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Showing results for "risks".

3501. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
      January 01, 2000 - These TIPI-IS Retrospective Reports included: • Patients sent home with positive biomarkers or high risk … • High-, moderate-, and low-risk patients by ED triage disposition. … approached, because these hospitals—while motivated to maintain quality—directly bear the financial risk … participating and implementing patient safety systems, but ED leadership did not believe they were at risk

3502. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
      November 29, 2004 - achieving recommended glucose, blood pressure, and lipid treatment goals significantly reduces the risk … Column C provides the error rate in the subgroup at risk, while column D provides the error rate in … benefit from aggressive lipid-lowering therapy (a 20 percent to 25 percent reduction in mortality risk … Efficacy of atenolol and captopril in reducing risk of macrovascular and microvascular complications

3503. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
      January 01, 2004 - When handovers are extended in time or space, authority and responsibility are at risk of confusion. … Does housestaff discontinuity of care increase the risk for preventable adverse events? … Do short breaks increase or decrease anesthetic risk? J Clin Anesth 1989;1(3):228–31. 6. … Foresight: Risk Manangement For Emergency Physicians 2002 June;54:1–7. 10.

3504. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership
      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. 

3505. Final Progress Report: Do Safety Warnings Change Prescribing Among the US Dialysis Population? (pdf file)
      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

3506. Comparative Reports on Hospitals | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/resources/comparative-reports/hospitals.html
      December 01, 2022 - safety, quality, and resource use information related to inpatient care management, maternity care, high-risk

3507. Agency for Healthcare Research and Quality Competency Check vs. Observational Audit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/competency-check-vs-observational-audit.pdf
      March 01, 2021 - • Per the Nursing Home COVID-19 Infection Control Assessment and Response (ICAR) facility risk assessment

3508. Evidence Now: Bridging Research & Practice in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/about/evidencenow-factsheet.pdf
      April 01, 2021 - This included the “ABCS” of heart health: Aspirin use by high-risk individuals, Blood pressure control

3509. Understand-Facilitator-Guide (doc file)
      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?

3510. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
      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

3511. A Boost for Health Services Research | Agency for Healthcare Research and Quality
      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

3512. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
      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

3513. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      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

3514. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      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

3515. Tool: STEP | Agency for Healthcare Research and Quality
      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

3516. Step 1: Define the Goals, Scope, and Institutional Home of Your Stakeholder Engagement Process | Agency for Healthcare Research and Quality
      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

3517. Slide 1
      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

3518. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
      February 01, 2017 - Risks or discomforts: No risks or discomforts are anticipated.

3519. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
      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.

3520. Ldusafety Facguide (doc file)
      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