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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assessment.html
July 01, 2023 - nonclinical staff (e.g., health unit coordinators and environmental services personnel) to find out what risks
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www.ahrq.gov/topics/care-coordination.html
January 01, 2014 - to enhance existing or emerging care management programs: (1) identify population(s) with modifiable risks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - It reduces risks for future patients by improving work processes and increasing compliance. … Slide 27
How Will You Know Risks Were Reduced?
ASK:
How will you know the risks were reduced? … Slide 29
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.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
February 18, 2025 - – Introduce topic and speakers
• Hardeep Singh, MD, MPH – Overview of the need for proactive
EHR risk … released 2014 & revised 2016 & 2024
• Self-assessment using recommended practices:
► Focused on high-risk … • Perform independent real-world testing with local data to reduce risks
to patient safety. … Recommendation
• Provide high-quality training programs for clinicians, including:
► Awareness of risks … and benefits.
► Consent-style agreements acknowledging understanding of risks
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapb.html
March 01, 2013 - epidemiologic sources), communicable disease (food/water/air/waste/vector borne), environmental health risks … epidemiologic sources), communicable disease (food/water/air/waste/vector borne), environmental health risks … epidemiologic sources), communicable disease (food/water/air/waste/vector borne), environmental health risks
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www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
January 01, 2025 - Hospitals reporting higher SSI risks will receive lower
reimbursement. … In general, deep incisional and
organ/space SSIs are associated with a two- to four-fold relative risk … of death during the post-
operative hospitalization and a five- to six-fold relative risk of readmission … For modeling risks, each hospital’s risk in a given year was
assessed as a predictor of its risk in … The net result for the
SSI risks was the proportion of the following year’s risk that is the result
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www.ahrq.gov/hai/tools/mvp/modules/cusp/staff-safety-asst.html
January 01, 2017 - The purpose of this tool is to tap into frontline knowledge to find risks on your unit that impact patient
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-1.html
June 01, 2021 - Accessed June 1, 2021.
2015 CRICO Strategies National CBS Report: Malpractice Risks in Communication … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
April 01, 2025 - There are several risks associated with prolonged prophylaxis. … , and increased risk of acute kidney injury. … Slide 18
Benefits and Risks of IV Vancomycin
SAY:
There are benefits to including IV vancomycin as … Therefore, again, the benefits must be weighed against the risks. … Slide 39
Case Study: How To Know Risk Is Reduced?
SAY:
How do you know that risk is reduced?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
July 28, 2016 - Description
This tool provides discharge planners with a set of prompts to identify readmission risks … and to take steps to ensure those risks are addressed in the transitional care (discharge) plan. … message from this person-centered view of readmissions is that no single issue defines readmission risk … Take a “whole-person” view of transitional care and ongoing care needs to better identify not only risk … team from the outpatient setting.
2
Whole-Person Care Transitional Planning Tool
3
Readmission Risks
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
August 01, 2024 - References
Diagnostic error was found to be one of the most prominent patient safety risks … incident reporting system, enabling employees to report potential adverse events, near-misses, or areas of risk
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www.ahrq.gov/news/newsletters/e-newsletter/index.html
August 05, 2025 - Strategies To Reduce Emergency Department Boarding
March 18, 2025
Study Finds More Health Risks … Flourishing Market for Biosimilar Drugs
December 17, 2024
COVID-19 Surges Tied to Higher Risks
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www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
January 01, 2024 - Results:
The HFMEA process identified 40 high-risk failure modes and 75 associated high-risk
causes. … We
applied HFMEA to identify risks in care transitions involving the discharge of newborns
with complex … However, few
published studies describe the risks of care transitions in the pediatric population. … failure modes and 75 high-risk
causes. … We identified risks related to lack of communication
between care providers in the hospital, between
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-slides.html
December 01, 2017 - Use the Comprehensive Unit-based Safety Program (CUSP) Premortem Tool to identify risks to sustaining … Target the potential risks for failure to achieve sustainment goals.
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt4.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F. … Process Measures
The prolonged use of indwelling urinary catheters is a significant risk factor for … knowledge of those who cared for the patient just before their symptoms began improves understanding of any risks … Involve those same staff members in brainstorming ways those risks may have been mitigated.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
October 01, 2024 - wants the project to succeed so badly that unconscious bias will lead the group to underestimate the risks … improving environmental cleaning, invite members of the environmental cleaning team.
· Align on project risks … the Premortem Project Assessment is the opportunity to make plans and take actions to mitigate the risks
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www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F. … Poster on Urinary Catheter Risks and Indications ( PDF , 508 KB)
Appendix F.
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www.ahrq.gov/sdm/share-approach/index.html
October 01, 2024 - model with five essential elements for meaningful dialogue with patients exploring benefits, harms, and risks
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www.ahrq.gov/news/newsletters/e-newsletter/941.html
December 01, 2024 - Register Now: Jan. 16 Webinar Will Explore Addressing Health Risks in Older Adults . … Register Now: Jan. 16 Webinar Will Explore Addressing Health Risks in Older Adults An AHRQ webinar on … including challenges and recommendations for practice improvement, research and policy to reduce the risk … AHRQ-funded researchers will discuss their primary care research on tools and approaches that address risks … A model for predicting clinically significant prostate cancer using prostate MRI and risk factors.
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www.ahrq.gov/nursing-home/resources/osha-covid-19-standards.html
May 01, 2022 - illness recording criteria; and applications of standards related to sanitation and communication of risks