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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
October 01, 2024 - Hospitals face pressures, including balancing safety risks with costs. … providing essential safety-related information, but clear lines are drawn between human error and at-risk … Due to psychological safety, there is no risk when people report their errors and near-misses. … The hospital does not have a standard VTE risk assessment protocol. … Framework for analyzing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7.
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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/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
June 02, 2025 - They should also join frontline providers and managers for rounds and a monthly meeting to discuss risk … The senior executive should:
· Work with team members to consider patient risks identified in the Staff … ,
· Help prioritize risks and develop an improvement plan, and
· Hold himself or herself and unit staff … with their teammates to tackle risks at the unit or hospital level. … Further, when prioritizing risks and developing an improvement plan with the team, senior executives
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
May 01, 2017 - The CUSP model draws on the wisdom of frontline providers who have practical knowledge about safety risks … 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/npsd/quality-patient-safety/index.html
August 01, 2020 - sufficient volumes of patient safety data to identify more rapidly the trends and underlying patterns of risks
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www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
January 01, 2024 - The following HFE
prospective risk identification methods were used to identify potential risks: (a) … HFE risk prioritization methods were used through
focus groups. … The more likely a safety risk is to contribute to negative
outcomes, the more important the safety risk … Once importance of safety risks was calculated, actionability
on those safety risks also needed to be … (72 hours)
• Moderate risk (48-72 hours)
• High risk (24-48 hours)
The home care visit occurred in
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www.ahrq.gov/topics/antimicrobial-stewardship.html
members understand what the nursing home is doing to make sure antibiotics are used properly, what the risks
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www.ahrq.gov/evidencenow/heart-health/smoking/use.html
August 01, 2018 - Tobacco Use
Resource description: This script and slide deck from a 14-minute presentation cover the risks
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www.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
September 01, 2018 - description: This patient education booklet explains how heart attack and stroke happen, and the potential risks
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
April 01, 2018 - Risk-Informed Interventions
Chapter 4. Conclusions and Next Steps
Appendix A. … If and when is the patient or family instructed of potential risks for surgical site infection? … patient populations
At-risk procedures, such as those requiring invasive devices
Causes, risks, … What the potential infection risks with this process? … What steps does the surgical team take to reduce the risk?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-2.pdf
September 01, 2016 - It includes exploring and comparing the benefits
and risks of each option within a clinical decision … went to the health center, I wanted my doctor to
give me an antibiotic, but once I understood the risks
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www.ahrq.gov/evidencenow/heart-health/smoking/detailing.html
August 01, 2018 - Primary Care
Resource description: This facts-at-a-glance handout for clinicians summarizes evidence, risks
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-slides.html
February 01, 2017 - Identify risks to sustaining your efforts with Premortem Tool. … Recognize risks to sustaining progress:
Staff turnover.
Overlying priorities. … Target the potential risks for failure to achieve sustainment goals. … Post the stories of reduced risks (include data!).
Celebrate your success.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
December 01, 2017 - sustainability perspective
Use the Comprehensive Unit-based Safety Program (CUSP) Premortem Tool to identify risks … The premortem tool proactively raises awareness to potential risks, providing teams the opportunity to … Target the potential risks for failure to achieve sustainment goals
Remember that sustainability is a … SAY:
Target potential risks for failure in order to achieve success in sustainment.
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www.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - The toolkit provides ways to educate residents and their family members about antibiotics and the risks … is a handout that can be given to residents to provide basic information about antibiotics and their risks … Need Them Can Cause More Harm Than Good is a handout that can be given to residents to explain the risks
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk is reduced? … Do staff members believe risks were reduced? … Slide 44: How Will You Know Risks Were Reduced? … Slide 45: How Will You Know Risks Were Reduced?
Image. LFD Tool Step 4. … Post the stories of reduced risks (with data!).
Share with others.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdf
May 27, 2008 - The Risks Digest36 can be viewed as an online continuation of this work. … Available at:
catless.ncl.ac.uk/Risks/23.64.html#subj4. Accessed
February 29, 2008. … Computer-related risks. … Managing the risks of organizational
accidents. … The risks digest. Available at:
catless.ncl.ac.uk/Risks/. Accessed February 29, 2008.
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www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - Risk-Informed Interventions
Previous Page Next Page
Table of Contents
Proactive Risk … Contents
Importance Measures
Importance measures are used to rank the most significant individual risks … of the other risks in the model. … For example, the Birnbaum measure ranks the risks based upon the relative contribution of individual … beneficiaries in ASCs and sponsors the integrated data sources necessary to investigate ASC infection risks
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
June 02, 2025 - Physicians took
on a quality improvement (QI) project to enhance the
assessments of opioid treatment risks … in the clinic’s older
adult population, including the risk of developing opioid
use disorder (OUD) … ▶ They conducted a one-hour training on risks of opioid use in older adults for 27 staff. … Focus on High Leverage Change: Risk Assessment
PRACTICE SNAPSHOT:
Westfield Family Physicians
▶ A … 25%
Quality Improvement Tools Implemented
▶ A modified existing EHR dot phrase to identify opioid risks
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - Slide 28: How Will You Know Risks Were Reduced? … Ask:
How will you know the risks were reduced? … Slide 30: How Will You Know Risks Were Reduced? … Ask:
Are there other ways to assess whether risks were actually reduced? … With supporting data, show your staff the reduced risks for patient harm.