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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/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/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/news/blog/ahrqviews/delivery-primary-care.html
November 01, 2022 - improved the delivery of heart healthcare in four important areas:
Counseling on aspirin use among high-risk … support provided to mostly small, rural practices in North Carolina reduced 10-year cardiovascular risk … for patients at high risk of a stroke or heart attack by using a risk-stratified, population management
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1
Say:
Just Culture helps us understand risk and … At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … Slide 19: Managing Error and Risk 1
Say:
To improve outcomes, human error, at-risk behavior, and … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … for healthy, risk-reducing choices.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - of stay, subsequent surgeries and incisional herniation.2,3
• Proper identification of patients at risk … Though many risk factors are non-modifiable, there are factors that can be
addressed by hospitals, such … Determine risk factors for postoperative wound dehiscence
and identify patients at risk.1-3,7
Reduce … • Educate patient about risk factors of noncompliance with postoperative instructions. … Abdominal wound dehiscence in adults:
development and validation of a risk model.
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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/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - increase knowledge and create tools that help healthcare providers reduce patient safety events in high-risk … settings of care, where the complexity of the system and the fragility of the patients creates a greater risk … Continuing with his focus to improve patient safety in complex and high-risk healthcare environments, … grant to study and develop processes to boost decisionmaking and problem solving in a range of high-risk … Fairbanks describes, hospital EDs are high-risk, fast-paced environments involving coordination and shared
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pbrn.ahrq.gov/news/newsroom/case-studies/201801.html
April 01, 2018 - Chris Myers, R.N., B.S.N., the hospital’s risk manager and patient safety officer, explained that use … Myers said AHRQ’s program emphasizes the importance of accurately assessing the risk of falls for patients … “There had been some confusion as to whether identifying patients as ‘low fall risk’ was actually the … most accurate risk level for most patients,” he explained.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … Ensure that known risk factors for falls are assessed. … Page 78
‹#›
Care Planning Assessment
All risk factors identified on the fall risk factor assessment … that care plans address all areas of risk.
‹#›
Assessment of Care Plan Performance
See the sample … A care plan addressing every deficit on the fall risk factor assessment has been developed and is being
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - Care Planning
This tool provides
discharge planners with a
set of prompts to identify
readmission risks … and to take
steps to ensure those risks are
addressed in the transitional
Day-to-day readmission … Description
This tool provides discharge planners with a set of prompts to identify readmission risks … and to
take steps to ensure those risks are addressed in the transitional care (discharge) plan. … Accessed July 28, 2016.
2
WHOLE-PERSON CARE TRANSITIONAL PLANNING TOOL
Readmission Risks and
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
August 31, 2017 - Generally, a score of 18 or less indicates at-risk status. … factors and 1-3 for the last risk factor. … Generally, a score of 14 or less indicates at-risk status. … Use: Individualize the care plan to address the needs of at-risk patients. … PRESSURE ULCER RISK ASSESSMENT CASE STUDY
Mr.
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
September 01, 2022 - To use it, clinicians determine a hospital patient’s risk of falling and develop a tailored falls prevention … Then hospital staff talk to patients as part of routine care at the bedside about their risk for falling … the most feasible falls prevention strategies for a community-based patient using three individual risk … factors: mobility limitations; medications that can increase the risk of falling; and osteoporosis.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - autologous PRP demonstrated a statistically
significant increase in complete wound closure or healing (Relative … We extracted or calculated relative risk
(RR) and corresponding 95 percent confidence intervals for … or unclear risk of bias. … small (<300) or the confidence intervals included substantial benefits and harms
(defined as 0.25 relative … risk reduction or increase).
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1
Human Error:
Inadvertently completing the wrong … At-Risk Behavior:
Choosing to behave in a way that increases risk where risk is not recognized, or … Reckless Behavior:
Choosing to consciously disregard a substantial and unjustifiable risk.
1. … Slide 19: Managing Error and Risk 1
Human Error
At-Risk Behavior
Reckless Behavior … believed insignificant or justified
Manage through:
Removal of incentives for at-risk behaviors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
February 16, 2011 - Specification of appropriate pressure ulcer risk and monitoring tools
c. … if your facility has a process to screen patients for pressure ulcer risk. … Do you use either the Norton or Braden pressure ulcer risk assessment tool?
If Yes, STOP. … Decide which scale will be used for performing risk assessment. … Determine who will complete the daily skin and risk assessments. Tool 4A.
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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/evidencenow/projects/heart-health/about/cooperatives/north-carolina.html
March 01, 2021 - they need to help their patients adopt the ABCS of cardiovascular disease prevention: Aspirin in high-risk … and almost one-third of deaths are caused by CVD (the CVD mortality rate is 251 per 100,000). 2 CVD risk … Over 90 percent of practices have access to CVD risk stratification tools. … ASCVD Risk Estimator Update 2014. … http://tools.acc.org/ASCVD-Risk-Estimator/#page_about
http://www.implementationscience.com/content/
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pbrn.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/nyc.html
March 01, 2021 - need to help their patients adopt the ABCS of cardiovascular disease prevention: A spirin in high-risk … Heart disease is the primary cause of death in the city, and prevalence of cardiovascular disease (CVD) risk … support ABCS-driven care
Three expert webinars on topics related to evidence-based management of CVD risk … care practices [AcademyHealth, 2017]
Using Practice Facilitation in primary care settings to reduce risk … Medicine, Population Health Summit, 2016]
Using Practice Facilitation in primary care settings to reduce risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Performance of care planning that addresses each risk factor identified during risk factor assessment … Slide 38
SAY: Risk assessment is the cornerstone of prevention. … Calculate the percentage of patients who have a completed risk score. … Slide 40
SAY: For a risk factor assessment to make a difference, all the risk factors identified in … Ensure that the care plan addresses all areas of risk.