-
www.ahrq.gov/cpi/about/organization/nac/emert.html
February 01, 2025 - conduct research and identify healthcare disparities, chronic disease trends, and infectious disease risks
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - Examples
Preoperative briefing
· The briefing reviews the plan ahead for patient care and the risks … It includes reviewing patient information, procedure, indications, risk, medical history, fetal status … Discovery form
· Root cause analysis
· Eindhoven model
· Failure mode and effects analysis
· Probabilistic risk … of transition communication techniques assures a shared mental model of plan of care and perceived risks … Patient and Family Engagement (CUSP Module)
Key Perinatal Safety Elements
Examples
Communicate risks
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - However, all antibiotics, whether necessary or not, are associated with risks. … aortic dissections, seizures, and peripheral neuropathy—highlighting the importance of weighing the risks … The risk is highest when patients are actively receiving antibiotics, but this risk remains elevated … However, inappropriate antibiotic prescribing is a safety problem, and it exposes patients to unnecessary risks … : 7X risk – Fluoroquinolones: 5X risk • Risk is still elevated up to 12 weeks later 11
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-malone.html
September 01, 2023 - commonly overridden DDI warnings and identified specific patient and drug attributes that influence the risk … Malone received a 2-year AHRQ grant to adapt and implement a CDS algorithm to reduce at-risk patients … disseminate decision aids that enable patients and clinicians to engage in shared decision making about DDI risks … harm due to DDIs, there are very few tools that help them engage in shared decision making about DDI risks
-
www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/prevention/lifestyle/healthy-women.pdf
May 01, 2014 - If you are younger than 65 and at
high risk for bone fractures, you should also be
screened. … Talk with your health care team
about your risk for bone fractures. … Talk to your doctor about
your risks for breast cancer and whether you
should take medicines that may … reduce those
risks. … If you are 65 or older
and have a history of falls, mobility problems, or
other risks for falling,
-
www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
January 01, 2025 - As with
all testing or interventions performed, there are risks to unnecessary imaging tests. … a result.29-32 Intravenous contrast may be associated with
acute kidney injury and an albeit low risk … Radiation exposure from CT scans in childhood and
subsequent risk of leukaemia and brain tumours: … Cancer risk in 680 000 people exposed to computed
tomography scans in childhood or adolescence … Doctors May Risk Overuse of CT Scans [Internet].
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology9.html
April 01, 2025 - order entry for medications, new technology provides novel solutions but also introduces new types of risk … These risks need to be anticipated, monitored, described, and managed.
-
www.ahrq.gov/npsd/what-is-npsd/index.html
May 01, 2023 - identify and track patient safety concerns for the purpose of learning how to mitigate patient safety risks
-
www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
August 01, 2022 - Alignment of the plan to the organization's strategic and risk/quality/patient safety goals. … Outline the organization's risk/quality/patient safety program and how the CANDOR process connects to … Implementation Risk
Implementation Risk
Assessment of the Implementation … Risk should address risks associated with allocating resources (human and other) to implement, spread … Include potential risks to the organization if the practices and principles are not fully integrated,
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
August 01, 2022 - Alignment of the plan to the organization's strategic and risk/quality/patient safety goals. … Outline the organization's risk/quality/patient safety program and how the CANDOR process connects to … Implementation Risk
Assessment of the Implementation Risk should … address risks associated with allocating resources (human and other) to implement, spread, or sustain … Include potential risks to the organization if the practices and principles are not fully integrated,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - The risk must be eliminated for all patients. … How will you reduce the risk of it happening again? … How Will You Reduce Risk of Recurrence? … Do staff members believe risks were reduced? … Does the staff believe the risks were reduced?
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave6.html
July 01, 2025 - tools are, or how to incorporate them into practice in ways that maximize benefit while minimizing risk … Insights from other high-risk industries that have successfully adapted to automation offer valuable … Known risks or hallucination rates. … enhanced diagnostic accuracy, increased efficiency, and reduced cognitive burden—they also present new risks … the clinician reviews and validates outputs generated by these systems and whether there are known risks
-
www.ahrq.gov/nursing-home/resources/search.html?page=9
January 01, 2022 - sections that teach health workers how they can protect themselves and others from the occupational risks … illness recording criteria; and applications of standards related to sanitation and communication of risks … which topics have been focused on and what the latest developments are in managing the occupational risk
-
www.ahrq.gov/antibiotic-use/acute-care/safety/index.html
June 01, 2021 - antibiotic prescribing and administration should be encouraged to understand both the benefits and risks
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide77.html
October 01, 2014 - Emphasize the health benefits of quitting relative to the health risks of modest weight gain.
-
www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - tool to identify and quantify vulnerabilities, determine how to
reduce risks, and estimate the impact … pharmacies
intended to identify, quantify, eliminate, reduce, and/or mitigate the risks associated … of why and how often these failures affect patient
outcomes.28-31 After quantifying and ranking all relative … risks, “what if” scenario testing is used to prioritize
interventions that demonstrate an impact to … and the impact of system and behavioral changes on
these risks.
-
www.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
April 01, 2013 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary … Risk-Informed Interventions
Chapter 4. Conclusions and Next Steps
Appendix A. … ST-PRA is particularly helpful for estimating risks in outcomes that are very rare, such as the risk … Step 2—Identify the dependencies and interactions among risk points. … Next Steps The use of ST-PRA as a modeling tool to identify risks in the ASC environment is an important
-
www.ahrq.gov/news/newsletters/e-newsletter/965.html
July 01, 2025 - Study Identifies Medication Safety Risks for Older Adults After Discharge . … It advocates for screening at-risk individuals through focused history taking and recommends local low-dose … clarifying that local low-dose vaginal estrogen is not associated with increased endometrial cancer risk … Study Identifies Medication Safety Risks for Older Adults After Discharge An AHRQ-funded study in BMJ … Quality & Safety identified factors that put older adults at risk for medication problems after leaving
-
www.ahrq.gov/patient-safety/settings/hospital/match/figure-2txt.html
July 01, 2022 - High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … Patient safety risks of documenting "resume home meds" not understated.
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-2txt.html
July 01, 2022 - High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … Patient safety risks of documenting "resume home meds" not understated.