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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
July 29, 2021 - the importance of the false
positive rate may vary greatly for each cancer type, depending on the risks … Comment: It is not necessary to include "high risk" in the diagnosis paradigm. … Genetic/Familial High-Risk Assessment:
Colorectal.(Version 3. 2019). … liquid biopsy or otherwise,
necessarily and appropriately differ for different cancers because the risks … and benefits of
subsequent treatments and interventions differ, and therefore so too do the risks and
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preventiveservices.ahrq.gov/hai/cusp/modules/identify/index.html
July 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk … What Will You Do to Reduce the Risk of Recurrence? (40 sec.) … How Will You Know the Risk is Reduced? (40 sec.)
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - patient satisfaction and patient experience of care surveys have been shown to predict malpractice risk … . 4 Eliminating or reducing the risks and hazards in the delivery of patient care should yield safer … MODULE 2: Obtaining Organizational Buy-In and Support
Obtaining senior leadership and risk management … This team is responsible for working with legal counsel, claims, and risk management staff to establish … The use of patient satisfaction surveys and alternative coding procedures to predict malpractice risk
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
December 15, 2016 - risk, and receiving input from a multidisciplinary team. … This
assessment should show how well the nursing home:
Identifies pressure ulcer nonhealing risk … factors using information from multiple sources,
Develops interventions specific to the risk factors … to mitigate risk, and
Communicates the intervention to all staff using multiple processes. … Based on review of risk factors for poor healing, what interventions would you investigate to
ensure
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preventiveservices.ahrq.gov/talkingquality/measures/understand/patient-comments.html
February 01, 2016 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … J Risk Uncertain 1997;14(3):235–57. [4] Schwartz LM, Woloshin S, Black WC, Welch HG. … What does it mean to understand a risk? Evaluating risk comprehension. … Risk as feelings. Psychol Bull 2001 Mar;127(2):267-86. [7] Redelmeier DA, Rozin P, Kahneman D.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_ed-pamphlet.pdf
January 01, 2018 - No. 18-0020-3-EF
January 2018
www.ahrq.gov
Any clinical
presentation of:
Mortality risk
& treatment … Respiratory rate ≥ 30/min
Blood pressure (SBP < 90 mmHg or DBP ≤ 60 mmHg)
Age ≥ 65 years
LOW MORTALITY
RISK … Likely suitable for
home treatment
INTERMEDIATE
MORTALITY RISK
Likely needs hospital
referral … and further
assessment
HIGH MORTALITY
RISK
Urgent hospital
admission and
immediate treatment
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - disturbance,
urinary retention, fecal impaction, and exposure to high-risk medications. … Awareness of these costs can drive improvement in screening and assessment of
individuals at risk for … While a single factor may put a patient at high risk for developing delirium, it is more likely that … , place
an individual at a much higher risk, especially if he or she is over 65 years of age. … delirium incidence,2,4,5,7,9,12,13 followed by duration of
delirium.5,7,8,9,12,13 Three papers reported relative
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
March 01, 2013 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Hospitals with relatively low-risk patients whose predicted readmission is the same as the expected readmission … for the average hospital for the same group of low-risk patients would have an adjusted readmission … Similarly, hospitals with high-risk patients whose predicted readmission is the same as the expected … readmission for the average hospital for the same group of high-risk patients would also have an adjusted
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_pc-pamphlet.pdf
January 01, 2018 - No. 18-0020-5-EF
January 2018
www.ahrq.gov
Any clinical
presentation of:
Mortality risk
& treatment … Respiratory rate ≥ 30/min
Blood pressure (SBP < 90 mmHg or DBP ≤ 60 mmHg)
Age ≥ 65 years
LOW MORTALITY
RISK … Likely suitable for
home treatment
INTERMEDIATE
MORTALITY RISK
Likely needs hospital
referral … and further
assessment
HIGH MORTALITY
RISK
Urgent hospital
admission and
immediate treatment
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preventiveservices.ahrq.gov/news/newsroom/case-studies/201706.html
May 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The Institute’s objectives were—
To reduce the 30-day readmission rate among its high-risk population … The facility's high-risk population includes patients with the following characteristics: 40 or more … partial hospital admissions; co-morbidities of substance abuse/personality disorders, posing a higher risk … A nurse introduces inpatients at high risk for 30-day readmission to the program before being discharged
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preventiveservices.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.html
June 01, 2023 - , population-based tools on cardiovascular risk reduction in high-risk patients. … Results revealed that the interventions led to a substantial reduction in cardiovascular risk in high-risk … A controlled trial of dissemination and implementation of a cardiovascular risk reduction strategy in … The average 10-year ASCVD risk of patients before EvidenceNOW interventions was 10.11%. … After EvidenceNOW interventions, 10-year ASCVD risk for these patients lowered to 10.03%.
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preventiveservices.ahrq.gov/topics/falls.html
Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Prevention
These tools help nursing homes with electronic medical records identify residents at risk … Toolkit for Improving Quality of Care
Preventing falls involves managing a patient's underlying risk … Management of fall risk among older adults in diverse primary care settings.
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/876.html
August 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … monitoring, also based on the systematic review, found postpartum home monitoring significantly reduced the risk … Implementation of suicide risk estimation analytics to support mental health care for quality improvement … Factors associated with lung cancer risk factor documentation. … Adapting an electronic STI risk assessment program for use in pediatric primary care.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Identifying and communicating risk at the earliest possible time.
‹#›
14
Toolkit Approach
The Toolkit … on optimizing the effectiveness of interventions by:
Tailoring interventions to address individual risk … (3-12/05)
Added Alert re-
meds to Scale
(11-12/05)
Developed Education
Brochure on meds
and fall risk … 05)
Started AARs
(safety
huddles) on
test units 10-
12/06
Teachback
w/pts 11/06
Put pts on high risk … ,
Morse score > 50, on
anticoagulants, low
platelets 12/06
Use yellow wrist bands
on high falls risk
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Performance of care planning that addresses each risk factor identified during fall risk factor assessment … Ensure that known risk factors for falls are assessed. … Slide 41: Care Planning Assessment
All risk factors identified on the fall risk factor assessment … Tailored approach to each patient, based on the patient’s risk factors. … Ensure that care plans address all areas of risk.
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preventiveservices.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … and Independent Input Identify Your Unit's Safety Issues Develop a Plan of Action How Will You Know Risk … Identifying Contributing Factors What Will You Do to Reduce the Risk of Recurrence?
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
June 01, 2018 - Slide 18
Challenge
Inadequate Risk Assessments and Reassessments
Image of young man with clipboard … and image of rubber stamp
Slide 19
Opportunity
Accurate and effective risk assessments
Employing … critical thinking and clinical judgment
Consistency in approach
Identifying and communicating risk … possible time
Slide 20
Tools
Morse Fall Scale (3H)
STRATIFY Scale (3G)
Medication Fall Risk … target education to address gaps in staff knowledge
Environmental safety
Medications associated with risk
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - services staff
Facilities engineer
Managers
Senior manager
Quality improvement/safety/risk … Determine who will complete the fall risk factor assessment on admission. Tool 4A. … Cathy April √
Tool 4C Assess Staff Education and Training Peggy and Jim April √
Determine How Risk … Team June √
Get Team buy-in on who does risk assessment and when (Nursing/4 hours). … Determine who will complete the fall risk factor assessment on admission. Tool 4A.
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preventiveservices.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Risk-adjustment methods—mathematical models that correct for differing characteristics within a population … However, the science of risk adjustment is still evolving. … Experts acknowledge that better risk-adjustment methods are needed to minimize the reporting of misleading
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … If a person is colonized with MRSA, they have an increased risk of developing a MRSA infection and also … Removing MRSA from the patient cuts the risk of infection and transmission of the germ to other people … nursing homes because residents are older and more prone to having health conditions that increase their risk