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www.ahrq.gov/sites/default/files/2024-10/li-chang-report.pdf
January 01, 2024 - and min( –C), respectively; the second type is about trade-offs
between the expected returns and the relative … risks, especially when objectives are
inconsistent with each other; and the third type is about trade-offs … Second, for trade-offs between returns and risks, we apply the portfolio theory. … Regarding the
expected return as the mean or as the first-order effect, and the variance as the risk … expected value of deviations D, cannot be further minimized or, given an expected value of
D, the risk
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www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
February 01, 2017 - must develop or improve the ability to learn from mistakes and implement procedures that reduce the risk … as checklists, and create independent checks for key processes, we improve our ability to reduce the risks … By leveraging staff member knowledge, the Staff Safety Assessment allows teams to determine risks that
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www.ahrq.gov/news/newsletters/e-newsletter/943.html
January 01, 2025 - suggested a need for more research and a more effective approach to protecting postpartum women from the risks … ET: Approaches to Address Health Risks in Older Adults , sponsored by AHRQ’s National Center for Excellence … A novel risk-adjusted metric to compare hospitals on their antibiotic prescribing at hospital discharge
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
June 02, 2025 - factors are important for falls so that they are more sensitive to changes in these risks and to helping … us identify residents whose risks are changing and to alert Nurse Managers earlier. … Facilitator: Sally [Nurse Manager B], do you use a standardized assessment tool to assess resident risks … Focusing our team discussions on those residents with new and changing risks seems like it would allow … The Falls High-Risk Report is definitely helping us identify residents with risks associated with falls
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www.ahrq.gov/sites/default/files/2024-12/lin-report.pdf
January 01, 2024 - In addition, after PCI, many patients think
they are cured, have little knowledge of their risk factors … , and do not adhere to risk factor
modification. … This
instrument contains 18 statements about the various risks and benefits of each treatment
option … /benefits Risks of medical therapy, angioplasty, bypass surgery
Comparison of risk of repeat procedure … and benefits Were risks and benefits discussed in a way that
patient understood?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
June 02, 2025 - Inappropriate catheter indications
Patient or family request
Educate patient and family on catheter risks
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www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
January 01, 2024 - Presenters explored
the benefits and risks of apology and disclosure after an adverse event or medical … Physicians, nurses, risk managers, hospital and other healthcare facility
administrators, defense and … medical malpractice claims allowed the attendees to hear
the actual experiences of a chief of medicine, risk … The risk manager discussed the importance of hearing
the plaintiffs identify the factors at the hospital … The attendees explored
the benefits and risks of apology and considered its powerful impact on patients
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-slides.html
March 01, 2017 - Experiment and take risks by constantly generating small wins and learning from mistakes. … Images: The purpose of the Staff Safety Assessment is to tap into your experience to determine risks
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www.ahrq.gov/patient-safety/reports/engage/interventions/index.html
June 01, 2023 - These tools will also help to identify risks for an adverse drug event, such as overdosing, underdosing
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.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 … Patient and Family Engagement (CUSP)
Discuss risks and benefits of intrapartum or postpartum magnesium … Use unit-established process for conveying risks and benefits of magnesium sulfate use to patient and … Patient comfort and education
Discuss risks and benefits of magnesium sulfate with patient and
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www.ahrq.gov/teamstepps-program/welcome-guides/caregivers.html
July 01, 2023 - TeamSTEPPS 3.0 tools and concepts can help you learn to better understand these risks and how to constructively … The expanded functionalities available in electronic health records risk an overdependence on technologies … all these factors contribute to fatigue and burnout that create additional challenges for teams and risks
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www.ahrq.gov/news/newsroom/press-releases/nac-meeting-members.html
July 01, 2022 - Because of the continued risks of in-person meetings during the pandemic, the meeting will be available
-
www.ahrq.gov/teamstepps-program/welcome-guides/experienced-trainers.html
July 01, 2023 - TeamSTEPPS 3.0 tools and concepts can help you teach your students to better understand these risks and … The expanded functionalities available in electronic health records risk an overdependence on technologies … all these factors contribute to fatigue and burnout that create additional challenges for teams and risks
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/measures3.html
June 01, 2018 - Inefficient care includes delayed care that is more costly and care with risks that exceed benefits. … Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance Survey, 2014
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - Problem Statements describe and quantify identified risks the institution faces. … Dashboard methodologies—creates a transparent sequence to ensure that the organization
is aware of the risks … the commercial aviation industry: concrete Problem
Statements that describe and quantify identified risks … Organizing patient safety
research to identify risks and hazards. … Managing the risks of organizational
accidents.
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www.ahrq.gov/talkingquality/assess/recommended-reading.html
May 01, 2019 - Aims, benefits and risks of consumer information initiatives.
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www.ahrq.gov/hai/cusp/modules/identify/identify.html
December 01, 2012 - What Will You Do To Reduce the Risk of Recurrence?
Slide 25. … How Will You Know the Risk Is Reduced?
Slide 26. … Discuss the three greatest risks.
Rank these risk factors. … What will you do to reduce the risk of recurrence?
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/policymakers/chipra/statesummaries/co-spotlight.html
July 01, 2015 - Colorado supported the implementation of an electronic risk assessment tool
To get a fuller picture … of the health risks facing adolescents, demonstration staff in Colorado and New Mexico—
Developed … an electronic questionnaire that screens adolescents for social and behavioral risk factors, including … ’ tablets so they can discuss health risks with adolescents during their visit. … SBHCs also reported that aggregating the screening data helped them identify the risk factors common
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
December 01, 2017 - Slide 6
Risk
Patient with indwelling catheter and colonized urine:
Healthcare worker exposes … Shared instruments (fomites) expose other patients
Unnecessary antibiotics and their side effects, risks … Top arrow points up and says Increased Risk. Bottom arrow points down and says Reduced Risk. … –Unit medical director
Slide 40
Nurse Barriers
Workflow issues
Risk of Foley v. other risks … That's another issue with incontinence in this environment, you know, the benefits versus the risks of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - 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 … 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