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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
November 06, 2020 - Recently Published Diagnostic Safety Relevant Papers:
o Reducing the Risk of Diagnostic Error in the … covid19.cfm
https://www.journalofhospitalmedicine.com/jhospmed/article/222266/hospital-medicine/reducing-risk-diagnostic-error-covid
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pbrn.ahrq.gov/teamstepps/instructor/scenarios/ed.html
March 01, 2014 - Although not life threatening, the error placed the patient at unnecessary risk, delayed his disposition … Instructor Comments
This scenario illustrates the potential risks of low workload.
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html
January 01, 2013 - conjunction with a medical provider's or pharmacist's assessment of medications contributing to fall risk … (go to Tool 3I, "Medication Fall Risk Score and Evaluation Tools" ) and a medical provider's assessment … separate tool ( Tool 3N, Postfall Assessment, Clinical Review ) covers how to assess and follow injury risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
October 01, 2016 - Taking antibiotics for something else may kill off your good
bacteria and this increases your risk of … those who have had surgery recently, or those who are taking antibiotics
because they may be more at risk
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pbrn.ahrq.gov/sites/default/files/publications/files/dowdstudysnapshot.pdf
November 01, 2015 - To compare costs, researchers looked at average annual risk-adjusted, per-beneficiary
Medicare expenditures … , participation in PQRS was not associated with significant changes in
inappropriate utilization or risk-adjusted
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pbrn.ahrq.gov/pbrn-registry/south-carolina-pediatric-practice-research-network
January 01, 2012 - SCPPRN) is to improve health care for South Carolina children, with special attention to those most at risk
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pbrn.ahrq.gov/patient-safety/settings/long-term-care/resource/reviews.html
August 01, 2018 - Institutional Care
Nonpharmacologic Interventions for Agitation and Aggression in Dementia
Pressure Ulcer Risk
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pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-4.html
November 01, 2020 - Understand risk and probability. … Some groups are at higher risk of limited health literacy
People with limited health literacy are more
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pbrn.ahrq.gov/evidencenow/heart-health/cholesterol/control.html
September 01, 2018 - cholesterol levels and diet and exercise guidelines for lowering cholesterol levels and heart disease risk
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pbrn.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - urinary tract infections or CAUTI in the intensive care unit or ICU, as well as methods to mitigate the risk … With all the moving around, it will prevent irritation of her urethra, which is another potential risk
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pbrn.ahrq.gov/topics/elderly.html
Management of fall risk among older adults in diverse primary care settings.
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pbrn.ahrq.gov/evidencenow/heart-health/cholesterol/statins.html
September 01, 2018 - University reviews current recommendations for the use of statins in lowering cholesterol and reducing CVD risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-post-intervention.pdf
August 23, 2018 - prac_registry_diab. 1 = yes 2 = no
Prevention services…………………… prac_registry_prev 1 = yes 2 = no
High risk … for cardiovascular disease (e.g.,
statin use among those at risk): (check all that apply)
Practice … practice uses to improve cardiovascular preventive care (e.g., prescribing
aspirin for patients at risk … practice performance on cardiovascular disease prevention measures (such as aspirin for patients
at risk … CPCQ_rapid_cycles
Using rapid cycling, piloting, pre-testing, or other vehicles for reducing the risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
September 20, 2016 - : list diagnoses here Identify diagnoses, such as sepsis, sickle cell, substance use that are high risk … Consider: Behavioral health conditions are a readmission risk factor. … Are there any high-risk diagnoses to consider? … home may not be data informed, although subgroups (such as Medicaid) of discharges to home are high risk … Are there any high-risk diagnoses to consider?
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule11.pptx
November 02, 2018 - These weak points are called risk points. … Review the Root Cause Analysis and/or the Proactive Risk Assessments for the particular area. … After you have mapped the process, identify the risk points. … And again, try to identify those risk points. … What are the risk points you want to address?
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Ensure “ready access” support for clinicians in high-risk clinical areas and teams. … YES NO
Identify clinical areas that are at high risk for evoking a second-victim response … YES NO
Identify high-risk clinical teams that should be monitored closely by supervisory
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ed.pdf
March 19, 2014 - Although not life threatening, the error placed the patient at
unnecessary risk, delayed his disposition … Instructor Comments
This scenario illustrates the potential risks of low workload.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - central venous catheters are increasingly used outside the
intensive care unit, putting more patients at risk … catheters in adults.2
o Use of the femoral vein should be avoided except in an emergency.2,7
o The risks
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pbrn.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
August 01, 2018 - References
Foreword
Simulation has long been recognized for the integral role it plays in high-risk … As the Ebola virus disease is amply demonstrating, health care is a high-risk industry. … Yet providers and health care workers should not have to put their own lives at risk when caring for … safety, simulation enables the training of tomorrow's practitioners without putting today's patients at risk … In high-risk environments such as aviation and military operations, operators are not allowed to take
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pbrn.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
February 01, 2015 - Issue Brief
Foreword
Simulation has long been recognized for the integral role it plays in high-
risk … As the Ebola virus disease is amply demonstrating, health care
is a high-risk industry. … Yet providers and health care workers should not
have to put their own lives at risk when caring for … safety, simulation enables the training of tomorrow’s
practitioners without putting today’s patients at risk … In high-risk environments
such as aviation and military operations, operators are not allowed to take