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Showing results for "risks".

  1. 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.
  2. 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
  3. 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?
  4. 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.
  5. 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
  6. 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.    
  7. 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
  8. 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 RiskRisk of Acute Asthma Associated With the Pediatric Use of Opioids. … Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations
  9. 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
  10. 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
  11. 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.
  12. 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
  13. 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
  14. 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?
  15. 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
  16. 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,
  17. 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
  18. 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
  19. 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
  20. 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

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