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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
March 01, 2022 - The image below
illustrates a range of risk of spreading COVID-19 for diff erent activities. … example, a social activity such as an exercise group could be offered in multiple
ways to minimize risk … Visitation
Nursing homes should develop visitation policies for a variety of scenarios, keeping in mind the risks … For example, outdoor visits
generally pose fewer risks than indoor visits, but weather and medical conditions … for outdoor visits may increase the risk of overheating
or dehydration.
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www.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Residents and their family members may not know how antibiotics should be used or understand the risks … them understand what the nursing home is doing to make sure antibiotics are used properly, what the risks
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
January 01, 2024 - Factors
and Safe Design
High Reliability
and Systems
Thinking
Communication
Detecting
Safety Risks … and Events
Safety Risk and
Event Reporting
Responding to
Safety Risks
and Events
Safety Science … Domains 6-9
13
Domain Title Included Knowledge Themes
Detecting, Reporting, and Responding
to Safety Risks … and Events
• Identifying and Mitigating Safety Risks
• Safety Reporting
• Responding to Safety Events … Patient Safety Risks and Solutions
4. Measuring and Improving Performance
5.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
May 01, 2013 - ● Rates of cesarean delivery for women without other risk factors can be influenced by the number … College of Obstetricians and Gynecologists
(ACOG).7 The 2013 ACOG Committee Opinion cites evidence of risks … than vaginal birth, including risks to mothers and children, and
only 4 dimensions where vaginal birth … had greater risk than cesarean delivery.8
Advantages of the Measure
● This measure is specified to … Comparing risks of cesarean and vaginal birth to mothers, babies, and
future reproductive capacity: a
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www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
January 01, 2025 - Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers
Risk-Informed … Healthcare risks are common
in pediatrics and have been demonstrated to lead to avoidable harm. … Healthcare, as a life-critical industry,
must assess existing risks and improve the reliability of the … and interacting
communication, coordination, and assessment risks. … Managing the Risks of Organizational Accidents.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Leadership and Culture:
Are governance/senior leaders regularly and thoroughly briefed on risks and … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings? … Is a risk manager available at all times to respond to patient safety incidents?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
April 01, 2025 - 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/ncepcr/research/health-literacy.html
October 01, 2024 - step process for shared decision making that includes exploring and comparing the benefits, harms, and risks
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www.ahrq.gov/priority-populations/observances/bhm/grantees.html
February 01, 2021 - face-to-face conversation and engages women in an empathic dialogue to educate them about their health risks … In a randomized control trial, it significantly reduced participants’ risks.
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www.ahrq.gov/nursing-home/resources/module-11c-water-management-program.html
May 01, 2022 - At the conclusion of this module, participants will be able to: (1) identify the risks of pathogen transmission
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
June 01, 2023 - Cross-Monitoring
Ongoing cross‐monitoring of the care environment helps everyone recognize risks
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
April 01, 2022 - A strong culture of safety can bolster staff resiliency and lower the risks of burnout. … Keep in mind that process defects may be identified that did not cause harm but put patients at risk … · How will you reduce the risk of the defect happening again? … · How will you know the risk is reduced? … second-order problem solving focused on learning the origins of a defect and devising solutions to lessen the risk
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www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
December 01, 2012 - They should also join frontline providers and managers for rounds and a monthly meeting to discuss risk … Involve frontline providers to help reduce risks. … By addressing patient risks identified in the Staff Safety Assessment, senior executives are partnering … 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
-
www.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
February 01, 2023 - morbidity and mortality by about 20 percent; it also reduces hospital admissions by 28 percent and the risk … Diagnosing and treating heart disease in its early stages is crucial to reducing patients’ risks of serious … collection of resources to help primary care practices implement the best evidence for reducing cardiac risks … It includes Integrating Cardiovascular Disease Risk Calculators into Primary Care , a guide to help … primary care physicians assess their patients’ risk of a cardiovascular disease event.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
July 01, 2023 - Preoperative briefing
The briefing reviews the plan ahead for patient care and the risks or concerns … It includes reviewing patient information, procedure, indications, risk, medical history, fetal status … Probabilistic risk assessment.
Causal tree worksheet. … of transition communication techniques assures a shared mental model of plan of care and perceived risks … Patient and Family Engagement (CUSP Module)
Communicate risks and benefits of cesarean delivery
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www.ahrq.gov/sdm/education-training/index.html
October 01, 2024 - and clinical teams can use these strategies to ensure that people understand the benefits, harms, and risks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - RAISE AWARENESS AND UNDERSTAND THE RISKS OF INDWELLING URINARY CATHETERS
Possible misconceptions: … risk for urinary tract infections and may cause other complications such as
multidrug-resistant organisms … , additional antibiotics leading to increased risk of
Clostridium difficile infection, immobility (Foley … RAISE AWARENESS AND UNDERSTAND THE RISKS OF INDWELLING URINARY CATHETERS
“All immobile intensive
“It
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
July 01, 2023 - In obstetrical emergencies where benefit-to-risk ratio favors surgical intervention. … of error. 12
The risks and benefits of low- versus. high-dose oxytocin protocols remain an active … Probabilistic risk assessment.
Causal tree worksheet. … Use unit-established process for conveying risks and benefits of oxytocin use to patient and family. … and documentation of the discussion about risks, benefits, and alternatives should be documented to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/staffsafetyassess.doc
June 02, 2025 - This form is designed to tap into your experience at the front line of patient care to determine what risks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
January 01, 2017 - sustainment and spread
Plan key actions for sustainment
Prioritize needs for successful sustainment
Identify risks … Avoid recidivism, or backsliding
Respect probability of failure over time
Recognize risks to sustaining … Target the potential risks for failure to achieve sustainment goals
Remember that sustainability is a … per quarter
Consider participating in morbidity and mortality conferences
Post the stories of reduced risks