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pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
April 01, 2017 - operating room
- Correct type and size
|___| Essential imaging available
|___| Risk … of hypothermia – operation longer than 1 hour
- Warmer in place
|___| Risk of venous … Anesthesia safety check completed
|___| Type of anesthesia
|___| Anticipated airway and aspiration risk
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pbrn.ahrq.gov/news/newsletters/e-newsletter/879.html
September 01, 2023 - Using OurDX prior to symptomatic ambulatory visits can help clinicians flag at-risk diagnostic processes … ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk … Anesthesia Risk Alert program: a proactive safety initiative .
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pbrn.ahrq.gov/priority-populations/observances/womens-history/index.html
March 01, 2021 - Hospital that focuses on actionable research to increase health equity and reduce health disparities in at-risk … Burstin is widely recognized for her work in patient-reported outcomes, risk adjustment, disparities, … document disparities in the quality of relationships between physicians and patients from socially at-risk
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pbrn.ahrq.gov/teamstepps/lep/handouts/lepletter.html
December 01, 2012 - attached Patient Language Process Map for the unit(s) that will receive the training, marking areas of risk … List some examples of real situations from your hospital/clinical area in which LEP patients were at risk
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pbrn.ahrq.gov/hai/tools/surgery/about.html
December 01, 2017 - They can increase the length of hospital stay, health care costs, risk of readmission, and risk of mortality
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
March 01, 2006 - The “intervention” is therefore analogous to a “risk reduction strategy” or a “corrective action”. … These weak points are called risk points. … Have other groups successfully used specific team tools to reduce similar process risk points? … Accreditation
Consistent with current mission and system operating procedures
Benefits outweigh risks … Accreditation
Consistent with current mission and system operating procedures
Benefits outweigh risks
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/overview.html
January 01, 2013 - Fall prevention involves managing a patient's underlying fall risk factors (e.g., problems with walking … fall prevention care are highly routinized; other aspects must be tailored to each patient's specific risk … Joint Commission standards require ongoing efforts to assess risk for falls and to intervene to reduce … fall risk; staff education regarding fall prevention; and an evaluation of the effectiveness of the … hospital's fall prevention strategies, including fall risk assessment, interventions, and education.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
November 20, 2014 - Example:
Perform comprehensive fall risk assessment on admission, daily, or if condition deteriorates … Team
A Unit Team comprises staff members who provide daily direct patient care by:
Conducting fall risk … for assistance with toileting)
Page 58
‹#›
Electronic Health Record
What information about fall risk … the most logical place in the record to collect, organize, and assess information about patient fall risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
August 31, 2017 - Unit staff notify the Wound Care Team if skin problems arise or if high-risk patients are identified. … Share a written plan to communicate pressure injury risk procedures with the new member. … ASK: How will you make sure temporary staff are trained in pressure risk procedures? … not have to decide which patients they apply to.
· Integrate communication regarding pressure injury risk … The 2-hour didactic portion included:
· Braden risk assessment and patient comorbidity review.
· 5 in
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
March 01, 2017 - Engineering out the risk for infection with urinary catheters. … After body fluid exposure risk, including after emptying a urinary catheter drainage bag. … Risk factors
Use of common measuring device between residents with indwelling urinary catheters. … Nursing home facility risk factors for infection and hospitalization: importance of registered nurse … Engineering out the risk for infection with urinary catheters.
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pbrn.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Using AHRQ’s EvidenceNOW Model To Reduce Heart Disease Risk Could Have Meaningful Health Benefits . … Using AHRQ’s EvidenceNOW Model To Reduce Heart Disease Risk Could Have Meaningful Health Benefits
A … Health and Nutrition Examination Survey and 10-year atherosclerotic cardiovascular disease (ASCVD) risk
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pbrn.ahrq.gov/evidencenow/projects/heart-health/about/origin.html
March 01, 2021 - The goal of improving care focuses on the “ABCS” of cardiovascular care: A for aspirin for those at risk … ) help small- and medium-sized practices implement the ABCS to improve heart health for patients at risk
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pbrn.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - In doing so, you will effectively reduce the risk of ventilator-associated pneumonia (VAP) and other … associated with more days to extubation, more days to hospital discharge, and higher hospital mortality risk … Slide 12: AHRQ Safety Program Goals
Say:
The two main safety program goals are: (1) reduce the risk … By getting patients off of the ventilator faster, you will reduce the risk of patient harms associated … develop lenses that allow us to see those system factors and how they influence care, we can see the risks
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/lara.pdf
December 19, 2014 - This project developed
educational materials for low-literacy Spanish-speaking
women at risk for breast … literacy-, culturally-,
and content-appropriate evidence-based
patient-oriented messages to reduce risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepletter.pdf
July 30, 2012 - attached Patient Language Process Map for the unit(s)
that will receive the training, marking areas of risk … List some examples of real situations from your hospital/clinical area in which LEP
patients were at risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
January 01, 2013 - 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 due to LEP patients’ longer hospital stays compared … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
Limited English
Proficiency &
TeamSTEPPS
High-Risk … Legal Rev Commentary Suppl Healthcare Risk Manage 2003(May 1–3).
2011 Comprehensive Accreditation Manual
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - Manage Prevention Strategies
for Postoperative Patients
Avoid risk factors for acute renal failure … improvement department, to develop
evidence-based protocols for care of the patient postoperatively at risk … dietary self-management skills.5
• Carefully monitor and set up protocols to address the following risk … prevent acute renal failure into the care of
postoperative patients7-10:
o Identify patients at risk … Risk factors for acute postoperative renal failure in
thoracic or thoracoabdominal aortic surgery: A
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
October 01, 2017 - Assessing Patient Risk for Pressure Ulcers —Video. … Using Pressure Ulcer Risk Assessment Tools in Care Planning —AHRQ Pressure Injury Prevention Program … Risk Factors for Pressure Injuries: Going Beyond Validated Instruments —AHRQ Pressure Injury Prevention
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - of catheter ablation
by patient-level characteristics such as age, sex, type of AF, comorbidities, risk … patients with structural heart disease.5
A number of factors have been associated with increased risk … Data from community-based cohorts suggests that
obese persons have a 1.5 to 2.3 fold greater risk of … Patients with AF
have twofold greater risk of death than do those without this disease. … Atrial fibrillation as an independent risk factor for stroke:
the Framingham Study.
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pbrn.ahrq.gov/news/newsletters/e-newsletter/858.html
April 01, 2023 - more frequently at hospitals serving the most vulnerable maternity patients, leaving them at greater risk … Department of Veterans Affairs' effort to help high-risk diabetes patients get care quickly. … promoting lifelong health for all Americans and recognizing underlying causes of poor health and disease risk