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Total Results: 914 records

Showing results for "risks".

281. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
     June 01, 2020 - and implement an indicator of unit-level stress in an engineered care system to predict and mitigate risk … J Patient Saf Risk Manage 2019 Dec 10. https://journals.sagepub.com/doi/abs/10.1177/2516043519893228. … J Patient Saf Risk Manage 2019 Dec 10. Matthews S, et al. … J Patient Saf Risk Manage 2018;23(4):155-66.

282. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - Risk can be minimized with solutions that integrate medication risk management efforts into transitional … risk management efforts into transitional care models. … to enhance communication between patients and families and their care providers, thus reducing the risks … Modeling Risk and Reducing Liability Through Better Communication and Teamwork. … examined, 78 percent involved an element of informed consent or SDM, primarily in the areas of treatment risks

283. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - Individual is not educated about potential risk and sees no value in established policies to prevent … Manage by: Removing incentives for at-risk behaviors. … Educate about potential risks. Redesign of system factors. … Risk management. … J Healthc Risk Manag. 2013;33(2):11-20. What are the Outputs from the Solutions Meeting?

284. The Influence and Use of Individual Patient Comments | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/talkingquality/measures/understand/patient-comments.html
     February 01, 2016 - J Risk Uncertain 1997;14(3):235–57. [4] Schwartz LM, Woloshin S, Black WC, Welch HG. … What does it mean to understand a risk? Evaluating risk comprehension. … Risk as feelings. Psychol Bull 2001 Mar;127(2):267-86. [7] Redelmeier DA, Rozin P, Kahneman D.

285. CANDOR Acknowledgments (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
     September 14, 2017 - 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 … Driver, J.D., M.B.A., CEO of The Risk Authority Stanford and Chief Risk Officer of Stanford Health … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention, Assistant Vice Chancellor

286. How To Measure Pressure Injury Rates and Prevention Practices
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
     July 02, 2008 - At least one or two care processes, such as skin assessment and pressure injury risk assessment. … Ensure the known risk factors for pressure injuries are assessed. … Tool 5D 39 Assessment of Care Planning All the risk factors identified in the pressure injury risk … Tailor your approach to each patient, based on the patient’s risk factors. … Pressure injury risk factor assessment is performed accurately within 24 hours of admission.    

287. Fall Prevention Toolkit (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
     August 03, 2017 - Medication affecting risk of falls Sedative and psychotropic medication, or medication with drowsiness … ”*: Number of higher risk patients: 8 Chart: full medication review requested? … For any of the 20 patients who are “higher risk”*: Number of higher risk patients: Chart: full medication … * In some wards all patients are counted as high risk, for other wards only some. … Completion Date for Plan Fall risk factor assessment is performed within 24 hours of admission

288. Health Systems Research | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/opioids/health-systems-research.html
     July 01, 2021 - approaches to improve the use of screening for unhealthy alcohol use, brief intervention for those at risk … opioids and other substance use disorders Toward Safer Opioid Prescribing for Chronic Pain in High Risk … Risk of Acute Asthma Associated With the Pediatric Use of Opioids. … Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations

289. Prioritization Worksheet (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
     June 05, 2016 - In column E, “Volume of Cases at Risk,” indicate the annual volume of each PSI, IQI, and/or PDI event … Patients who experience adverse events often tend to have more comorbidities and other risk factors … Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 2 Tool C.1 costs and risk … To determine this number, for each PSI, IQI, and/or PDI, multiply column E, “Volume of Cases at Risk … the best way by which executives can review the execution of projects, identify gaps, and spot new risks

290. Action Planning Worksheets | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
     November 01, 2018 - Then mark with an "X" the risk points in the process where things could go wrong and lead to a recurrence … identify with arrows where in the process team strategies and tools might eliminate or mitigate the risk … Have other groups successfully used specific team tools to reduce similar process risk points? … Benefits outweigh risks   Evidence-based   Measurable Desired result can be measured with objective … Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process

291. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
     October 01, 2014 - Performance of standardized risk assessment within 24 hours of admission. … Risk assessment is the cornerstone of prevention. … Ensure that a standardized risk assessment was performed within 24 hours of admission. … For risk assessment to make a difference, all areas of risk identified on the standardized risk assessment … Ensure that the care plans address all areas of risk.

292. EvidenceNOW Building State Capacity Profile: Alabama Cooperative (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf
     September 01, 2021 - Consortium for Southeast Healthcare Quality Project Period: 2021-2023 Supporting cardiovascular risk … improvement (QI) capacity and improve cardiovascular health through implementation of evidence-based, risk … The project seeks to coordinate cardiovascular risk reduction efforts across the state to create efficiency … care practices and non-traditional providers of primary care across the state in a Cardiovascular Risk … The evaluation will assess the creation and utility of the Cardiovascular Risk Reduction Network of

293. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
     pbrn.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
     September 01, 2013 - The benefits and potential risks should be weighed with any strategy. … of infection during the high-risk period of critical care. …  Goal is to prevent MRSA during high-risk periods (ICU stays, post-op). … Product Safety and Adverse Events Chlorhexidine (CHG) Risk The risks associated with the use … Nasal Mupirocin Risk The risks associated with use of nasal mupirocin include mild side effects of

294. CUSP Videos | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/cusp/videos/index.html
     September 01, 2019 - and Independent Input Identify Your Unit's Safety Issues Develop a Plan of Action How Will You Know Risk … Identifying Contributing Factors What Will You Do to Reduce the Risk of Recurrence?

295. Types of Health Care Quality Measures | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/talkingquality/measures/types.html
     July 01, 2015 - Risk-adjustment methods—mathematical models that correct for differing characteristics within a population … However, the science of risk adjustment is still evolving. … Experts acknowledge that better risk-adjustment methods are needed to minimize the reporting of misleading

296. IQI, PSI, and PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS Guidance for Using the SAS Programs and an Example of Output for One Hospital (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
     March 01, 2016 - Note: The current version of the AHRQ QI software does not have risk-adjustment capabilities when using … However, this tool includes information about risk adjustment that will be relevant when looking at … Identify populations at risk. 3. Calculate observed (raw) indicator rates. 4. … Risk adjust the indicator rates (where applicable). 5. … SAS* PSI_PROVIDER_2 .SAS* PDI_PROVIDER_2 .SAS* Calculates expected rates, risk- adjusted rates,

297. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
     September 01, 2022 - Health System , the seminal National Academy of Medicine report that elevated awareness of longstanding risks … Preventing Adverse Drug Events Summary of Evidence Update (Not reviewed) Protocols for High-Risk … MHS III (2020) Safety Culture (Not reviewed) (Not reviewed) Summary of Evidence   Alarm Risk … Miscommunications (Not reviewed) Summary of Evidence (Not reviewed) Identifying Patients at Risk

298. About the Toolkit Development | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
     July 01, 2023 - In addition to communication failures, patients on labor and delivery (L&D) units are at risk of medication … use of inappropriate interventions, or interventions provided in an unsafe manner, also increases the risk

299. The SHARE Approach—Achieving Patient-Centered Care with Shared Decisionmaking: A Brief for Administrators and Practice Leaders | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-9.html
     September 01, 2020 - Improves accurate risk perceptions of possible benefits and harms among patients. … of conditions, patients are less likely to opt for invasive procedures when fully informed about the risks … randomized trial conducted in the Netherlands that addressed shared decisionmaking for women at high risk

300. Preventing Falls in Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
     June 01, 2018 - Slide 18 Challenge Inadequate Risk Assessments and Reassessments Image of young man with clipboard … and image of rubber stamp Slide 19 Opportunity Accurate and effective risk assessments Employing … critical thinking and clinical judgment Consistency in approach Identifying and communicating risk … possible time Slide 20 Tools Morse Fall Scale (3H) STRATIFY Scale (3G) Medication Fall Risk … target education to address gaps in staff knowledge Environmental safety Medications associated with risk