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Showing results for "risks".

101. The Comprehensive Unit-based Safety Program (CUSP) | Agency for Healthcare Research and Quality
     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

102. What is the NPSD’s Role in Quality and Patient Safety? | Agency for Healthcare Research and Quality
     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

103. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
     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

104. Ready or Not: Helping Patients Address Tobacco Use | Agency for Healthcare Research and Quality
     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

105. Aspirin, Heart Disease, and Stroke Pamphlet: American Stroke Association | Agency for Healthcare Research and Quality
     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

106. Appendix C. Site Visit Protocol | Agency for Healthcare Research and Quality
     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?

107. 205. Specific Populations and Other Topics (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide205.html
     October 01, 2014 - Pregnant Smokers Recommendation: Because of the serious risks of smoking to the pregnant smoker and

108. Shared Decisionmaking: Improving Patient Safety, Education, and Empowerment (pdf file)
     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

109. Smoking Cessation Academic Detailing Guide for Practices | Agency for Healthcare Research and Quality
     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

110. Tools for Sustainability: Premortem and Scorecard: Slide Presentation | Agency for Healthcare Research and Quality
     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.

111. PowerPoint Presentation: Premortem for Sustainability
     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.

112. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
     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

113. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
     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.

114. Chapter 3. Risk-Informed Interventions | Agency for Healthcare Research and Quality
     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

115. Research on Person-Centered Care
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
     June 27, 2024 - 10 patients per clinician 32 Methods – 4 Intervention Components 33 Patient completes Health Risk … Assessment and is presented with identified risk areas Patient decides what they want to work on and … Recruited 457 patients 187 intervention patients 270 control patients 36 Findings – Everyone Had a Risk … 93 45 7 2 # care plans 0 1 2 3 4 5 6 14 115 53 5 Mental Health Risks # health risks 0 1 2 > 3 62 … Access to / linking to outside services and community referrals Protocol of opioid prescribing High-risk

116. Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study (pdf file)
     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

117. AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
     June 01, 2025 - Similarly, many widely used clinical risk calculators, such as the CHA₂DS₂-VASc score for stroke risk … delivery, it also introduces new risks that must be carefully understood and addressed. … To maximize the benefits of AI while minimizing harm, it is critical to examine the underlying risks … In healthcare, hallucinations pose an even greater risk. … Given the risks of bias, hallucinations, and lack of transparency described above, this shift places

118. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     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.

119. Staff Safety Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/safety-assessment.html
     March 01, 2017 - Safety Program for Long-Term Care: HAIs/CAUTI Purpose: To tap into your experience to determine risks

120. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
     April 01, 2025 - 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. … flag’ a recent MRSA infection Marta received standard antibiotic prophylaxis but no coverage for MRSA risk … Framework for analysing risk and safety in clinical medicine. BMJ. 1998 Apr 11;316(7138):1154-7.