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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
August 01, 2023 - Childbirth comes with high risks for mothers and newborns in the United States, which has the highest
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pcmh.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - In this risk score, X n represents baseline risk factors and in-hospital clinical factors, as well as … The high-risk cohorts included cases of patients who were transferred to the ICU after 24 hours, died … with preimplementation period (16.5 vs. 20.9, OR 0.75 [95% CI 0.43-1.29], p=0.29), or a 25 percent relative … risk reduction in overall DE. 1 In postimplementation analysis, researchers found that relative risk … reductions in DE were greater in patients in the high-risk cohort.
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pcmh.ahrq.gov/teamstepps/lep/evalguide/lepevalguide.html
December 01, 2012 - I improved my understanding of patient safety risks to LEP patients
1
2
3
4 … the care team before seeing the patient where the team leader describes team roles, goals, plans, and risks … the care team before seeing the patient where the team leader describes team roles, goals, plans, and risks
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pcmh.ahrq.gov/cahps/news-and-events/research-meetings/index.html
January 01, 2024 - How better communication with patients can improve patient safety and lower malpractice risks.
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pcmh.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
April 01, 2022 - highly reliable systems that address communication and coordination challenges that pose patient safety risks … Lessons learned suggest future work should involve multidisciplinary teams, risk-based stratification … clinical pathway can reduce the deep surgical site infection rate after posterior spinal fusion in high-risk … Risk factors for increased blood loss during spinal fusion for children with neuromuscular scoliosis
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - Checklists help to facilitate safety in high-complexity, high-risk, and high-reliability professions … sections
Slide 9
SAY:
The preoperative briefing reviews the plan ahead for patient care and the risks … .18-21
· Individual risk factors predict some occurrences of obstetric hemorrhage.
· Risk assessments … These include—
Having situational awareness about maternal and fetal risks and status. … during transitions of care helps to assure a shared mental model of the plan of care and perceived risks
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Here are some other risks:
An IV pole could cause a patient to trip. … Slide 25
Say: A risk score of 50 puts this patient at risk for a fall. … risks, such as mobility challenges, medications, mental status, and continence needs. … the patient and family (if possible), and key risks and interventions are checked on the paper tool shown … to have a dedicated care plan form within the medical record to help make staff aware of a patient’s risks
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
February 28, 2022 - ensure team members’ actions are consistent with the plan and advocating for the patient as needed when risks … When plans are unclear or not implemented, a shared mental model is lost and patients are at risk.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
February 28, 2022 - which it is expected that assistance will be actively sought and offered as a method for reducing error risks … when team members’ viewpoints don’t coincide with
that of a decision maker and patient safety is at risk
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pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - When Possible
Say:
The preoperative briefing reviews the plan ahead for patient care and the risks … Risk assessments may include the presence of clinical conditions that increase risk of hemorrhage, or … Risk assessment can then determine the unit’s process for patients based on level of risk, for example … These include—
Having situational awareness about maternal and fetal risks and status. … during transitions of care helps to assure a shared mental model of the plan of care and perceived risks
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pcmh.ahrq.gov/teamstepps/lep/traintrainers/lepslstafftrain.html
July 01, 2018 - English Proficiency Slide 2: Overview/Objectives Slide 3: The Story of Willie Ramirez Slide 4: High-Risk … Settings and Situations Slide 5: Added Risk for LEP Patients Slide 6: LEP Patients in Your Clinical … Return to Contents
Slide 4: High-Risk Settings and Situations
ED.
OB/GYN.
Surgery. … Return to Contents
Slide 5: Added Risk for LEP Patients
Not using a professional interpreter: … Return to Contents
Slide 8: "Opportunity" Scenario
What are the risks in this scenario?
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pcmh.ahrq.gov/funding/process/study-section/peerdesc.html
July 01, 2017 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - reversible cause of obesity,
those with serious psychiatric illness, or those who cannot understand the risks … interventions for the elderly and disabled will
depend on the specific context and the benefits and risks … exercise, and moderate caloric restriction with reduction of polypharmacy,
and suggested that the risks … behavioral strategies are effective in producing
statistically significant weight loss without significant risk
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - Safety)
Key Perinatal Safety Elements
Examples
Assess appropriateness of procedures that increase risk … that list indications, contraindications, and maternal and fetal criteria for procedures that increase risk … In the context of cord prolapse, this includes risk awareness, timely recognition of a cord prolapse … of transition communication techniques assures a shared mental model of plan of care and perceived risks … Earlier studies, prior to the advent of continuous fetal monitoring, showed association with increased risks
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pcmh.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - highlights that strikingly similar falls interventions are used for patients with different demographics or risks … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/evalguide/lepevalguide.pdf
September 01, 2012 - I improved my understanding of patient safety risks
to LEP patients
1 2 3 4 5
4. … care team before
seeing the patient where the team leader describes team roles, goals, plans, and risks … care team before
seeing the patient where the team leader describes team roles, goals, plans, and risks
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - systematic approach to generating RWE that would allow for a quicker confirmation of the benefits and risks … Benefits and risks across diverse clinical populations in diverse clinical settings, without imposing … systematic approach to generating RWE that would allow for a quicker confirmation of the benefits and risks … Benefits and risks across diverse clinical populations in diverse clinical settings, without imposing
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pcmh.ahrq.gov/funding/process/study-section/peerrev.html
March 01, 2024 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying
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pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
July 01, 2021 - Create funding mechanisms that support innovative high-risk, high-reward research. … Risks discussed by study participants included potential drift of AHRQ away from more impactful research … We judge that the risks associated with moving AHRQ or its role as the funded hub of federal HSR into … We judge the risks associated with locating the funded hub of PCR within NIH to outweigh the advantages … Study participants also noted an additional risk.
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pcmh.ahrq.gov/news/newsletters/e-newsletter/873.html
July 01, 2023 - The new brief provides basic definitions on behavioral health apps and the benefits and risks of recommending