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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt2.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F. … The CUSP model draws on the wisdom of frontline providers who have practical knowledge about safety risks … Through use of the Learn From Defects tool, it provides a way to help analyze and reduce the risk of … which errors are treated as an opportunity to learn about root causes and prevent future errors and risks
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www.ahrq.gov/funding/grantee-profiles/grtprofile-carayon.html
March 01, 2019 - value of human factors and systems engineering as a method to understand and reduce patient safety risks … the science of how to design and manage complex human-centered systems, has long been used in high-risk … of Wisconsin-Madison, has used AHRQ funding to devise solutions to previously hidden patient safety risks … These patients are at higher risk for patient safety issues that can require repeated ED visits or hospital … Carayon will create a “patient safety passport” that helps clinicians identify and prevent risks that
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www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - Risks for medication-related harms in ambulatory care are multi-dimensional and complex (6, 7). … assessment tool to document
medication safety risks during the transition period and in the home. … A theoretical framework of risks and hazards for medication-related adverse events.
Table 1. … Significance
The project developed a risk assessment tool that may be implemented to reduce risks of … and sources of risks
identified in this project.
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www.ahrq.gov/innovations/will-work/how-to.html
February 01, 2021 - What are the risks?
Can we do it here?
Are we ready for this change? … Potential Risks
What types of risk will we face? … How do we assess potential risks?
III. Can we do it here?
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www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/surgery/tips/tipsurgery.pdf
October 05, 2005 - No surgery is risk free. … It is important to learn
about the possible benefits and risks involved
in the surgical procedure you … What are the risks of having the operation?
6. What will happen if I don’t have this
operation?
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/co-nm-specialinnovation.pdf
January 01, 2020 - Problems Addressed
• Adolescence is a time when numerous risks to health
emerge.1 Failure to assess … these risks systematically can
cause providers to miss opportunities to intervene and
change risky … In general, discussing health risks with adolescents can
promote healthy habits and improve care overall … Lack of electronic data
makes it hard to track whether students’ risks have
been addressed, both on … • Providers credited the eSHQ with facilitating discussions
about risks with adolescents and referrals
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - ST-
PRA is particularly helpful for estimating risks in outcomes that are very rare, such as the risk … ST-PRA is particularly helpful for estimating risks in outcomes that
are very rare, such as the risk … and combinations of risks, and
the design of an intervention aimed at reducing the risk of SSIs. … of the other risks in the model. … unique combinations of risks that
contribute to the adverse outcome.
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www.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - For example, many Americans have trouble understanding numerical expressions of risk. … Interrupting is OK if patient understanding is at risk. … “Every treatment has some risks. … Some goals may be long-term, such as reducing the risk of future injury or illness, or living as long … When there's a risk of harm rather than a virtual certainty, it can be challenging to explain.
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www.ahrq.gov/talkingquality/explain/communicate/reason.html
November 01, 2018 - In general, advertisers and marketers believe that messages that emphasize risks people face are more … hospital information found that when quality information is framed in terms of helping people avoid risks … hospital, people understand it better, value it more, and are more willing to make tradeoffs to avoid risk … home data at all. [3]
These findings suggest that when people need to be reminded that there is a risk … because many people believe they all offer about the same quality of care and don’t think about the risks
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www.ahrq.gov/news/newsroom/case-studies/ktcoe47.html
October 01, 2014 - the literature on adult use of second-generation antidepressants, comparing the drugs' benefits and risks … prescribed because first-generation antidepressants can cause intolerable side effects and carry high risks
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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - Quality (AHRQ R21 HS19532).
1
ABSTRACT
Purpose: Physician-patient miscommunication with inadequate risk … Risk management resources were compared by estimated time and costs for processing patient
complaint … Informed
consent accounted for 41% of total risk management files. … the lists of risks to combine minor risks lacking numerical estimates of probability. … of total
risk management files) and 47 medical errors (24% of total risk management files).
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17143-Minnitti-draft-1.pdf
August 31, 2009 - Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment … medication management behavior risks that should be further explored by health systems? … At times, patients are aware of the potential risk, and at other times they
learn about the risk only … Medication Management at Home: Patient Identified Processes and Risk
Assessment. … Medication Management at Home: Patient Identified Processes and Risk Assessment.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - CULTURE
Have leaders established methods to identify risks and provide employees opportunities … FUTURE RISKS
Are there other areas in the organization where this could happen?
… FUTURE RISKS
Are there opportunities to improve trainings, competencies and orientation sessions
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www.ahrq.gov/research/findings/evidence-based-reports/nutritn4tp.html
April 01, 2018 - Results: In RCTs, the summary relative risks for all-cause mortality (17 trials, 51,264 patients) and … dose-response meta-regressions, mean EPA and DHA intake up to 0.20 grams daily was associated with decreased risk … intake, 95% CI: 0.46, 0.89—data from 7 cohorts, 123,122 participants), with no significant change in risk
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www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - Replacing these artefacts by computerized versions may introduce new
risks.
Methods. … Although this
malleability leads to risks of its own, they seem to be more than balanced by the risks … Organizing patient safety research to identify risks and
hazards. … Managing the Risks of Organizational Accidents. … Reducing Risks, Protecting People: HSE's Decision-
making Process.
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www.ahrq.gov/hai/cusp/modules/engage/alt-text.html
April 01, 2013 - Joins frontline staff and middle manager for rounds and a 1-hour monthly meeting
Considers patient risks … and involves frontline personnel in creating ways to mitigate those risks
Reviews unit data with team … 13
Collaborates To Develop and Implement a Plan Addressing Safety Issues
Considers patient risks … identified in the Staff Safety Assessment with team members
Involves frontline providers to help reduce risks
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www.ahrq.gov/chain/patient-tools/medicine-safety/mental-health-problems-foster-children.html
March 01, 2017 - You and your doctor can carefully weigh the possible benefits and risks of taking a psychotropic medicine … written permission:
Your child's diagnosis
The results of any lab tests
Possible benefits and risks … common but possibly severe side effects such as seizures or life-threatening allergic reactions
The risks … What are the possible benefits and risks of treatment? What are the risks of no treatment?
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www.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - often are not ready to take on the responsibility for medication management, including during the high-risk … Xiao also identified hazards or preventable risks to medication safety for older adults during care … The project also aims to identify medication risks to patient safety among underserved populations with … The goal of that 4-year project was to understand and reduce risks of central line-associated bloodstream
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk was reduced? … Slide 28: How Will You Know Risks Were Reduced? … Do staff believe risks were reduced?
Make data-driven metrics the goal whenever possible. … Slide 29: How Will You Know Risks Were Reduced?
Identify how you will measure success. … Slide 30: How Will You Know Risks Were Reduced?
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www.ahrq.gov/evidencenow/heart-health/smoking/pcor.html
August 01, 2018 - Resource description: This EvidenceNOW fact sheet provides an overview of PCOR findings about the risks