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www.ahrq.gov/ncepcr/reports/2025-annual-report/behavioral-health.html
August 01, 2025 - Creating a Work-Around to Implement Fall Risk Screening for Older Adults Using Appointment Notes Case … Implementing Opioid Risk Screening for Older Adults Using Automated Patient Reminders in an Electronic
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www.ahrq.gov/ncepcr/reports/grants-transform/key-characteristics.html
March 01, 2017 - support outreach, monitoring, and management of patient populations (focusing on patients at highest risk … All practices enhanced care management capabilities for high-risk patients, but differed in how they
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www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
January 01, 2024 - Step 2:
From these reports, tease out the “high-risk” drugs and drugs for which there is evidence-
based … Step 3:
Once the “high-risk” drugs are identified, develop reports that look at patients who are on
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
April 10, 2025 - science and practice of
PCCP and promote its routine use in health care for people living with or
at risk … from care
that is the exception to being part of routine, high quality care for people with MCC or at risk … questions for this rapid scan investigate measures of implementation of PCCP for people with or at
risk … looked for any type of implementation measure developed for or used for
PCCP for people with or at risk … or
diagnosing co-existing conditions that impact
care management and outcomes, as well as
social risks
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
January 01, 2020 - interviews
with obstetric experts, and checklists
for talking with patients about the
potential risks … Physicians may use the tool, which also
identifies criteria for high-risk referrals,
as either a checklist … develop
and track indicators of maternal and
infant health care, such as cesarean
births among low-risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
December 01, 2017 - Frontline providers understand patient safety risks in their perioperative area. … Contact your privacy officer, legal department, or risk management group to align
efforts. … Association of surgical care improvement
project infection-related process measure
compliance with risk-adjusted
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - Senior Executive Collaborates To Develop and Implement a Plan Addressing Safety Issues
Considers patient risks … identified in the staff safety assessment with team members
Involves frontline providers to help reduce risks … Psychological safety is the degree to which team members feel that their environment supports the interpersonal risk … Meet with hospital departments (risk management, quality improvement) to ensure that L&D CUSP efforts … Managing the Risk of Learning: Psychological Safety in Work Teams. In West M, ed.
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www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
January 01, 2024 - Public Health Advisory
Recently completed studies found an increased risk of death, blood clots, strokes … risks.” … ESA therapy has serious side
effects and might be associated with decreased survival and increased risk … oncology
patients was also released on March 2007 and included a mandate that providers engage
in a risk … The relative contribution of measured variables
to death risk among hemodialysis patients, Chapter 13
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - processes, further aids in the development of high-quality patient care by allowing providers to mitigate risks … speaking up if they do not agree with task assignments and protocols or when they see patient safety risks … ratios exceed best practice based on the unit’s acuity and rate of volume change, there is an increased risk … How will you reduce the risk of recurrence?
How will you know it worked?
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www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
January 01, 2024 - Additionally, risks of acute liver injury
were low among fluconazole, ketoconazole, and itraconazole … Pre-
existing chronic liver disease increased risks of aminotransferases >200 U/L (hazard ratio, 4.68 … In our study evaluating the comparative hepatic safety of azole antifungals,83 the absolute
risks and … Risks of acute liver injury were similarly low among users of fluconazole, ketoconazole,
and itraconazole … Managing the risks of from medical product use:
creating a risk management framework. http://www.fda.gov
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www.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
June 01, 2022 - We risk witnessing patient and health professional safety events because of workforce depletion. … affordable, environmentally responsible, and protects patients and health professionals from safety risks
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www.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - study 2 in the New England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk … While these are reportable events, we can assume the risks are more widespread; safety events in many
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - B. 2015 CRICO Strategies National CBS Report: Malpractice Risks in Communication Failures. https://www.rmf.harvard … .
edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures. … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - B. 2015 CRICO Strategies National CBS Report: Malpractice Risks in Communication Failures. https://www.rmf.harvard … .
edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures. … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
June 01, 2023 - changes are of particular importance and whom to contact if a change occurs is key to ensuring that risks
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step1.html
March 01, 2019 - What are the political risks of embarking on a stakeholder engagement process? … Conversely, are there any political risks associated with not having a stakeholder engagement process
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - four areas of beliefs and behaviors that interact to produce an organization that is informed about risks … The foundation of every culture of safety is
Reporting -- the people in direct contact with risks and
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www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
February 01, 2017 - Risks or discomforts: No risks or discomforts are anticipated.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b.html
October 01, 2015 - Risks or discomforts: No risks or discomforts are anticipated.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - Checklists help to facilitate safety in high-complexity, high-risk, and high-reliability professions … sections
Slide 9
SAY:
The preoperative briefing reviews the plan ahead for patient care and the risks … .18-21
· Individual risk factors predict some occurrences of obstetric hemorrhage.
· Risk assessments … These include—
Having situational awareness about maternal and fetal risks and status. … during transitions of care helps to assure a shared mental model of the plan of care and perceived risks