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pbrn.ahrq.gov/funding/process/grant-app-basics/index.html
October 01, 2016 - Related Links
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk Research
This toolkit
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - What happens if a patient is found to have risk factors or experiences a fall? … Slide 13
SAY: Here is an example of a process map from an initial patient risk assessment using the … The gray boxes are the risk assessment processes. … notice that the ED’s EMR does not interface with the ICU’s EMR, which creates problems in completing the risk … Note all the places where the risk assessment can break down.
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - What happens if a patient is found to have risk factors or experiences a fall? … Slide 13
Say: Here is an example of a process map from an initial patient risk assessment using … The gray boxes are the risk assessment processes. … notice that the ED’s EMR does not interface with the ICU’s EMR, which creates problems in completing the risk … Note all the places where the risk assessment can break down.
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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/teamstepps/instructor/reference/quickrefguide.html
March 01, 2014 - Study the process to identify risk points where things could go wrong and lead to a recurrence of the … and tools (e.g., brief, huddle, debrief, STEP, SBAR, and I PASS the BATON) that would eliminate the risk
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pbrn.ahrq.gov/patients-consumers/prevention/disease/bloodclots.html
August 01, 2017 - Are you at risk?
Some people are more likely to get blood clots. … Talk with your doctor to see if you are at risk.
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pbrn.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes toward risk … Having the Newborn Critical Care Center complete a falls risk assessment for each patient for each shift … , quantitative measures to evaluate can include the falls rate and the number of patients with fall risk … Solutions that are simple and designed with very little risk of failure contribute to the success of
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
September 01, 2017 - A Unit Team comprises staff members who provide daily direct patient care by:
Conducting fall risk … Slide 19: Electronic Health Record
What information about fall risk factors is already part of the … the most logical place in the record to collect, organize, and assess information about patient fall risk
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Image: Medical papers labeled “fall risk.” … Slide 14: Toolkit Approach
The Toolkit includes accurate, evidence-based, and effective risk assessments … Identifying and communicating risk at the earliest possible time. … optimizing the effectiveness of interventions by:
Tailoring interventions to address individual risk
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinars/index.html
September 01, 2017 - and Training for Your Fall Prevention Program (42 min) ( PDF of the Slides , 1.79 MB)
Using Fall Risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Slide 15
SAY: The Toolkit includes evidence-based and effective risk assessment tools. … Tailoring pressure injury interventions to address individual patient risk factors is a best practice … For example, are staff individualizing care plans according to risk factors found on risk assessment? … SAY: Equally important for sustainability is to ensure that prevention strategies to decrease the risk … Some of the practices, such as doing a pressure injury risk assessment upon admission, can be hardwired
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pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
November 01, 2017 - they need to help their patients adopt the
ABCS of cardiovascular disease prevention: Aspirin in high-risk … care practices to help them implement
PCOR-based methods to improve their management of patients at risk … pressure medication assistance
programs, in selected counties to encourage patients to
address CVD risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx
January 01, 2014 - ›
Project Background
Work funded under an AHRQ Demonstration Grant (R21)
Grant program focused on Risk … should:
Yield better communication between providers and patients/families
(As a result) Mitigate risk … ®
TeamSTEPPS for Patients
Slide ‹#›
11
Research Aims
Identify L&D events that vary in terms of risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
February 25, 2014 - They
should also encourage risk taking and nontraditional ideas,
activities, and actions. … solutions;
• Encouraging people to speak up, even to differing views;
• Encouraging people to take risks
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - QI and patient safety during a time when
they experienced an increase in patient load and higher
risk … for more high-risk patients than ever before, so it is even
more crucial that we do things right…it’ … It is a safe way to deal with high-risk situations. … This variation created a risk
of both time lags in patient care and miscommunication
among the care … However, as one project leader soon recognized, “If
we’re going to do a [hemorrhage] risk assessment
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - QI and patient safety during a time when
they experienced an increase in patient load and higher
risk … for more high-risk patients than ever before, so it is even
more crucial that we do things right…it’ … It is a safe way to deal with high-risk situations. … This variation created a risk
of both time lags in patient care and miscommunication
among the care … However, as one project leader soon recognized, “If
we’re going to do a [hemorrhage] risk assessment
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Rate―Injury to Neonate: The existing literature on birth trauma
and injury to the neonate suggests multiple risk … Given this heterogeneity, creating one best practices form to address
the various risk factors would
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf
March 13, 2014 - Study the process to identify risk points where things could go wrong and lead to
a recurrence … and tools (e.g., brief, huddle, debrief, STEP, SBAR, and I
PASS the BATON) that would eliminate the risk
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
December 01, 2017 - Assessing Risk in Testing
We know that:
• The risk of an event is related to its frequency and the … • Balancing these two aspects of risk can be challenging. … • It is important to stay focused on office systems in managing risk. … Results
• The highest scores for “office total” show areas where staff have identified the
greatest risks … do not eliminate all errors.
• A failure to monitor automated processes may introduce patient safety risks