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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - These skin lesions bring pain, associated risk for serious infection, and increased health care utilization … 3.3 How should a standardized pressure ulcer risk assessment be conducted?
… 3.4 How should pressure ulcer care planning based on identified risk be used?
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3n.docx
January 01, 2008 - Postfall Assessment, Clinical Review
Background: This protocol explains how to assess and follow injury risk … Postfall Assessment, Clinical Review
Note: There is increased risk of intracranial hemorrhage in patients … medical record, document the incident, outcome, and initial and ongoing observations, and update fall risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
January 10, 2022 - Cross-Monitoring
Cross-monitoring is a process of ongoing monitoring of the care environment to recognize risks … and advocating or asserting a position or corrective action when the plan and actions differ or when risk … cross-monitoring should have been used but was not.]
8
Slide
A process of ongoing monitoring to recognize risk
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pbrn.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - Initially, the OB unit—a high-risk area—was the focus for improvement efforts. … Designation of OB clinical risk manager.
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pbrn.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
January 01, 2022 - The second article concluded that patients with complicated diverticulitis are at increased risk of colorectal … cancer; that elective surgery can reduce the risk of recurrence in patients who have previously suffered
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pbrn.ahrq.gov/sites/default/files/docs/Practical-Insights-on-Meeting-Objectives-of-Meaningful-Use-III-012815.pdf
September 10, 2015 - (Framingham Risk
Score, ASCVD Risk
Calculator)
Clinical Outcome
(Appropriate
medication
prescribing … medication
for patients with
persistent asthma
Statin for patients with
high estimated CVD
risk … factor assessment reminders
− Estimation of 10 year CVD risk using
the Framingham Coronary Heart … Disease Risk Score
− Order sets to facilitate guideline
concordant medication prescribing:
• Statins … Assessed
-2.8**
4.3**
7.2%**
Statin Rx for
High Risk
-4.7 -3.6 1.0
Asthma Severity
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/postfall-assessment.html
January 01, 2013 - Word Version [ - 33.64 KB]
Background: This protocol explains how to assess and follow injury risk … Postfall Assessment, Clinical Review
Note: There is increased risk of intracranial hemorrhage in patients … medical record, document the incident, outcome, and initial and ongoing observations, and update fall risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Patients
with Crohn’s disease are unaware of the risks
that smoking has on their disease. … Smokers:
risks and complications in abdominal
dermolipectomy. … Nicotine content and health risks of cigars.
JAMA 1996;276:1857-8.
754. … Health
risks associated with cigar smoking. JAMA
2000;284:735-40.
755. … Trends in
cigar smoking and perceptions of health risks
among Massachusetts adults.
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pbrn.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
September 01, 2015 - This is important because your clinician believes that you are at risk for having a blood clot form in … Be careful when doing activities that might put you at risk for getting a cut or bruise. … Avoid high-risk sports and other potentially dangerous activities.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - Discovery form
· Root cause analysis
· Eindhoven model
· Failure mode and effects analysis
· Probabilistic risk … In the context of shoulder dystocia, this includes risk awareness for all patients, timely recognition … Use of transition communication techniques assures a shared mental model of plan of care and patient risks … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - of numbered surgical sponges and instruments for a more comprehensive,
thorough count to reduce the risk … patients (e.g., bariatric patients) or high-risk situations (e.g., emergency
procedures).1,6,7
• … If not implemented routinely, then consider implementing additional screening methods for
high-risk … Risk factors for retained instruments and sponges
after surgery. N Engl J Med 2003;348:229-35. … Creating cultures of safety: risk management. Nurs Manage
2010;41(12):27-33.
9.
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pbrn.ahrq.gov/patients-consumers/patient-involvement/index.html
November 01, 2016 - Patients and families who engage with health care providers ask good questions and help reduce the risk
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pbrn.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - first focused on general HAPI prevention (February 2019 - July 2020) and the second focused on reducing risk … applied with consideration to the unique needs of populations or patients determined to be more at risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
May 01, 2017 - manage a maternity patient who has deteriorated physiologically; and
be able to intervene to minimize risk … Discovery Form
Root Cause Analysis
Eindhoven Model
Failure Mode and Effects Analysis
Probabilistic Risk … of transition communication techniques to ensure a shared mental model of plan of care and perceived risks
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/clinical-inquiries-how-should-we-follow-athletes-after
January 10, 2022 - High-risk athletes (eg, those with a history of previous concussion, high-school age or younger, or female
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-kaiser.html
July 01, 2022 - suboptimal health outcomes for children, including longer recovery time, prolonged hospital stay, increased risk … of transfer to intensive care, and increased risk of hospital readmission,” she continued.
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pbrn.ahrq.gov/data/visualizations/hiv-prep.html
October 01, 2023 - estimates of trials of HIV pre-exposure prophylaxis (PrEP) in people without HIV infection at high risk
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pbrn.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
December 01, 2012 - encounter, they often are not empowered to speak up when they recognize that a patient's safety is at risk … Legal Rev Commentary Suppl Healthcare Risk Manage 2003 (May 1-3).
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pbrn.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
June 01, 2021 - Describe strategies that reduce the risk of collecting contaminated microbiologic samples.
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pbrn.ahrq.gov/evidencenow/projects/heart-health/research-results/research/member-survey-nw.html
March 01, 2021 - readiness for change, practice readiness for change, respondent characteristics, CVRC, and estimating ASCVD risk