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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/nm-statesum.pdf
July 01, 2015 - To get a fuller picture of the health risks facing adolescents,
demonstration staff in New Mexico … Colorado—
• Developed an electronic questionnaire that screens
adolescents for social and behavioral risk … The system supporting the screener
automatically flags risk factors and uploads the results
to the … providers’ tablets so they can discuss health risks
with adolescents during their visit … started using standardized
behavioral health screeners to determine whether youth
identified as at risk
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Post the stories of reduced risks (include data!).
Celebrate your success.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-infantmortality.pdf
October 25, 2018 - Inadequate prenatal care utilization and risks of infant mortality
and poor birth outcome: a retrospective
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-p.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/intro.html
November 01, 2017 - nursing home team with electronic medical record (EMR)-based tools to effectively monitor resident fall risk … Clinical reports provide resident and fall risk information staff need to proactively implement care … Reports also provide the facility team with information to assist them in analyzing resident fall risks … experts and the feedback of nursing home clinicians who reviewed and tested the feasibility of the risk … On-Time Falls Prevention: Reports and Implementation Materials
Reports
Falls High-Risk
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section1.html
October 01, 2015 - Sustainability
Preventing CAUTI: Focus on Culturing Stewardship
Tools To Help Mitigate Device Risk … Intended Audience
Resident physicians
Purpose
Define an approach to evaluate the infectious risk … The risk of infection starts at the time of exposure to the device and continues until after removal. … The risk of device-associated infection is mitigated by using the devices only when necessary, complying … We present a plan to help teams that include RPs address risks related to invasive devices in the hospital
-
www.ahrq.gov/news/newsroom/case-studies/201809.html
January 01, 2019 - Shah combed through the toolkit and seized on the device risk checklist as a tool that could provide … Shah saw an opportunity to customize the AHRQ toolkit’s device risk checklist to account for a number … This allows Shah not only to determine whether certain types of patients are at a higher risk for CAUTI … By identifying specific personnel, along with any mistakes that increase the risk of CAUTI, Shah can … Potential pre-contamination risks: Everything from prior incontinence, antibiotic use, and basic hand
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - objective of this form is to access the knowledge at the frontlines of patient care to determine what risks … List all defects that have the potential to cause harm on your L&D unit,
Discuss the three greatest risks … , and
Rank these risk factors. … How will you know the risk is reduced?
Question 1. … Do staff members believe risks were reduced?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-hospital-survey-workplace-item-set-webcast-wilson-gerdt.pdf
January 01, 2022 - AHA’s Laura
Castellanos on the
HAV Framework
Mitigate
Risk
Access potential risks
and work together … to reduce risks
and improve the
environment
IAHSS – Indiana
Chapter’s Tony
Pope on hospital
security
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - Any patient using LtOT, regardless of dose, has a risk of adverse events, including overdose;
2. … Identifying patients using LtOT provides an opportunity to identify those at highest risk so that
they … dashboard of key measures is developed for all patients on LtOT.
☐ Data are used to monitor care gaps, high-risk … www.improvingopioidcare.org:
− Calculation of morphine equivalent dosing;
− Patient function (e.g., PEG);
− Risk … Patient education materials
that include explanation of the
risks and limited benefits of
long-term
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - Assessment (SSA)
Administer the SSA
Conduct a premortem exercise with your team to proactively identify risks … How will you reduce the risk of it happening again?
How will you know that risk is reduced? … Safety Assessment
Taps wisdom of frontline providers
Helps providers understand the patient safety risks
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
June 02, 2025 - factors are important for falls so that they are more sensitive to changes in these risks and to helping … us
identify residents whose risks are changing and to alert Nurse Managers earlier. … Facilitator: Sally [Nurse Manager B], do you use a standardized assessment tool to assess resident risks … Focusing our team discussions
on those residents with new and changing risks seems like it would allow … The Falls High-
Risk Report is definitely helping us identify residents with risks associated with falls
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/perioperative_asst.docx
December 01, 2017 - Frontline providers understand patient safety risks in their clinical areas and have great insight into … Perioperative Staff Safety Assessment
NAME (OPTIONAL)
JOB TITLE
DATE
CLINICAL AREA
ASSESS RISK … ASSESS RISK FOR SURGICAL SITE INFECTION
Please describe how you think the next patient in the operating
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
December 01, 2017 - Weekly Risk Meetings (e.g., Pressure Ulcer Risk, Nutrition Risk)
X
9. … strictly for prevention, some of the prevention reports can provide helpful information about residents' risks … The reports help to identify persons with risks associated with pressure ulcers, review care plans, and … Reports provide information about current and changing risks for pressure ulcers and can aid root cause … strictly for prevention, some of the prevention reports can provide helpful information about residents' risks
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-m.html
May 01, 2017 - If risk assessment indicates that alcohol flushing and forced air drying are desirable, follow IFUs … Encourage patients and families to discuss with their physician the benefits, risks, and alternatives
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - uncomplicated biliary infections 2
Piperacillin/tazobactam started empirically Patient does not have risk … How will you reduce the risk of the adverse event from happening again? … How will you know the risk is reduced? … Antibiotic Decision Making
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
Make Sure Risks … Do staff believe risks were reduced?
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - Imaging overuse subjects children to a number of risks (Malviya, Voepel-Lewis, Eldevik, et al.,
2000 … Providers should carefully consider the risks and benefits of neuroimaging before
ordering. … The literature offers many examples of the potential risks associated with overuse of imaging. … Projected cancer risks from computed
tomographic scans performed in the United States in 2007. … Frequently asked questions: What are the risks of anesthesia?
2014.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-self-assess-tool.pdf
June 02, 2025 - Training on patient-centered,
empathic communication
emphasizing patient safety,
e.g., risks, dose … Patient education materials
that include explanation of the
risks and limited benefits of
long-term
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking2.html
September 01, 2022 - For example, the outcome of medical decisions is often incorrectly phrased in terms of “risks” and “benefits
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
October 01, 2024 - Contact precautions, a type of transmission-based precaution, are used to reduce the risk of person-based … A third proposed approach is a “risk-based” strategy for use of contact precautions, where gowns and … personnel is greatest, potentially optimizing the benefits and minimizing potential risks and resource … assessment to determine the potential benefits and risks associated with contact precautions within … Methicillin-resistant Staphylococcus aureus infection and hospitalization in high-risk patients in the