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talkingquality.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … This change may involve giving people freedom and discretion, encouraging risk-taking and speaking up … Implementing TeamSTEPPS at this time could engender significant risk that it will not succeed or produce
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - central venous catheters are increasingly used outside the
intensive care unit, putting more patients at risk … catheters in adults.2
o Use of the femoral vein should be avoided except in an emergency.2,7
o The risks
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - What happens if a patient is found to have risk factors or experiences a fall? … Slide 13
SAY: Here is an example of a process map from an initial patient risk assessment using the … The gray boxes are the risk assessment processes. … notice that the ED’s EMR does not interface with the ICU’s EMR, which creates problems in completing the risk … Note all the places where the risk assessment can break down.
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talkingquality.ahrq.gov/funding/process/review/peerproc.html
July 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Protection of Human Subjects from Research Risk: The involvement of human subjects and protections from … research risk relating to their participation in the proposed research will be assessed See the "Human
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/847.html
January 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Severe maternal morbidity and mortality risk at the intersection of rurality, race and ethnicity, and … Association of registered nurse staffing with mortality risk of Medicare beneficiaries hospitalized with
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/822.html
July 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … illness and death, up to half of all prescriptions are medically inappropriate and may increase the risk … series of two self-paced video modules for frontline nursing home staff designed to minimize infection risk
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talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … What happens if a patient is found to have risk factors or experiences a fall? … Slide 13
Say: Here is an example of a process map from an initial patient risk assessment using … The gray boxes are the risk assessment processes. … Note all the places where the risk assessment can break down.
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talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/oklahoma.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Progress under EvidenceNOW included:
Increasing blood pressure measurement for patients at risk of
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talkingquality.ahrq.gov/news/blog/ahrqviews/unhealthy-alcohol-use-during-covid19.html
April 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … implement screening for unhealthy alcohol use, brief behavioral counseling for those identified at high risk
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talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … A Unit Team comprises staff members who provide daily direct patient care by:
Conducting fall risk … Slide 19: Electronic Health Record
What information about fall risk factors is already part of the … the most logical place in the record to collect, organize, and assess information about patient fall risk
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talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/northwest.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … need to help their patients adopt the ABCS of cardiovascular disease prevention: A spirin in high-risk … educational outreach intervention learned about team-based implementation of a cardiovascular disease risk
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talkingquality.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Antibiotics, airway risk, allergies? … Airway risk.
Access issues.
Bleeding concerns (e.g., anticoagulant use). … Airway risk - 20% Yes.
Beta blockers - 40% Yes.
Antibiotics redosing time - 0% Yes.
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talkingquality.ahrq.gov/hai/clabsi-tools/appendix-5.html
March 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … protection
Assistant: Cap, mask, isolation gown and gloves, eye protection (if at risk
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talkingquality.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.html
January 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … emergency departments that have ready laboratory access, but primary care practices use only the four other risk
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talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … ___
___
Organizational Structure
Organizational chart showing connections among safety, risk
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talkingquality.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
February 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … On-Time Falls Prevention to help nursing homes with electronic medical records identify residents at risk
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Slide 15
SAY: The Toolkit includes evidence-based and effective risk assessment tools. … Tailoring pressure injury interventions to address individual patient risk factors is a best practice … For example, are staff individualizing care plans according to risk factors found on risk assessment? … SAY: Equally important for sustainability is to ensure that prevention strategies to decrease the risk … Some of the practices, such as doing a pressure injury risk assessment upon admission, can be hardwired
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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Be able to intervene to minimize risk of serious harm and further deterioration. … Probabilistic Risk Assessment.
Causal Tree Worksheet.
Interdisciplinary Case Reviews. … of transition communication techniques to ensure a shared mental model of plan of care and perceived risks
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talkingquality.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Teams that do not communicate effectively significantly increase their risk of committing errors.
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talkingquality.ahrq.gov/research/publications/search.html?page=17
March 01, 2010 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … It includes articles on reporting systems, risk assessment, safety culture, medical simulation, patient