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  1. talkingquality.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.
  2. talkingquality.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.
  3. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - Quality Forum states: “Healthcare organizations must systematically identify and mitigate patient safety risks … 11 Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate • Using an individualized assessment of risk … factors for each specific patient allows categorization of operative mortality risk into low (l%-3%
  4. talkingquality.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 risksRisk factors for complications of chronic anticoagulation. A multicenter study.
  5. talkingquality.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
  6. talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
    March 01, 2021 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … example, external consultants helped practices use their electronic health record data to identify at-risk … EvidenceNOW is having on these practices and their patients, including identifying and treating patients at risk … Oklahoma Practice "Progress under EvidenceNOW included increasing blood pressure measurement for at-risk
  7. talkingquality.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
  8. talkingquality.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
    July 01, 2021 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … care practices to improve quality of care, while achieving measurable improvements in  cardiovascular risk … Older Adults , which will provide important lessons on avoiding harms in this under-recognized and high-risk … disorders to stem the epidemic of deaths and harms from opioid and polysubstance use in all population at risk
  9. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
    May 17, 2016 - NICU) experience at least one episode of BSI.2 • Low-birth-weight infants with BSIs are at increased risk … Factors Identify the risk factors that are most common among neonates for bloodstream infection and … Recommended Practice: Assess neonatal patients for risk factors • Assess all neonatal NICU patients … Risk factors for neonatal BSI include2-5: ○ Gestational age at birth <32 weeks or birth weight <1,500 … extremities or the scalp (in neonates or young infants) can be used as an insertion site.11 ○ The risks
  10. talkingquality.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
  11. talkingquality.ahrq.gov/priority-populations/observances/womens-history/index.html
    March 01, 2021 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Hospital that focuses on actionable research to increase health equity and reduce health disparities in at-risk … Burstin is widely recognized for her work in patient-reported outcomes, risk adjustment, disparities, … document disparities in the quality of relationships between physicians and patients from socially at-risk
  12. talkingquality.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
  13. talkingquality.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 .
  14. talkingquality.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
  15. talkingquality.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
  16. talkingquality.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
  17. talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - Environmental factors • Staff competency and education • Patient education • Quality process and risk … This manual is designed to help community pharmacy personnel identify potential medication safety risks … • Build awareness of risk-identification opportunities in the community pharmacy setting. … • Maximize the appropriate application of system strategies to reduce organizational risk. 3. … Improving Medication Safety in Community Pharmacy: Assessing Risk and Opportunities for Change 3.
  18. talkingquality.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
    October 01, 2023 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Nursing home residents are at high risk for HAIs due to age, wounds, medical devices, and other illnesses … Services agencies that show universal decolonization can be an effective tool to prevent infections for at-risk
  19. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
    August 31, 2017 - Unit staff notify the Wound Care Team if skin problems arise or if high-risk patients are identified. … Share a written plan to communicate pressure injury risk procedures with the new member. … ASK: How will you make sure temporary staff are trained in pressure risk procedures? … not have to decide which patients they apply to. · Integrate communication regarding pressure injury risk … The 2-hour didactic portion included: · Braden risk assessment and patient comorbidity review. · 5 in
  20. talkingquality.ahrq.gov/teamstepps-program/evidence-base/research.html
    June 01, 2023 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Journal of Healthcare Risk Management:  The Journal of the American Society For Healthcare Risk Management

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