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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.
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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,
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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,
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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
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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?
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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
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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.
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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
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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.
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar6/aspire_webinar6.pptx
June 02, 2025 - Transitional Care
The Hospital Guide to Reducing Medicaid Readmissions
Webinar 6: Enhance Services for High-Risk … Patients
Agenda
Describe strategies to enhance services for high-risk patients
Give examples of … Target Populations
There may be several target populations at high risk of readmission identified by … Transitional Care Plan
Identifies post-hospital needs, patient priorities, and readmission risks and … the plan to address those needs, priorities and mitigate risks in the 30 days post discharge.
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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.
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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.
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www.ahrq.gov/es/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
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www.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
June 01, 2020 - Patients being transferred from one setting to another or one clinical team to another are at increased risk … Real-time surveys reveal important safety risks during interhospital care transitions for neurologic … Real-time surveys reveal important safety risks during interhospital care transitions for neurologic
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www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - frontline staff and prescribing clinicians should be encouraged to understand both the benefits and risks
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/tools.html
October 01, 2016 - ( Word File , 73 KB)
This tool gives discharge planners a set of prompts to identify readmission risks … and to take steps to ensure those risks are addressed in the transitional care (discharge) plan. … and ongoing clinical, behavioral, and social service needs of the Medicaid population or other high-risk
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www.ahrq.gov/patient-safety/patients-families/index.html
October 01, 2024 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings This toolkit … Research Summaries for Consumers These free research summaries discuss the benefits and risks of different
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - of error.12
· The risks and benefits of low- versus. high-dose oxytocin protocols remain an active … The use of standard NICHD nomenclature17,18,19 reduces confusion and risk of error. … · Use unit-established process for conveying risks and benefits of oxytocin use to patient and family … Verifying and documenting indications for use (continued)
discussion with patient of risks and benefits … and documentation of the discussion about risks, benefits, and alternatives should be documented to