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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Area-level indicators
Risk-adjusted (age, sex,poverty)
*Not included in the AHRQ QI Toolkit
Slide … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and … pressure ulcer risk (using Braden Scale or other tool) upon admission and every 24 hours thereafter, … using valid risk assessment, with results documented in the patient's chart. … Slide 67
Looking Back and Looking Forward
Retrospective Reviews
Appropriate Risk Assessment
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - Risk assessments are most effective when increased risk for a fall is identified and communicated early … They gave an update on the risk assessment process changes. … The staff are transitioning to risk-based assessment and interventions tied to each identified risk factor … Before they used more of a definitional risk-based assessment and interventions. … For example, are staff individualizing care plans according to risk factors found on risk assessment?
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - When falls occur with assistance, it suggests that staff have identified at-risk patients and are in … Putting appropriate care planning in place that addresses each risk factor identified during fall risk … Slide 41
Say: For risk factor assessment to make a difference, all risk factors identified … on the risk factor assessment need to be addressed in the care plans. … Ensure that the care plans address all areas of risk.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html
February 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … What is a standardized assessment of risk factors for falls, and how should this assessment be conducted … How should identified risk factors be used for fall prevention care planning?
3.5.
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preventiveservices.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
February 01, 2017 - Say:
Mechanically ventilated patients are at risk from their many comorbidities as well as from mechanical … Patients on mechanical ventilation are at risk for conditions such as ARDS, atelectasis, and pulmonary … We know that respiratory deterioration in previously stable patients is definitely a risk factor for … The special approaches listed here may have risks associated with their use, but they may have their … However, it may not decrease the VAP risk in noncardiac surgery patients.
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preventiveservices.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - for thrombosis) or > 4.0 (at risk for hemorrhage) over 90 days, using
repeated measures analysis. … clinicians and patients regarding
warfarin regimens is unsettlingly common and places patients at risk … 200
Introduction
For patients with atrial fibrillation and other conditions associated with a risk … unsafe/high (INR > 4), or safe (INR
≤ 2 but ≥ 4), based on cutoff values associated with increased risks … Risk factors
for complications of chronic anticoagulation. A
multicenter study.
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preventiveservices.ahrq.gov/hai/cusp/modules/index.html
August 01, 2019 - 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 … Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
May 19, 2020 - HIT solutions also bring risk – of adding complexity, fragmentation, and
burden – and may be challenging … Monitoring and follow-up
8
Algorithms and 'Artificial intelligence'
1-5%
5-10%
25-40%
>50%
Risk … Align Resources with Patient and Population Needs +++ +++
Prediction of meaningful outcomes for at
risk … , vulnerable populations
1-5%
5-10%
25-40%
>50%
Risk Definition (e.g.) … Health Information Technology to Support Care Transitions�
Prediction of meaningful outcomes for at risk
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preventiveservices.ahrq.gov/coronavirus/long-covid.html
March 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … many potentially overlapping entities, likely with different biological causes and different sets of risk … Further, many at-risk and minority populations face barriers that can exacerbate the impact of Long COVID … research and to improve the care of people living with multiple chronic conditions who are at increased risk
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … and creates a culture of inquiry and dialogue in which people feel safe to share openly and to take risks … It must include engagement of key stakeholders, such as senior leaders, risk managers, staff, patients
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preventiveservices.ahrq.gov/npsd/data/dashboard/falls.html
September 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … fall at-a-glance (by age), commonly reported patient activities prior to fall, and commonly reported risk
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/879.html
September 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Using OurDX prior to symptomatic ambulatory visits can help clinicians flag at-risk diagnostic processes … ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk … Anesthesia Risk Alert program: a proactive safety initiative .
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preventiveservices.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
January 01, 2024 - Assessment Screen (BRASS) was developed to identify only elderly
hospitalized patients at risk for … The Hospital Admission Risk Profile (HARP) was developed as an instrument to stratify
adult patients … They compiled a ‘user-friendly’ risk tool of seven
variables: use of problem medications, depression … Hospital admission risk profile (HARP): Identifying
older patients at risk for functional decline following … Risk Assessment Tool: The 8 Ps. 2008.
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preventiveservices.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … telehealth became evident during the pandemic, the harms and patient safety practices to reduce the risk … telehealth became evident during the pandemic, the harms and patient safety practices to reduce the risk
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preventiveservices.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - In doing so, you will effectively reduce the risk of ventilator-associated pneumonia (VAP) and other … associated with more days to extubation, more days to hospital discharge, and higher hospital mortality risk … Slide 12: AHRQ Safety Program Goals
Say:
The two main safety program goals are: (1) reduce the risk … By getting patients off of the ventilator faster, you will reduce the risk of patient harms associated … develop lenses that allow us to see those system factors and how they influence care, we can see the risks
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
November 20, 2014 - Example:
Perform comprehensive fall risk assessment on admission, daily, or if condition deteriorates … Team
A Unit Team comprises staff members who provide daily direct patient care by:
Conducting fall risk … for assistance with toileting)
Page 58
‹#›
Electronic Health Record
What information about fall risk … the most logical place in the record to collect, organize, and assess information about patient fall risk
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preventiveservices.ahrq.gov/nursing-home/resources/depression-older-adults.html
June 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … common signs and symptoms of depression, treatment options, and if you or your loved one may be at risk
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preventiveservices.ahrq.gov/es/tools/index.html?page=4
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Date Published: July 2016
Setting of Care: Hospital
Toolkit to Engage High-Risk … Patients In Safe Transitions Across Ambulatory Settings
A Toolkit to Engage High-Risk Patients in
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/869.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … AHRQ in the Professional Literature
Development of Frail RISC-HIV: a risk score for predicting frailty … risk in the short-term for care of people with HIV. … A comprehensive framework to estimate the frequency, duration, and risk factors for diagnostic delays
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preventiveservices.ahrq.gov/sites/default/files/2024-04/finkelstein-report.pdf
January 01, 2024 - Statistical Process Control in QI Research Maria Britto, MD, MPH Terri Byczkowski, PhD, MBA
5) Regression Risk … Paul Shekelle, MD, MPH,
PhD
How to obtain Risk Ratios and Risk Differences
from Logistic Regression … : An introduction to
regression risk analysis for SAS and STATA
Lawrence Kleinman, MD,
MPH
Nathan … David Chambers, PhD, NIH;
Steve Clauser, PhD, MPA, PCORI;
Kamila Mistry, PhD, AHRQ
How to Obtain Risk … Ratios and Risk
Differences from Logistics Regression
Lawrence Kleinman, MD, MPH, FAAP
Nathaniel