-
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/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
January 01, 2019 - pressure ulcers (MDS)
0.7% in 2013 0.4% in 2017 -10.8 0.002
Healthcare-Associated
Infections
Low-risk … inserted and left in the bladder
(MDS)
3.4% in 2013 2.8% in 2017 -5.4 0.008
Pressure Ulcers High-risk … 100,000
population age 20+
in 2016
-1.2 0
Adult Influenza
Vaccination
Adults ages 18-64 at high risk … 90.4% in 2003 92.8% in 2017 -1.2 0.421
Adult Pneumonia
Vaccination
Adults ages 18-64 at high risk … episode of home health
care (OASIS)
81.3% in 2013 81.9% in 2017 -0.9 0.104
Nursing Home
Low-risk
-
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
-
www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
January 01, 2024 - would require
additional personnel to transcribe and rapidly collate the information and incur the risk … use of technology
Make technology part of normal practice
Reinforce and ensure safety and minimize
risk … patients of IRB oversight
Inform patients of emergency plans/ monitoring
Educate patients about possible risks … practice-based research.
• Focus on patient safety issues and patient outcomes by identifying high-risk
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
June 30, 2024 - This
is common in organizational surveys with no risk or con-
sequences for respondents and likely amplified … Risk Management Foundation of the Harvard Medical In-
stitutions, CRICO Strategies. … Malpractice Risks in Commu-
nication Failures: 2015 Annual Benchmarking Report. 2015. … J Healthc Risk Manag. 2021;40(4):8–15 .
26. Newman-Toker DE .
-
www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
January 01, 2024 - CMS
Hospital
Compare
Readmission Hospital
30-day unplanned risk-adjusted readmission rates: Overall … Mortality Hospital
30-day risk-adjusted mortality rates: Overall rates and
readmission rates for five … covariate to control for
differences in disease severity across hospitals, it was the only indicator for risk … They were risk-adjusted measures of patient outcomes that were
aggregated to the hospital level, including … Do hospital length of stay and staffing ratio affect elderly patients' risk of
readmission?
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - • Implement risk reduction strategies that decrease the likelihood of a recurrence of
the event or … www.ashrm.org/resources/patient-safety-portal/index.dhtml#tips
The American Society for Healthcare Risk … While checklists can be used effectively to
reduce the risk of errors where standardizing behavior is … opportunities for reducing
patient harm when prescribing, and
• Create a baseline of efforts to evaluate risk … The primer also identifies known risk factors for ADEs, including health literacy, patient
characteristics
-
www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
January 01, 2024 - mortality rates of between 24% and 50%, reaching 76% for specific settings and
infection by high-risk … pathogens.3 Ventilated ICU patients with pneumonia have a 2- to 10-
fold higher risk of death versus … mucociliary function and coughing reflex.7
Furthermore, colonized endotracheal tubes can further increase the risk … Patient to nurse ratio and risk of ventilator-associated
pneumonia in critically ill patients. … Supine body position as a risk factor for nosocomial
pneumonia in mechanically ventilated patients:
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - • Query for secondary diagnoses, comorbidities, complications, and risk-adjustment factors
even when … • Review all deaths (e.g., patients who died with a low risk of mortality) to uncover
improvement … Another would be to audit
charts to find missed cases, especially those of high-risk patients (e.g., … long length of stay, ICU
populations who may be at risk for pressure ulcers or CLABSI, deaths, oncology … The postoperative hemorrhage and hematoma patient
safety indicator and its risk factors.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/video-transcript-spanish.docx
June 02, 2025 - Many of our residents are at increased risk for infection from these organisms, due to their weakened
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - prioritized on the basis of factors such as resource availability,
patient readiness to change, or degree of risk … factors include unawareness of the
need to intensify therapy, denial or overly optimistic views of the risks … Major outcomes in high-risk hypertensive patients
randomized to angiotensin-converting enzyme
inhibitor … Efficacy of atenolol and captopril in reducing risk of
macrovascular and microvascular complications
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/meta/meta04.html
December 01, 2012 - Efficacy of bupropion and nortriptyline for smoking cessation among people at risk for or with chronic … Targeting smokers at increased risk for relapse: treating women and those with a history of depression … Efficacy of bupropion and nortriptyline for smoking cessation among people at risk for or with chronic
-
www.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - AHRQ in the Professional Literature
Inpatient nurses' preferences and decisions with risk information
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-presenting-data.pdf
June 02, 2025 - alert the audience to areas that need attention, like traffic
signal colors - at target (green), at risk
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance.pptx
April 01, 2022 - 3,4
Risk of catheter-associated urinary tract infection (CAUTI) increases by 3–7% each day that a catheter
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
January 01, 2015 - Results from Disparities Analyses Using the Measure
● Racial and ethnic disparities in readmission risk
-
www.ahrq.gov/news/newsletters/e-newsletter/948.html
March 01, 2025 - Failure to rescue female patients undergoing high-risk surgery .
-
www.ahrq.gov/sdoh/data-analytics.html
July 01, 2022 - Attitudes and values (risk tolerance, attitudes about insurance and doctors, past experiences with health