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www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
January 01, 2024 - Yet, the risks to patients and nurses alike are overwhelming. … In addition to the immediate risks of fatigue to nurses and their patients, short sleep duration
that … day versus 12-hour night shifts on nurses’ safe practice relating to patient care and
nurse safety risks … Although prior studies using observational
designs have identified risks associated with fatigue for … both nurses and their patients, very little
is understood about the nature of risks to nurses and their
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www.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - Health System , the seminal National Academy of Medicine report that elevated awareness of longstanding risks
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions6.html
June 01, 2023 - Each unique context carries its own risks for diagnostic error.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - Point of Care Tools
ASCVD Risk Calculator app
NIH Heart attack assessment tool
Point of Care Tools (2 … Patient is at a high risk for bleeding (i.e. GI hemorrhage, bleeding disorders documented). … Benefits usually outweigh the risks for secondary prevention. … The ASCVD Risk Estimator provides easy access to recommendations specific to the risk estimates produced … the most current evidence on bleeding and aspirin use to derive a patient’s likely benefits and risks
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - Probabilistic risk assessment.
Causal tree worksheet. … of transition communication techniques assures a shared mental model of plan of care and perceived risks … Include a discussion of risks and benefits of using continuous EFM versus intermittent auscultation with … timely, clear information to patient and family to explain what is happening, what needs to happen next, risks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/patfamengagement/universalpatientcompact.pdf
January 01, 2010 - your privacy and the privacy of your
medical information
y Communicate openly about benefits and
risks
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-i.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - Involve frontline providers to help reduce risks. … Help prioritize risks and develop an improvement plan. … risks at the L&D unit level. … Further, when prioritizing risks and developing an improvement plan with the team, senior executives … Key hospital departments, such as risk management, quality improvement, and infection prevention, that
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www.ahrq.gov/research/findings/final-reports/ptmgmt/ptmgmttab4.html
July 01, 2018 - Validated instruments (e.g., SF-12, SF-36, Zung/Beck Depression Scale)
Reducing risks of diabetes
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web1.html
December 01, 2017 - Understand the focus on Medicaid as the catalyst for promoting "whole-person" care for all high-risk … Enhance Services for High-Risk Patients. … Older adults are not the only adults at high risk of readmission. … Patients with readmission risks are not limited to Medicare. … Patients with readmission risks are not limited to the "penalty condition" list.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
May 01, 2017 - The senior executive should—
Work with team members to consider patient risks identified in the Staff … Involve frontline providers to help reduce risks,
Help prioritize risks and develop an improvement plan … risks at the L&D unit level. … Further, when prioritizing risks and developing an improvement plan with the team, senior executives … Key hospital departments, such as risk management, quality improvement, and infection prevention, that
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
December 01, 2017 - worksheet that identifies details about current processes at the facility to identify residents at risk … Facilitator reviews ways risk information is transmitted to clinical staff, and ways care plans are updated … populated on the report to ensure that data on the report agree with staff knowledge of residents' health/risks … The first report, Intervention History for Nutrition Risk Reports: High Risk and Medium Risk, focuses … on intervention history of residents with nutrition risks.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - To reduce the risk of errors, these medications require special safeguards such as the following:
Improving … The key safety elements are the following:
Discussing risks and benefits of oxytocin use for labor induction … Using the maintenance infusion to administer a bolus manually is a high-risk practice that should be … Using transition communication techniques to ensure a shared mental model of plan of care and perceived risks … The key safety elements are the following:
Having unit-established processes for conveying risks and
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www.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - It is a customizable “train the trainer” program plus specialized tools to reduce risks to patient safety
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
January 01, 2009 - areas where evidence-based behavioral treatments
are not available, the clinician needs to weigh the risks … Benefits-harms assessment Given the risks of untreated ADHD, the benefits
outweigh the risks. … medication is extremely
rare, and evidence is conflicting as to whether stimulant medications increase the risk … age
depends in part on the clinician’s assessment of the estimated developmental impairment, safety risks … 2005;115(6):1734-1746
iv Attention Deficit Hyperactivity Disorder: Effectiveness of Treatment in At-risk
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
January 01, 2019 - anemia (Hb SS or Hb S beta‐zero thalassemia [SCA]) who received
anticipatory guidance regarding the risks … There are no
existing quality measures for anticipatory guidance regarding the risks and benefits of … calculated as the percentage of eligible children
who received anticipatory guidance regarding the risks … of children younger than 18 years of age
with SCA who received anticipatory guidance regarding the risks … randomized Phase II pilot study in young children (12 to 48 months old) without stroke or
stroke risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - Often, multiple options are available,
such as testing or treatment, where risks and expected
outcomes … , maintain or decrease currently low prescribing
rates, and better inform their patients about the risks … Approach is
a process for shared decisionmaking that includes
exploring and comparing the benefits and risks … Decision aids
provide information about risks and benefits of
alternative treatments (including the
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www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
January 01, 2024 - Current treatments for CP are only modestly effective and some, such as opioids, carry significant
risks … Discuss benefits and risks and clinician and patient responsibilities for managing opioid therapy.
4. … Evaluate risk factors for opioid-related harms. Consider offering naloxone.
9. … • PLW recognize the risks of opioid use. … items, some already had high levels of adherence at baseline,
(e.g., assessment for opioid related risks
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave5.html
July 01, 2025 - Understanding AI’s Potential: Healthcare Applications of Deep Learning
Limitations of AI and the Resulting Risk … Given the risks of bias, hallucinations, and lack of transparency described above, this shift places … Whether an AI tool is flagging lung cancer on a radiograph, suggesting that a patient is at risk of sepsis
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
January 01, 2014 - Increased Risk
Reduced Risk
6
Patient with indwelling catheter and colonized urine
Healthcare … Shared instruments (fomites) expose other patients
Unnecessary antibiotics and their side effects, risks … Workload issues leading to work-arounds
Weighing risk of catheters v. other issues (i.e. falls)
Patient … -Unit medical director
Nurse barriers
40
Workflow issues
Risk of Foley v. other risks
“I think they … That's another issue with incontinence in this environment, you know, the benefits versus the risks of