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  1. teamstepps.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
  2. teamstepps.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
  3. teamstepps.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
  4. teamstepps.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
  5. teamstepps.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
  6. teamstepps.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.
  7. teamstepps.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
  8. teamstepps.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.
  9. teamstepps.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
  10. teamstepps.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
  11. teamstepps.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.
  12. teamstepps.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.
  13. teamstepps.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
  14. teamstepps.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
  15. teamstepps.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
  16. teamstepps.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/east-asheville.html
    March 01, 2021 - East Asheville team "rolled up its sleeves and worked together to develop a way to do [heart disease risk … systems—including the practice's own EHR—could not extract the crucial data needed to calculate the risk … While some practices might have given up once it was clear it was not possible to get the risk scores … As a result, in the first eight months of 2017, East Asheville calculated heart event risk scores for … "It's very powerful for patients to see their risk of a heart attack over the next 10 years," said James
  17. teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
    June 05, 2016 - In column E, “Volume of Cases at Risk,” indicate the annual volume of each PSI, IQI, and/or PDI event … Patients who experience adverse events often tend to have more comorbidities and other risk factors … Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 2 Tool C.1 costs and risk … To determine this number, for each PSI, IQI, and/or PDI, multiply column E, “Volume of Cases at Risk … the best way by which executives can review the execution of projects, identify gaps, and spot new risks
  18. teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
    January 01, 2012 - 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 … o Agrees on the use of a standard risk assessment tool (for example, Braden Scale); facilities may … ulcer risk assessment will be used as the standard in your organization. … Risk assessment & prevention of pressure ulcers.
  19. teamstepps.ahrq.gov/nursing-home/learning-modules/post-vaccination.html
    December 01, 2022 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … This series of two learning modules features strategies to help nursing home teams minimize infection risk … Module 1: Minimizing Infection Risk: Protect The safety precautions that you take are just as important … HD version ] Module 2: Minimizing Infection Risk: Prevent Vaccinations can prevent severe illness
  20. teamstepps.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … The pandemic has undoubtedly put those successes at risk, but this study should provide motivation for … After adjustment, the relative risk of experiencing an adverse event diminished for all five patient

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