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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/cpi/about/nac/naa-snac-recommendations.html
February 01, 2024 - patient safety must be based on evidence-based practices and acknowledge and reflect patients' social risk … medical device developers, pharma, etc) for optimized safety design of new/future high-frequency + high-risk
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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
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - Be able to intervene to minimize risk of serious harm and further deterioration. … Probabilistic Risk Assessment.
Causal Tree Worksheet.
Interdisciplinary Case Reviews. … of transition communication techniques to ensure a shared mental model of plan of care and perceived risks
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
August 31, 2017 - Tool 2D: Assessing Pressure Ulcer Policies
Tool 2E: Assessing Screening for Pressure Ulcer Risk … What happens if a patient is found to have risk factors or experiences a pressure injury? … Does this hospital’s pressure injury care plan include all areas of risk listed in Tool 2F? … If not, which areas of risk are not represented? … Pressure Injury Policies
Risk Screening Assessment
Care Planning Assessment
Current Process Analysis
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pbrn.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - PSNet Materials:
AHRQ PSNet Article: Vital Signs Are Still Vital: Instability on Discharge and the Risk … National Healthcare Quality and Disparities Report Chartbook on Care Coordination
Toolkit To Engage High-Risk
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pbrn.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - ahrq.gov/perinatalsafety
Safe surgery
Web: ahrq.gov/haisurgery
Health Care Facility Design Safety Risk … Potential users include clinicians, quality and safety professionals, risk management professionals,
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pbrn.ahrq.gov/teamstepps/webinars/previous-webinars-2015.html
September 01, 2017 - Hickson, M.D., who serves as the Senior Vice President for Quality, Safety and Risk Prevention, and Assistant … Senior Vice-President at Hospitals Insurance Company, discussed patient safety in surgery from the risk … Describe how a malpractice insurance company can facilitate a safe surgery collaborative to help mitigate risk
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pbrn.ahrq.gov/sites/default/files/docs/AHRQ_PBRN_Webinar_Adaptive_Trial_Design_8.18.15.pdf
September 10, 2015 - comparing commonly used treatments
• Randomized clinical trials (RCTs) used to
compare benefits and risks
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
January 01, 2018 - Data Element: Confusion may be selected
(structured data) by intake nurse in disability or fall
risk … EHR Data Element: Confusion may be selected
(structured data) by intake nurse in disability or fall risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
January 01, 2016 - points)
Lowest MAP: <40 (0 points)
Lowest HR: 76-85 (1 point)
Total: 3
Total APGAR Score:
0-2 75% risk … of major complications or death
3-4 56% risk of major complications or death
5-6 16% risk of major … complications or death
7-8 6% risk of major complications or death
9-10 4% risk of major complications
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pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-i.html
May 01, 2017 - Patient weight
|___| Implants available in the operating room
|___| Essential imaging available
|___| Risk … of hypothermia if the operation is longer than 1 hour
|___| Risk of venous thromboembolism
|___| Anesthesia … safety check is completed
|___| Type of anesthesia
|___| Anticipated airway and aspiration risk
|
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
January 01, 2014 - Dementia Patients
Description
Antipsychotics have limited effectiveness in
dementia and increase risk … Challenges in Estimating Mortality Risk from Antipsychotics in People with Alzheimer's
disease (letter
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
March 01, 2019 - As these data illustrate, failure to communicate effectively as a team significantly increases the risk … A consent form that states the known risk as "loss of function of body organs" does not convey the full … extent of risk associated with the procedure. … A patient who fully understands the risks may choose to forgo the procedure. … Handoff Is…
Say:
When a team member is temporarily or permanently relieved of duty, there is a risk
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pbrn.ahrq.gov/gam/summaries/domain-definitions/index.html
July 01, 2018 - Measures in this domain are attributable to antecedent health care and should include provisions for risk-adjustment … Example: The risk-adjusted rate of in-hospital hip fracture among acute care inpatients aged 65 years … attributable to antecedent public health interventions or services and should include provisions for risk-adjustment … Population health knowledge is the awareness and understanding of health-related information such as risk
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pbrn.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Patient's greatest safety risk?
How can we decrease risk?
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pbrn.ahrq.gov/sites/default/files/publications/files/holtropstudysnapshot.pdf
December 01, 2016 - Continued on page 2.
1
Principal Findings
■ Different targeting approach, with the plan emphasizing risk … targeted patients for CM by setting thresholds based in part on
algorithms designed to predict the future risk … The health plan targeted those with higher mean risk
scores than did the physician organizations (4.3
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pbrn.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
July 01, 2023 - technique, part of an evidence-based approach to safer care, can improve communication and reduce the risk
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pbrn.ahrq.gov/cpi/about/otherwebsites/epss.ahrq.gov/index.html
September 01, 2021 - and can be searched by specific patient characteristics, such as age, sex, and selected behavioral risk
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pbrn.ahrq.gov/hai/carb/index.html
May 01, 2022 - prevented is one less instance of antibiotic use, and using fewer antibiotics significantly reduces the risk