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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Analysis
Learn From Defects Form
Failure Mode and Effects Analysis
Probabilistic Risk … Discovery Form
Root Cause Analysis
Failure Mode and Effects Analysis
Probabilistic Risk … Discuss the three greatest risks.
Rank these factors. … Question 3: What will you do to reduce the risk of reoccurrence? … Sensemaking of patient safety risks and hazards. Hlth Svcs Res 2006;41(Aug 4 Pt 2.):1555-75.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar1/aspire_webinar1.ppt
January 01, 2011 - Penalty Focus Has Created Blinders
Medicare Focus
Medicare patients are not the only patients at risk … of readmission
Older adults are not the only adults at high risk of readmission
Medicare may not always … have the highest readmission rate of all payers
Patients with readmission risks are not limited to … readmissions
These are not the diagnoses with the highest rates of readmissions
Patients with readmission risks … hospital’s readmission reduction goal
Analyze your own hospital’s data to identify patients at high risk
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/001-ss-antimicrobial-prophylaxis-1-fg.docx
April 01, 2025 - strategies to reduce SSI risk. … prophylaxis agents effective against MRSA and how to appropriately use them, while balancing benefits and risks … benefit of including vancomycin as part of antimicrobial prophylaxis should be weighed against the risks … In light of this, and balancing the risks and benefits of using vancomycin, who should receive vancomycin … are four phases in which interventions related to antimicrobial prophylaxis take place to reduce the risks
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - selection operator (LASSO) regularization
method and a logistic regression approach for predicting the risks … Purpose
This project sought to develop a relative risk model predicting incidence of complications in … Our analysis showed that Medicaid status was the single most important factor in
predicting the risks … The following categories of features or variables were considered as potential predictors for the risks … in the high-risk group.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - complete the following:
List all defects that have the potential to cause harm
Discuss the three greatest risks … What will you do to reduce the risk of recurrence?
4. … 23
What Will You Do To Reduce the Risk of Recurrence? … 24
How Will You Know the Risk Is Reduced? … Sensemaking of patient safety risks and hazards. Hlth Svcs Res 2006;41(Aug 4 Pt 2.):1555-1575.
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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/hai/tools/mrsa-surgery/139-sample-completed-staff-safety-assessment.docx
April 01, 2025 - SurgeriesPurpose of this form: This form is designed to tap into your experience to determine what risks … This is an avoidable infection risk.
2. … If there are delays, patients might be shaved many hours before their procedure—increasing risk of bacterial
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/139-sample-completed-staff-safety-assessment.docx
April 01, 2025 - SurgeriesPurpose of this form: This form is designed to tap into your experience to determine what risks … This is an avoidable infection risk.
2. … If there are delays, patients might be shaved many hours before their procedure—increasing risk of bacterial
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-prevent.html
May 01, 2017 - multifaceted program covering all of the evidence-based strategies that have been shown to reduce the risks
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
June 01, 2021 - The best way to reduce these risks is to only use antibiotics when necessary.
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www.ahrq.gov/cpi/about/nac/pcortf-snac/rhodes.html
November 01, 2022 - research teams testing emergency department innovations in screening/intervening for health-related social risks
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www.ahrq.gov/takeheart/training/module-10/index.html
December 01, 2022 - this module include:
Defining virtual and hybrid CR
Examples of hybrid CR programs
Benefits, risks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - Worksheet Root Cause Analysis
Learn From Defects Form Failure Mode and Effects Analysis
Probabilistic Risk … Worksheet - Discovery Form
- Root Cause Analysis
- Failure Mode and Effects Analysis
- Probabilistic Risk … following:
List all defects that have the potential to cause to cause harm
Discuss the three greatest risks … Sensemaking of patient safety risks and hazards. Hlth Svcs Res. 2006;41(Aug 4 Pt 2.):1555-75.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/assessment.docx
May 01, 2017 - nonclinical staff (e.g., health unit coordinators and environmental services personnel) to find out what risks
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-d.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - and any
recommended solutions to address these risks. … related to better
understanding of patient safety problems and new interventions to mitigate safety risks … Risk assessment and learning from errors.
8. Education and information.
9. … Systemic
patient safety risks: Lessons learned from focus
groups. … Does housestaff
discontinuity of care increase the risk of preventable
adverse events?
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www.ahrq.gov/prevention/curriculum/index.html
January 01, 2021 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
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www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - with
increased risks of dementia (odds ratio [OR], 1.26; 95% confidence interval [95% CI], 1.22-1.29 … evaluate the cognitive impact of anticholinergics in the above population and further examined the
risks … drug classes, a retrospective,
propensity score-matched cohort study was conducted to examine the risks … Specifically, risks of
dementia, cognitive impairment, fractures, and all-cause mortality with the use … The exposure odds ratio in nested case-control studies with competing risks.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
November 01, 2019 - Imaging overuse subjects children to a number of
risks (Malviya, Vopel-Lewis, Eldevik, et al., 2000; … Administration of anesthesia raises risks
related to the process of intubation for respiratory support … When imaging is deemed
necessary, providers must weigh the risks of radiation exposure and possibly … Projected cancer risks from computed
tomographic scans performed in the United States in 2007. … Frequently asked questions: What are the risks of anesthesia?
2014.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
February 01, 2012 - Results: In RCTs, the summary relative risks for all-cause mortality (17 trials, 51,264 patients)
and … were lost to follow-up (relative risk 0.85 with 95% CI 0.76, 0.95), and the 13 studies
conducted in … countries with lower average intakes of EPA and DHA than Japan and Norway
(relative risk 0.93, 95% … The point estimates of
the relative risks were similar across subgroups (Table 2). … In subgroup analyses the relative risks
of cardiac mortality remained statistically significant in several