-
www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
February 01, 2017 - Risks or discomforts: No risks or discomforts are anticipated.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
November 01, 2019 - or prior cultures growing
Enterococcus spp. or a strong clinical concern that a
patient has a high risk … prior biliary cultures growing Candida
spp. or a strong clinical concern that a patient has a
high risk … cultures growing these organisms or if there is a
strong clinical concern that a patient has a high risk
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - device identifier
• Fall
o Assisted or unassisted fall
o Type of injury as a result of fall
o Risk … assessment prior to fall
o At risk of fall
• Healthcare-associated infection
o None
• Medication … Other Event RPh6 didn’t check pump because patient was PUI for COVID-19 to
reduce risk of transmission
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
June 10, 2008 - • Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or
population-based … systems issue and that interventions to improve patient safety should be made at the system
level.3 High-risk … Similarly,
the health care industry is complex and high risk, and clinical outcomes can be profoundly
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
January 01, 2016 - Prenatal & Postpartum Care: Timeliness of Prenatal Care (PPC)
NA
AMA-PCPI
Behavioral Health Risk … Mental Illness (FUH)
1365
AMA-PCPI
Child and Adolescent Major Depressive Disorder: Suicide Risk … Health
2508
DQA (ADA)
Prevention: Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk … systems EHRs for generating practice-level IHOC child health measures (e.g. immunizations, oral health risk
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qtag-presentation.pdf
September 01, 2015 - Implementation Guides (2 how-to guides for States)
Special postings on electronic screening for high-risk
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ref.html
September 01, 2015 - Reducing the risk of adverse drug events in older adults.
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasrefs.html
July 01, 2018 - Connects Medical Practices to Community Resources, Leading to Improved Asthma and Diabetes Outcomes in At-Risk
-
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.
-
www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - These kinds of changes
put the resident at risk for falling and also may signal an underlying problem … Level of weakness – e.g., the resident
is having difficulty lifting his or her
arm.
› Falls risk … Falls Risk
A fall is defined as “involuntarily coming to rest on a lower surface,” whether it
is an … This puts the resident at risk for a bad outcome.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Words
with the Two‐Challenge
Rule to clarify the care
plan when a provider
believes patient is at risk … incorporating Power Words can be used to
question the care plan when a provider believes a patient is at risk … • She became concerned and uncomfortable that the patient’s safety may be at
risk.
12
Hospital … Finally, DESCR is a great tool to help reinforce and establish a culture of huddles for
high‐risk patients
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - Power Words with the Two-Challenge Rule to clarify the care plan when a provider believes patient is at risk … incorporating Power Words can be used to question the care plan when a provider believes a patient is at risk … She became concerned and uncomfortable that the patient’s safety may be at risk.
10
Practice Two-Challenge … Finally, DESCR is a great tool to help reinforce and establish a culture of huddles for high-risk patients
-
www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
November 01, 2016 - State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk … Four key risk behaviors—tobacco use, inactivity, poor nutrition, and excessive alcohol use account for … we realized that if people quit tobacco and got preventive care, we still have to address modifiable risk … factors, including blood pressure control, that result if uncontrolled in people who are at much higher risk
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - Chemotherapy
Processes
2003-
2005
$200,000 Purpose: Evaluate the risks associated with each step … Florida
Robert Wears
University of Florida
Gainesville, Florida
R18 HS17902
[Grant]
Reducing Risks … Graphics
2006-
2009
$100,000 Purpose: Develop novel interactive computer graphics
to communicate risks … and assess their impact on
decision making and risk perception. … benefit from
prospective medication monitoring care plans when
complex medication regimens carry risks
-
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
-
www.ahrq.gov/talkingquality/translate/scores/framing.html
March 01, 2016 - A negative frame would emphasize the risks of choosing a relatively poor performer.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-engagement-ed.pptx
September 01, 2014 - Concerns/fears: Risks of an infection, esp. as it relates to UC
Skills/Knowledge (e.g. communication
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/conflict_resolution-slides/Conflict-Resolution-Oct-12-2010-508.ppt
January 01, 2010 - with Clinicians
L--Can you help me understand how you see the situation, how you are weighing the risks
-
www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
April 01, 2018 - Research to Implementation'
'AHRQ' Patient Safety Initiative: Building Foundations, Reducing Risk … Patient Safety Assessment Tool (PSAT)'
'Patient Safety Culture Surveys/Tools’
'Probabilistic Risk … Evidence-based Practice
Health Care Team Coordination
Identification and Mitigation of Risks … Plan-Do-Check-Act (PDCA)
Practice-Based Learning and Improvement
Quality Management
Risk
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - There was no risk to patients. … /oxygenation safety risks
Intubation supplies on code cart; but few ACSL-
trained staff; intubation … to quickly clear
mouths; add second heavy-duty extension cord
to code cart
Medication safety risks … plan
Medication safety risks (continued)
Staff drew up meds through metal bottoms
of cartridges … ECG machine if 12-lead ECG is
needed or actual rhythm needs to be observed
System and process risks