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talkingquality.ahrq.gov/evidencenow/heart-health/smoking/use.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Tobacco Use
Resource description: This script and slide deck from a 14-minute presentation cover the risks
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Are governance/senior leaders regularly and thoroughly briefed on risks and hazards?
b. … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings?
f. … Comments
Leadership and Culture
Are governance/senior leaders regularly and
thoroughly briefed on risks … Are patient safety risks, hazards, and opportunities
discussed and documented at board meetings? … There is strong consensus that
improved communication between providers and patients about risks to
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talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - But there is only limited understanding of such risk factors currently. … Health Care Leaders and Professionals
Many individuals do not understand the benefits, harms, and risks … that hospitals and clinical teams can use to ensure that people understand the benefits, harms, and risks … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … These skin lesions bring pain, associated risk for serious infection, and increased health care utilization
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talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Leadership and Culture:
Are governance/senior leaders regularly and thoroughly briefed on risks and … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings? … Is a risk manager available at all times to respond to patient safety incidents?
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talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Comments
Leadership and Culture
Are governance/senior leaders regularly and thoroughly briefed on risks … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings?
… Is a risk manager available at all times to respond to patient safety incidents?
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - To reduce the risk of errors, these medications require special safeguards such as the following:
Improving … The key safety elements are the following:
Discussing risks and benefits of oxytocin use for labor induction … Using the maintenance infusion to administer a bolus manually is a high-risk practice that should be … Using transition communication techniques to ensure a shared mental model of plan of care and perceived risks … The key safety elements are the following:
Having unit-established processes for conveying risks and
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talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/tools/factsheet.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
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talkingquality.ahrq.gov/ncepcr/reports/index.html
February 01, 2024 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Technical Brief on Incorporation of Social Risk in Primary Care
The U.S. … Preventive Services Task Force (USPSTF) published a manuscript in JAMA that assesses how social risks … statements and identifies current gaps in the evidence needed to expand the systematic inclusion of social risks
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talkingquality.ahrq.gov/patient-safety/patients-families/index.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
This toolkit … Research Summaries for Consumers
These free research summaries discuss the benefits and risks of different
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - Admin.
3
High-Alert Medications1
High-alert medications are “drugs that bear a heightened risk of … These medications require special safeguards to reduce the risk of errors, such as the following:
Improving … Ensures a shared mental model of plan of care and perceived risks—
between shifts
between units
between … Admin.
15
Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of oxytocin … Admin.
26
Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of intrapartum
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - To
reduce the risk of errors, these medications
require special safeguards such as the
following: … The key safety elements are the following:
• Discussing risks and benefits of
oxytocin use for labor … Using the maintenance
infusion to administer a bolus
manually is a high-risk practice that
should … transition communication
techniques to ensure a shared
mental model of plan of care and
perceived risks … The key safety elements are the following:
• Having unit-established processes
for conveying risks
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talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-8.html
September 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … health coaches (registered nurses, dietitians, respiratory therapists, and pharmacists) who help at-risk … challenging to translate the probabilistic nature of the evidence about treatments when discussing the risks … Each publication provides background on a specific clinical condition while comparing the benefits, risks … Using plain language, the booklet describes the basics of blood pressure and the risks of hypertension
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Discovery form
· Root cause analysis
· Eindhoven model
· Failure mode and effects analysis
· Probabilistic risk … of transition communication techniques assures a shared mental model of plan of care and perceived risks … · Include a discussion of risks and benefits of using continuous EFM versus intermittent auscultation … timely, clear information to patient and family to explain what is happening, what needs to happen next, risks
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talkingquality.ahrq.gov/questions/videos/index.html
August 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Patients and families who engage with healthcare providers help lower risks and improve their care.
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talkingquality.ahrq.gov/ncepcr/research/health-literacy.html
September 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … step process for shared decision making that includes exploring and comparing the benefits, harms, and risks
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talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/index.html
March 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
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talkingquality.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Protection of Human Subjects
The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk … Priorities include:
Research on patient safety
Identification of risks, hazards, and patient harm … patient safety practices) and the adaptation, refinement, and sustainment of those strategies to address risks … Patient characteristics that might influence the risk of experiencing a patient safety event, for example … to develop, implement, evaluate, and spread effective patient-centered models of care for people at risk
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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Slide 4: High-Alert Medications 1
High-alert medications are "drugs that bear a heightened risk of … 4,5 , 6,7
Use of a uniform mixed preparation unitwide for all patients to reduce variability and risk … Ensures a shared mental model of plan of care and perceived risks—
Between shifts. … Slide 16: Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of oxytocin … Slide 27: Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of intrapartum
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talkingquality.ahrq.gov/npsd/quality-patient-safety/index.html
August 01, 2020 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … sufficient volumes of patient safety data to identify more rapidly the trends and underlying patterns of risks
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talkingquality.ahrq.gov/news/blog/ahrqviews/ahrq-in-2020.html
January 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … explored several timely topics, including the use of human factors engineering to reduce patient safety risks … possible to identify and track patient safety concerns and sets the stage for learning how to mitigate risks … Top prize winners developed innovative plans to identify women at risk and provide needed support.