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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/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
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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/antibiotic-use/long-term-care/improve/discuss-concerns.html
June 01, 2021 - communication may help residents and family members requesting antibiotics understand that there are potential risks
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www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/sparc-grantee-profile.pdf
January 01, 2024 - PACT is implementing targeted approaches for older adults and
individuals with complex needs or social risks … To
address social risks, JH PACT is adopting a standardized screening
process for social determinants
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - able to administer it, and conduct a premortem exercise with your team to proactively identify safety risks … With this information, we are able to develop and implement interventions that help us to reduce the risk … The next step is asking, what will you do to reduce the risk of this defect? … The final, very important step—which often gets overlooked—is, how do you know the risk was reduced? … that exist within their clinical area and about how those risks can be prevented.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - able to administer it, and conduct a premortem exercise with your team to proactively identify safety risks … With this information, we are able to develop and implement interventions that help us to reduce the risk … The next step is asking, what will you do to reduce the risk of this defect? … The final, very important step—which often gets overlooked—is, how do you know the risk was reduced? … that exist within their clinical area and about how those risks can be prevented.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - May focus on a particular risk factor. … Report—High Risk. … Identify residents with recent changes in risks.
Profile risks for each resident in report. … Each Self-Assessment Worksheet is designed to help nursing home staff review how they:
Screen for risks … Mitigate those risks.
Prioritize residents who may need care plan changes.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - May focus on a particular risk factor. … Quarterly Summary of Falls Risk Factors (by Unit or Facility). … Identify residents with recent changes in risks.
Profile risks for each resident in report. … Each Self-Assessment worksheet is designed to help nursing home staff review how they:
Screen for risks … Mitigate those risks.
Prioritize residents who may need care plan changes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - Does information exist to identify residents at risk?
How can this information be used? … preventing adverse events
Proactive rather than reactive
Identify residents with recent changes in risks … Profile risks for each resident in report
Prioritize residents for possible changes to their treatment … Worksheet
Each Self-Assessment worksheet is designed to help nursing home staff review how they:
Screen for risks … Mitigate those risks.
Prioritize residents who may need care plan changes.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - Does information exist to identify residents at risk?
How can this information be used? … May focus on a particular risk factor. … Identify residents with recent changes in risks.
Profile risks for each resident in report. … Each Self-Assessment worksheet is designed to help nursing home staff review how they:
Screen for risks … Mitigate those risks.
Prioritize residents who may need changes to care plans.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - Does information exist to identify residents at risk?
How can this information be used? … preventing adverse events
Are proactive rather than reactive
Identify residents with recent changes in risks … Profile risks for each resident in report
Prioritize residents for possible changes to their treatment … Worksheet
Each Self-Assessment worksheet is designed to help nursing home staff review how they:
Screen for risks … Mitigate those risks.
Prioritize residents who may need changes to care plans.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/154-performing-pre-mortem-project-assessment.pptx
October 01, 2024 - Gain prospective hindsight5
Reduce overconfidence
Involve cross-functional teams
Align team on project risks … the Process
To keep your program going strong, meet again and continue to “look forward” and mitigate risks
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/108-performing-premortem-project-assessment.pptx
April 01, 2025 - Gain prospective hindsight5
Reduce overconfidence
Involve cross-functional teams
Align team on project risks … the Process
To keep your program going strong, meet again and continue to “look forward” and mitigate risks
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
June 02, 2025 - to the patient’s absolute CVD risk. … On the other hand, the adverse
effects appear to be relatively independent of CVD risks. … different levels of
underlying CVD risks. … It assumes a relative risk reduction of 25% with statin therapy. … Most trials enrolled patients with some
elevation in LDL or who had elevated risks due to diabetes.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-sw.pdf
April 03, 2017 - strategies to
the more standard approaches to practice transformation for reducing cardiovascular risks … Possible discomforts or risks include a minimal risk of loss of confidentiality. … There may be risks
the researchers have not thought of.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3b.html
October 01, 2014 - Risk assessments of residents for falls include all of the following except:
Strength. … The team has to watch out for any environmental risks.
Everything has to be documented. … An individual's condition and treatment can directly impact his/her fall risk. … The team has to watch out for any environmental risks.
Everything has to be documented. … An individual's condition and treatment can directly impact his/her fall risk.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - Summary scores from the FMEA are presented in Table 1, which shows the
relative risk for each step as … risks on the
highest risk steps. … Across all steps, risks were estimated to decrease by 45 percent.
Table 2. … The FMEA predicted that the IT strategy implemented in
one IDS reduced risk scores in the highest risk … Managing the risks of organizational
accidents.
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www.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
August 01, 2018 - involvement of human subjects and proposed protections according to the following review criteria:
Risk … Adequacy of protection against risks. … various reasons, some related to the claims about the research protocol (e.g., for exemption or the risk … inadequate procedures to maximize privacy and confidentiality or subjects not adequately informed about risks