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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/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/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/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/sites/default/files/wysiwyg/research/findings/final-reports/22916-Arbaje-report.pdf
January 15, 2018 - 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/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
August 08, 2012 - 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/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/workshop/module2/shareworkshop-mod2slides.ppt
January 01, 2014 - .
*
Discuss the benefits and risks of each treatment option. … When you know the treatment options and how they compare to one another in terms of benefits and risk … Help clarify patients’ preferences for risks and benefits of options. … patients’ decisional conflict
Increases patients’ active role in decision making
Improves accurate risk … patients’ decisional conflict
Increase patients’ active role in decision making
Improve accurate risk
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www.ahrq.gov/health-literacy/professional-training/shared-decision/tools/factsheet.html
September 01, 2020 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
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www.ahrq.gov/news/newsletters/e-newsletter/index.html?order=field_date_created&page=0&sort=desc
June 04, 2024 - Relationship Between Electronic Nicotine Use and General Health
February 27, 2024
Bleeding Risks … Catalyze Staff Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk … in Training for Learning Health Systems Scientists
January 16, 2024
Researchers Identify Risk … Related to Falls
October 17, 2023
New Data Resources Provide Insights Into Patient Safety Risks
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www.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
August 06, 2024 - Relationship Between Electronic Nicotine Use and General Health
February 27, 2024
Bleeding Risks … Catalyze Staff Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure Patients’ Risk … in Training for Learning Health Systems Scientists
January 16, 2024
Researchers Identify Risk … Related to Falls
October 17, 2023
New Data Resources Provide Insights Into Patient Safety Risks
-
www.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery
Issue Number
896
AHRQ … Today's Headlines:
Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery . … Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery
AHRQ-funded researchers identified … pneumonia, among the most common complications following cardiac surgery, was associated with increased risks … These findings may inform future quality improvement efforts to reduce patients’ risks of contracting
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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/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/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/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/news/teamstepps-training.html
February 01, 2024 - for the new curricula:
TeamSTEPPS 3.0 helps healthcare teams identify and address patient safety risks
-
www.ahrq.gov/news/proposals.html
January 01, 2023 - equity lens that prioritizes protecting and empowering individuals and communities that face the highest risks
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www.ahrq.gov/news/newsletters/e-newsletter/index.html
April 22, 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/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/sdm/share-approach/index.html
October 01, 2024 - model with five essential elements for meaningful dialogue with patients exploring benefits, harms, and risks