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www.ahrq.gov/es/nursing-home/resources/search.html?page=0
January 01, 2022 - Implications for Reopening This study provides important preliminary results on the level of population risk
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-skootsky.pdf
March 01, 2021 - Training for Care Coordinators ( PSR) – these staff are
responsible for the coordination of care for high risk
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/impact-stories/increasing-access.pdf
January 01, 2023 - current standard of
care for treatment of opioid use disorder (OUD) to reduce
opioid use, reduce risk
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
June 01, 2023 - found that diagnostic error may have contributed to 10.6 percent of 7-day readmissions in this high-risk
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www.ahrq.gov/nursing-home/resources/search.html
January 01, 2022 - Implications for Reopening This study provides important preliminary results on the level of population risk
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - first coined, or one of the first people that coined
it, was James Reason in his book, Managing the Risks … make
a similar list, but this is who we sent: myself, the Patient Safety Officer; the Director for Risk … has to identify the human behavior type that they're counseling the
employee about, human error, at risk … reported to the
Board of Nursing that they would also look, what kind -- was this human error, at risk
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
October 01, 2014 - Content Overview
Clinical Content
A change in a resident's condition may mean that he or she is at risk … Why communication lapses are a major risk factor for resident safety. … Actors should not be afraid to take risks.
Feel free to be spontaneous.
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www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - including poor collaborative communication among nurses and
physicians, contributed to increased patient risk-adjusted … Table 1: Contributing factors in patient occurrence reports, 2004-2005
Contributing Factors
2004 Risk … Manager
score Percent
2005 Risk
Manager
Score Percent
1. … 100%
Contributing factors in patient occurrence reports: team factors, 2004-2005
Team Factors
2004
Risk … Manager
Score
Percent
2005
Risk
Manager
Score
Percent
Communication problems between providers
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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/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - with continuous pre-
policy (2017-2019) and post-policy (2020-2021) participation in
the Pregnancy Risk … Postpartum
“Mood Disorder”
13-15%
Gestational
Hypertension
8-10%
Gestational
Diabetes
↑ Risk
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www.ahrq.gov/cahps/bibliography/index.html
November 01, 2024 - Which medicare advantage enrollees are at highest one-year mortality risk?. … Which medicare advantage enrollees are at highest one-year mortality risk?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-overview/slide.ppt
May 07, 2008 - PHS
Pregnant Smokers
Recommendation: Because of the serious risks of smoking to the pregnant smoker
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
June 01, 2010 - Are you free to take risks when you want to?
Do you have control over your own transportation?
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www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
August 01, 2024 - example is ordering urine cultures in
patients without urinary tract symptoms, which can increase the risk … Here, however, we focus on how diagnostic stewardship reduces the risk of
diagnostic errors and patient … ”
■ The ONC SAFER guides are a set of risk assessment tools to evaluate the safety and safe use of … Patient-specific risk factors
contributing to blood culture contamination. … Risk factors and clinical outcomes associated
with blood culture contamination.
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www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
February 01, 2017 - Incidence, risk factors, and outcome of ventilator-associated pneumonia. … Incidence, risk factors, and outcome of ventilator-associated pneumonia.
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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