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www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - of the patient population, specifically whether—as a group—patients in one facility are at greater risk … Risk adjustment is a complex statistical enterprise. … [1] [2]
Why adjust for risks or severity? … Most common risk adjustments—for age, prior medical history, or comorbidities—are considered a good idea … Risk Adjustment for pediatric quality indicators. Pediatrics 2004 Jan;113(1 Pt 2):210-6.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
November 01, 2019 - Imaging overuse subjects children to a number of risks (Malviya, Voepel-
2
Lewis, Eldevik, et al … Burdens of Overuse of Imaging
The literature offers many examples of the potential risks associated … The most severe risks, though rare, include brain damage and death (SPA, 2014). … Projected cancer risks from computed
tomographic scans performed in the United States in 2007. … Frequently asked questions: What are the risks of
anesthesia? Richmond, VA: SPA; 2014.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - The risk must be eliminated for all patients. … Slide 12
How Will You Reduce Risk of Recurrence? … Slide 18
How Will You Know Risks Were Reduced? … Does the staff believe the risks were reduced? … Post the stories in which risks were reduced. Include data to show trends.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - The risk must be eliminated for all patients. … Slide 19: How Will You Know Risks Were Reduced? … Ask:
How are we going to know the risks are reduced? … Does the staff believe the risks were reduced? … Post the stories in which risks were reduced. Include data to show trends.
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www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - Higher Centers for Medicare & Medicaid Services (CMS) Nursing Home Five-Star Quality ratings. 5 Lower risks
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - Safety
2
Revolutionized modern medicine
Saved countless lives
However, antibiotics have risks … Patient Safety
6
Increased risk of getting Clostridioides difficile infection (CDI) occurs5,6
While … Social influences include
Fears, risks, fatigue
Other prescribers outside of long-term care facilities … How can you reduce the risk for next time?
How will know that your changes worked? … Meta-analysis of antibiotics and the risk of community-associated Clostridium difficile infection.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - of transition communication techniques assures a shared mental model of plan of care and perceived
risks … Family Engagement (CUSP)
Key Perinatal Safety Elements
Examples/customizable components
Discuss risks … Use unit-established process for conveying risks and benefits of magnesium sulfate use to patient and … Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus. … Patient comfort and education
· Discuss risks and benefits of magnesium sulfate with patient and family
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - An informed consent includes the risks and benefits of the procedure and must be fully explained so that … consent process is an opportunity to not only inform the patient and their family about the possible risks … A patient may consent to a procedure without having a full understanding of the risks involved, especially … Risks, benefits, and alternatives should be explained using terms and language understood by the patient … In some facilities, this requires reporting to the patient’s physician, risk management department, and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-role-leader.pdf
March 01, 2017 - HAIs
have also been linked to increased risks for acute
hospitalizations, with associated morbidities
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www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
January 01, 2024 - persistent user,4 this hazard of surgery
often remains unmentioned, even as surgeons routinely discuss risks … Compounding the individual health risks posed by chronic opioid use are increased risks
associated with … The signs
and symptoms of pain-opioid use disorder risks include sleep disturbance, secondary physical … To minimize risks for patients, strategies include minimizing
preoperative exposure to opioids, setting … patients who go on
to be persistent users can help shape conversations with patients when discussing the risks
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/031-hand-hygiene-monitoring.docx
October 01, 2024 - opportunities
· No opportunities for real-time intervention
· High costs
· Poses possible patient privacy risks
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www.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
September 01, 2023 - a digital healthcare tool to help breast cancer patients better understand their treatment options, risks … providers can use artificial intelligence (AI) to identify which cardiac disease patients are most at risk … Decision Precision+ , pulls electronic health record (EHR) data to provide individualized benefit and risk
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Slide 14
What Could You Do To Reduce the Risk? … As we discussed before, standardizing actions helps reduce the risks of problems. … Slide 16
How Do You Know the Risk Was Reduced? … SAY:
Finally, how do we know that the risk was reduced? … · Finally, find out if staff members believe that the policy or change is effective at reducing risks
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
October 01, 2014 - Examples of risks are:
Acute risks: Shortness of breath, exacerbation of asthma or bronchitis, increased … risk of respiratory infections, harm to pregnancy, impotence, infertility. … Environmental risks: Increased risk of lung cancer and heart disease in spouses; increased risk for low … But the risk for relapse can persist for a long time for many tobacco users. … Emphasize the health benefits of quitting relative to the health risks of modest weight gain.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
July 01, 2024 - literature suggests that clinicians and patients have different perceptions and experiences related to the risks
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk is reduced? … Slide 43: How Will You Know Risks Were Reduced?
Say:
Plan how you will measure success. … Slide 44: How Will You Know Risks Were Reduced? … Slide 45: How Will You Know Risks Were Reduced? … Show your staff that you’ve reduced the risks for patient harm.
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www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
January 01, 2024 - Results: The most prominent patient safety themes centered on risks or safety incidents
related to debilitated … Interviewees often characterized such risks or incidents as being outside
of their control to prevent … other team
members, hospice physicians, and private practice physicians in the community pose
unique risks … that are thought
to have played a part in the origin or development of an incident or to increase the risk … are
thought to have played a part in the origin or development of the incident, or to increase the
risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - assessing risk of hemorrhage upon admission to antepartum or L&D units can identify individuals at risk … · Risk assessment may include presence of clinical conditions that increase risk of hemorrhage, or … Because only 5 to 10 percent of obstetric hemorrhages occur in patients with risks for hemorrhages,1 … Use of transition communication techniques assures a shared mental model of plan of care and patient risks … timely, clear information to patient and family to explain what is happening, what needs to happen next, risks
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www.ahrq.gov/ncepcr/reports/2025-annual-report/person-centered.html
August 01, 2025 - clinicians work with their patients to choose a pain treatment approach that best balances the potential risks … inappropriate discontinuation of opioids for the patients for whom the benefits of opioids outweigh the risks … demonstrated the value of an electronic health record –based tool to improve confidential screening and risk
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Chemotherapy
Processes
2003-2005
$200,000
Final Report
Purpose: To evaluate the risks associated … FLORIDA
Robert Wears
University of Florida
Gainesville, Florida
R18 HS17902
[Grant]
Reducing Risks … Health Insurance Portability and
Accountability Act), or at least a much broader awareness of the risks … of both venous
thromboembolism (VTE) and bleeding and to weigh those risks. … benefit from prospective medication monitoring care plans when complex medication
regimens carry risks