note: The current version of the AHRQ QI software does not have risk-adjustment capabilities. … However, the tools described below include information about risk adjustment that will be
relevant when … The “trend-observed,” “trend-observed-expected,” and “trend-risk-adjusted-
smoothed” worksheets can be … The “trend-risk-adjusted-smoothed” worksheet can be used to compare the risk-
adjusted rate and smoothed … The “trend-risk-adjusted-average” worksheet can be used to track how a hospital’s
performance on an
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Recommended Practice: Assess risk factors
• Determine which pediatric patients are at increased risk … o High-risk surgery (e.g., emergent and prolonged procedures, open vs. laparoscopic). … • Use nasogastric tubes selectively since they can increase the risk of aspiration. … Development and validation of a risk calculator
predicting postoperative respiratory failure. … Postoperative pulmonary complications: an update on risk assessment and
reduction.