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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Rationale for Use of Checklists 1-4
Checklists help to facilitate safety in high-complexity, high-risk … Review plan for patient care, risks, or concerns.
Typically led by the obstetrician/surgeon. … Risk.
Medical history.
Fetal status.
Type of anesthesia. … Slide 21: Key Safety Elements: Standardize When Possible
Use routine and standardized hemorrhage risk … 32: Key Safety Elements: Teamwork Training
Have situational awareness around maternal and fetal risks
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - October 2017
On-Time Falls Prevention
8
Falls High-Risk Report:
High-Risk Criteria
Risk criteria identified … Report:
High-Risk Criteria
Risk determined based on a combination of the following elements:
Presence … risk factors
October 2017
On-Time Falls Prevention
10
Rules for Determining High Risk
Rule #1: … Rule #3: High Risk Based on New Contributing Risk Factor Within 7 Days:
Residents will be flagged as … Risk Factors Report.
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talkingquality.ahrq.gov/pcor/library-of-resources/index.html
April 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Effective Health Care Program : provides access to systematic evidence reviews on the benefits and risks
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talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - Miller’s team is studying the role of the ambulatory care environment in elevating the risk of a CVD … That’s because the widely used Framingham risk score—an algorithm used to estimate a person’s 10-year … cardiovascular risk—is based on a long-term ongoing study of mostly older, white men, Dr. … “How does that account for cardiovascular risk factors in young, Black female patients?” she asks. … A broader, systems-based approach to addressing CVD risk factors also might include assessing whether
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted (Upper Confidence … Baseline
Indicator Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted … Enter Your Data Here
Year Risk-Adjusted Rate Risk-Adjusted (Lower Confidence Interval Bound) Risk-Adjusted
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Prevention Practices
Tool 5C: Assessing Comprehensive Skin Assessment
Tool 5D: Assessing Standardized Risk … Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission … Determine whether there is any documentation of the completion of the standardized risk assessment. … For each patient, determine on which dimensions of the standardized risk assessment there was a score … Calculate the percentage of abnormally scored dimensions of the standardized risk assessment that are
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
September 18, 2014 - Statin drugs decrease CVD illness and
mortality in people at high risk. … project is to understand these disparities and improve the
appropriate use of statins among all high risk … who reached out to patients by phone and mail to promote awareness of
the patient’s personal CVD risk … address this risk? … Barriers to at risk patients starting a statin regiment include:
– Primary care clinicians focus
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-3/share-tool3.pdf
April 01, 2014 - regulation, and
case law, the informed consent
process requires explanations
of the benefits and risks … Make sure the interpreter understands the
information, especially if the patient’s life may be at risk … When a minor child interprets, the child is in a very vulnerable position and the practice is at
risk
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talkingquality.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - application to inform and encourage older adults to initiate dialogue with a clinician regarding the risks … highly reliable systems that address communication and coordination challenges that pose patient safety risks … assessment and risk surveillance. … Real-time surveys reveal important safety risks during interhospital care transitions for neurologic … design, development, implementation, and evaluation) to identify and address the salient issues and risks
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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - Routinely assessing patient risk during this period is critical to facilitate tailoring
appropriate … If left
unaddressed, behavioral health and social needs are key risk factors for postdischarge adverse … Consider
using a pharmacist for complex medication regimens or high-risk patients. … • Advise high-risk patients to let the primary care practice know if they are thinking about
going … Risk
stratification may help practices more efficiently allocate resources to high-risk patient groups
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
June 05, 2016 - Note: The current version of the AHRQ QI software does not have risk-adjustment capabilities. … However, the tools described below include information about risk adjustment that will be
relevant when … The “trend-observed,” “trend-observed-expected,” and “trend-risk-adjusted-
smoothed” worksheets can be … The “trend-risk-adjusted-smoothed” worksheet can be used to compare the risk-
adjusted rate and smoothed … The “trend-risk-adjusted-average” worksheet can be used to track how a hospital’s
performance on an
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Recommended Practice: Assess risk factors
• Determine which pediatric patients are at increased risk … o High-risk surgery (e.g., emergent and prolonged procedures, open vs. laparoscopic). … • Use nasogastric tubes selectively since they can increase the risk of aspiration. … Development and validation of a risk calculator
predicting postoperative respiratory failure. … Postoperative pulmonary complications: an update on risk assessment and
reduction.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - equipment
and devices.1
• Pressure ulcer rates are high in children, particularly those with high-risk … from 2.4 to 7.7 per 1,000
pediatric discharges (across all children).2-4 In subgroups at particular risk … (3.5 times the odds of children without the complication), even after
adjusting for numerous other risk … documentation record for the completion of a
total skin assessment and risk assessment.11,12 … Risk assessment & prevention of
pressure ulcers 2011 supplement. Toronto, ON: RNAO; 2011.
11.
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talkingquality.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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talkingquality.ahrq.gov/health-literacy/publications/ten-attributes.html
January 01, 2024 - Addresses health literacy in high-risk situations, including care transitions and communications about … The AHRQ Academy Playbook on Integrating Behavioral Health in Primary Care
Toolkit to Engage High-Risk … Addresses health literacy in high-risk situations, including care transitions and communications about … High-risk decisions, situations, and transitions demand more attention to health literacy. … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation: High-Risk
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talkingquality.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Appropriate use of DXA scans in women under 65 years who do not meet the risk factor profile for osteoporotic … Percentage of all cardiac stress imaging performed for initial detection and risk assessment in patients … who are asymptomatic and at low risk for coronary heart disease. … However, with the exception of a few high-risk procedures, researchers have not yet determined the exact