-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - What did you do to reduce risk?
4. How do you know that risks were reduced? … These partners hold each other accountable for reducing risk to patients. … You
can use quantitative (i.e., numerically rating risk of harm) or informal (i.e., discussion until … there
is group consensus) methods to prioritize the greatest risks. … What did you do to reduce risk?
4. How do you know that risks were reduced?
-
www.ahrq.gov/downloads/pub/evidence/pdf/bariatricrep/barirep.pdf
November 01, 2008 - For women who have had bariatric surgery, what is the evidence for morbidity and
mortality risks for … OR surgical management OR surgical approach
OR surgical(2n)risk? OR surgery(2n)risk? … Pregnancy morbidity or mortality risks ..
C-Section after surgery ......................... … Obesity as a risk factor for cesarean in a low-risk population. … Obstetric risks in obesity. An analysis of the literature.
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-k.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F.
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-j.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F. … Each day the urinary catheter remains in place the risk of a UTI increases 5 percent.
-
www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
January 01, 2025 - home health setting through improved
understanding of the sources and nature of systems and process risks … Managing the Risks of Organizational Accidents. Brookfield, VT: Ashgate, 1997.
20 Vincente K. … Managing the Risks of Organizational Accidents. Brookfield, VT: Ashgate, 1997.
25 Reason J. … Managing the Risks of Organizational Accidents. … Sensemaking of patient safety risks and hazards.
-
www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
January 01, 2024 - Grant Award Number: 1 UC1 HSO14295-01 (Revised)
Abstract
Purpose: To formally evaluate the risks … using Failure Mode and Effects Analysis (FMEA).
1.1 The risks associated with each step of a complex … in a test environment prior to final comparison of identified
risks of chemotherapy administration … This report, issued in 1999, outlined the risks to
patient safety found in our nation’s hospitals and … In response to this problem of patient safety risks, a group of 140 public and private
organizations
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s4-harle-salloum.html
May 01, 2024 - P2: Using an Electronic Screening Tool to Identify Adolescents at Risk for STIs
P3: Using Veterans … Disorder in Rural New Mexico
P13: Developing a Prediction Model to Identify Health Clinics at High-Risk … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical Risk … clinicians work with their patients to choose a pain treatment approach that best balances the potential risks
-
www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
September 01, 2025 - , 375 KB) Strategies and Change Concepts Strategy 1: Anticipate, Prevent, and Mitigate Hazards and Risks … Establish standard contingency plans for high-risk failures such as cybersecurity breaches, natural disasters … and Prevention (CDC) Training: Safety Culture in Healthcare Settings includes strategies to identify risks … processes, supplies, equipment, and technology interfaces with human factors principles can reduce the risk
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-use-pcor.pdf
November 01, 2016 - Evidence Now Fact Sheets - Aspirin Use by High-Risk Individuals … Aspirin Use by High-Risk Individuals
Rationale for Aspirin Use by High-risk … Individuals
Patients with heart disease or who have had a stroke in the past are at high risk
for having … Substantial PCOR evidence shows
that taking an aspirin every day can help these patients lower their risk … Information
provided includes the benefits and risks of aspirin use and what to discuss with a doctor
-
www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
January 01, 2025 - access to the patient and equipment, and lack of standardization across non-OR anesthesia settings as risk … Systems engineering-based framework of process risks in perioperative medication delivery . … Systems engineering-based framework of process risks in perioperative medication delivery .
-
www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - and manage more complex and dynamic systems-based risks. … manage the risks of their clinical environment and formulate safety policies
and protocols in order … to mitigate risk. … and manage more
complex and dynamic systems-based risks associated with both standard and novel operating … The collected data are being used to populate the
models and quantify the risks associated with delivery
-
www.ahrq.gov/patient-safety/reports/safer-together.html
January 01, 2025 - Reducing preventable harm requires a total systems approach: a coordinated, proactive strategy in which risks
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s7-beal.html
May 01, 2024 - P2: Using an Electronic Screening Tool to Identify Adolescents at Risk for STIs
P3: Using Veterans … Disorder in Rural New Mexico
P13: Developing a Prediction Model to Identify Health Clinics at High-Risk … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical Risk … The health risks for children in foster care are further compounded due to the frequent communication
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s10-rudin.html
May 01, 2024 - P2: Using an Electronic Screening Tool to Identify Adolescents at Risk for STIs
P3: Using Veterans … Disorder in Rural New Mexico
P13: Developing a Prediction Model to Identify Health Clinics at High-Risk … Understanding How Nurse Practitioners Increase Access to Primary Care
S9: Using Integrated Social and Medical Risk … People living with asthma faced new and daunting risks during the COVID-19 pandemic.
-
www.ahrq.gov/evidencenow/projects/heart-health/evidence/aspirin.html
March 01, 2021 - Resources
A substantial body of evidence shows that taking aspirin can help patients lower their risk … Patients with heart disease or who have had a stroke in the past are at high risk for having a heart … Taking an aspirin every day can help these patients lower their risk. … evidence to develop guidelines on aspirin use in patients with heart disease and others who are at risk … Stroke
This patient education booklet explains how heart attack and stroke happen, and the potential risks
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - To reduce the risk of errors, these medications require special safeguards such as the following: … The key safety elements are the following:
Discussing risks and benefits of oxytocin use for labor … 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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - Imaging overuse
subjects children to a number of risks (Malviya, Voepel-Lewis, Eldevik, et al., 2000 … Administration of anesthesia raises risks
related to the process of intubation for respiratory support … The most severe risks, though rare, include brain damage and death (SPA, 2014). … Projected cancer risks from computed
tomographic scans performed in the United States in 2007. … Frequently asked questions: What are the risks of
anesthesia? Richmond, VA: SPA; 2014.
-
www.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - combine adjudication data with data from Vizient to determine which specific factors contribute to risks … for diagnostic errors, and to use risk estimates to calculate incidence and impact of factors contributing … An expert-guided machine-learning approach to estimate the incidence, risk and harms associated with … To identify the risk factors associated with diagnostic delays for infectious diseases that are frequently
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk is reduced? … How will you reduce the risk of the defect happening again?
How will you know the risk is reduced? … Do staff believe risks were reduced? … This is an iterative process.
43
How Will You Know Risks Were Reduced? … Show your staff that you’ve reduced the risks for patient harm.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
April 01, 2019 - Imaging overuse
subjects children to a number of risks (Malviya, Voepel-Lewis, Eldevik, et al., 2000 … ; Costs
The literature offers many examples of the potential risks associated with imaging. … The most severe, though rare, risks include brain damage and death (Society for Pediatric
Anesthesia … Projected cancer risks from computed
tomographic scans performed in the United States in 2007. … Frequently asked questions: What are the risks of anesthesia?
2014.