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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - 1 = Moderate risk
2 or above = High risk
3H: Morse Fall Scale for Identifying Fall Risk Factors … 25-45: Moderate risk
>45: High risk
______
* Weak gait: Short steps (may shuffle), stooped but able … calculated by (risk level score) x (number of medications in that risk level category). … Fall Scale for Identifying Fall Risk Factors,” or 3G, “STRATIFY Scale for Identifying Fall Risk Factors … medication-related risk for falls.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - Boothman, J.D., Executive Director, Clinical Safety and Chief Risk Officer, University of Michigan Health … ARM, formerly with the University of Illinois-Chicago and now Director, Office of Patient Safety and Risk … Scott, Ph.D., R.N., Manager of Patient Safety and Risk Management, University of Missouri
Kelly M. … Driver, J.D., M.B.A., CEO of The Risk Authority Stanford and Chief Risk Officer of Stanford Health Care … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention, Assistant Vice Chancellor
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Hot water and soap may dry the skin and increase the risk for pressure ulcers.
5. … A low Braden score is associated with increased pressure ulcer risk.
44. … Hot water and soap may dry the skin and increase the risk for pressure ulcers.
True
5. … A low Braden score is associated with increased pressure ulcer risk.
True
44. … Does the education provided address risk assessment tools and procedures?
7.
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preventiveservices.ahrq.gov/news/newsroom/case-studies/201804.html
July 01, 2018 - Fall prevention involves managing a patient's underlying fall risk factors and optimizing a hospital's … Using the toolkit, the hospital updated its fall risk assessment system to use more specific risk factors … , which enabled the registered nurses to better identify patients at greatest risk of a fall. … assess the impact that cognition, history of falls, gait, and balance had on a post-acute care patient’s risk … “We previously had a falls prevention program in place, but it was definition-driven instead of risk-driven
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preventiveservices.ahrq.gov/challenges/patient-safety-tools/index.html
February 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings is designed to help … Agrees to assume any and all risks and waive claims against the Federal Government and its related entities
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
November 17, 2020 - • Common, Costly
• Health equity issue
• Health system ill-designed to meet the needs of
those at risk … • Prevention interventions targeted at reducing the
prevalence of common chronic disease risk factors … with
a particular focus on interventions to reduce the
likelihood those “at risk” will go on to develop … MCC
• Targeted interventions to improve health and reduce the
risk of adverse events and complications … issues
• Targeted interventions for those who have complex
management issues and who are at “high risk
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preventiveservices.ahrq.gov/data/visualizations/prevalence-fh-mfd.html
October 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … or multifactorial dyslipidemia), type of lipid, cohort, age, sex, race/ethnicity, BMI percentile, or risk … Abbreviations: CARDIAC = Coronary Artery Risk Detection in Appalachian Communities; CI = confidence … CARDIAC: A cardiovascular risk detection screening program including evaluation for obesity, dyslipidemia … Recruited middle schools from seven different geographic areas with student populations at increased risk
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - On-Time Reports
Reports Included in the Module
1 Transfer Risk Reports: High Risk and Medium Risk … Determining Transfer Risk
3.1.6.1. Components of Transfer Risk Rules
Table 4. … Rules for High and Medium Transfer Risk
Risk Factors Risk Level
1. ED Visit
History or 2. … High-Risk
Change in
Condition
Within 7 Days
High
Risk
Medium
Risk
No
Risk
1 X X X … Determining Transfer Risk
3.1.6.1. Components of Transfer Risk Rules
3.1.6.2.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide_slides.pptx
November 01, 2016 - Pressure Ulcer Healing Reports
1
Electronic Reports
Existing Pressure Ulcers Report
Pressure Ulcers at Risk … is >10 days prior, the following values will be blank:
Ulcer status
Number of treatment changes
At risk … Initial Ulcer Stage Most Recent Assess Ulcer Stage Ulcer Origin Ulcer Status # TX Order Changes At Risk … for Delayed Healing Report
November 2016
Pressure Ulcer Healing
26
On-Time Pressure Ulcers at Risk … Were these residents identified as at risk for delayed healing of their pressure ulcers?
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preventiveservices.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - processes, further aids in the development of high-quality patient care by allowing providers to mitigate risks … speaking up if they do not agree with task assignments and protocols or when they see patient safety risks … When nurses are responsible for more than two patients, there is an increased risk of patient complications … How will you reduce the risk of recurrence?
How will you know it worked? … Framework for analysing risk and safety in clinical medicine. BMJ . 1998;316:1154–57.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/implementation-guide_falls.docx
September 01, 2017 - Risk (How much of a risk does this issue pose to the well-being of patients?) … (They are transitioning to risk-based assessment and interventions tied to risk. … matches the identified risks. … plan addresses these risks. … Many of the patients are considered high risk based on risk assessment results.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/nursing-home/best-practices-managing-deconditioning.pdf
May 01, 2022 - This resource discusses ways nursing home staff can
identify residents at high risk for deconditioning … prolonged inactivity.1 For
some nursing home residents, it may lead to decreased mobility, increased risk … COVID-19 pandemic continues to evolve,
nursing home staff should work to identify residents at high risk … IDENTIFYING RESIDENTS AT HIGH RISK OF DECONDITIONING
Several screening and assessment tools are available … to assist nursing home staff in identifying high-risk
residents.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
February 10, 2014 - Recent
Assessed
Ulcer
Stage
Ulcer
Origin
Ulcer
Status
#
Treatment
Order
Changes
At Risk … At Risk for Delayed Healing Report
On-Time Pressure Ulcers At Risk for Delayed Healing Report
All … at risk for
delayed healing. … Last, the report provides an alert to indicate the ulcer is at
risk for delayed healing. … Braden score for predicting pressure ulcer risk.
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - Weekly huddle to review residents at risk with CNA staff
2. … Weekly nutrition-at-risk meetings
3. Wound rounds
4. … Weekly huddle to review residents at risk with CNA staff
2. … Risk management meetings; use as complementary tool during risk review at the nursing-unit level
… Weekly huddle to review residents at risk with CNA staff
2.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/orthostatic-vital-sign.html
January 01, 2013 - When a patient is on a medication that may cause orthostasis and has other risk factors for falls. … Use this tool in conjunction with clinical assessment and a standard assessment of fall risk factors … (e.g., Tool 3H, "Morse Fall Scale for Identifying Fall Risk Factors," or Tool 3G, "STRATIFY Scale … for Identifying Fall Risk Factors" ) to determine a patient's risk factors for falls, and then plan care … A significant change in vital signs with a change in position also signals increased risk for falls.
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preventiveservices.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The pandemic has undoubtedly put those successes at risk, but this study should provide motivation for … After adjustment, the relative risk of experiencing an adverse event diminished for all five patient
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - patient's risk factors for falls to the admitting department. … Nurse:
Completes and documents fall risk assessments. … Reviews medications for fall risk and makes changes to medications as needed. … Fall risk factor report that summarizes which patients on the unit have specific risk factors. … First, consider how information about fall risks is conveyed in handing off patients to other units or
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preventiveservices.ahrq.gov/evidencenow/projects/heart-health/evidence/blood-pressure.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Blood Pressure Control Evidence and Resources
High blood pressure is a major risk … Blood Pressure
This in-depth patient education booklet explains high blood pressure and the potential risks
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preventiveservices.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Pressure Ulcer Dashboard
Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs. … new analyses by age, deeper explorations of common activities prior to fall, and enhanced analyses of risk … falls, as well as the ability to filter by fall assistance and use of medication known to increase risk
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - autologous PRP demonstrated a statistically
significant increase in complete wound closure or healing (Relative … We extracted or calculated relative risk
(RR) and corresponding 95 percent confidence intervals for … or unclear risk of bias. … small (<300) or the confidence intervals included substantial benefits and harms
(defined as 0.25 relative … risk reduction or increase).