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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2c1.html
April 01, 2018 - Society Guidelines—Colorectal Cancer Screening 1
Beginning at age 50, both men and women at average risk … The risks and benefits of these screening methods vary.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
December 01, 2014 - risk). … Show recent changes in risks.
Profile risks for each resident in the report. … Self-Assessment worksheet that is designed to help nursing home staff review how they:
Screen for risks … How can you tell if risks are changing?
How would you improve your approach to risk assessment? … reports at meetings with the multidisciplinary team will improve the team's ability to mitigate these risks
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www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
January 01, 2024 - As
with other public health initiatives, the public must understand the risks and the
appropriate … Develop or refine existing tools for identifying at-risk persons
while being sensitive to stigma associated … (4) Determine key risk factors for suboptimal medication reconciliation (e.g., repeat
hospitalizations … Process measures should have a mechanism to identify high-risk patients and should
be contextually … Intensive Care
patients; for high- vs. low-risk patients).
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - We are committed to detect and learn from error
We have a just culture that disciplines based on risk … Managing the Risks of Organizational Accidents. … Johnson is at risk for a CAUTI if we do not remove the catheter. … Managing the Risks of Organizational Accidents . … Sensemaking of patient safety risks and hazards. HSR , 41(4 Pt 2), 1555-1575.
Nieva VF, Sorra J.
-
www.ahrq.gov/news/newsroom/case-studies/201905.html
September 01, 2019 - procedure, for example, the informed consent process helps them understand why it is recommended, the risks
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-v-a.pdf
June 25, 2014 - ● Harms/risks/costs: The major risk is mis
diagnosing the conditions and providing
inappropriate … ● Harms/risks/costs: Providing the ser
vices might be more costly. … ● Benefits-harms assessment: Given the
risks of untreated ADHD, the benefits
outweigh the risks … ● Benefits-harms assessment: Given the
risks of untreated ADHD, the benefits
outweigh the risks … ● Benefits-harms assessment: Given the
risks of untreated ADHD, the benefits
outweigh the risks
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ptexp-research-meeting-agenda-2023.pdf
January 01, 2023 - experience
• How better communication with patients can improve patient safety and lower malpractice risks
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www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Tools
Discovery Form
Root Cause Analysis
Failure Mode and Effects Analysis
Probabilistic Risk … uses the Discovery Form, Root Cause Analysis, Failure Mode and Effects Analysis, and Probabilistic Risk … following:
List all defects that have the potential to cause harm
Discuss the three greatest risks … What will you do to reduce the risk of recurrence?
How will you know the risk is reduced? … Sensemaking of patient safety risks and hazards. Hlth Svcs Res 2006. 41(Aug 4 Pt 2.) 1555-1575.
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - already conduct patient surveys, interviews, and reviews of patient complaints to learn about safety risks … errors, infection control) has examined the potential of engaging patients proactively to monitor safety risks … presence of diagnostic error, based on diagnosis or other relevant characteristics that may be considered risk … high-yield subset (e.g., reviewing records of patients diagnosed with specific clinical conditions at high risk … developed to alert personnel to potential patient safety events and enable targeted review of high-risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
April 22, 2004 - To reduce these behaviors also mitigates considerable safety risk. … patient’s imminent harm
to self or others and, increasingly, few who do not present either of these risks … in the
period).8
Psychiatric hospitalization may also impose more subtle, less immediate
safety risks … in work, school, and social settings are less likely
to experience deterioration and the attendant risks … the community in the course of a year versus in an acute care setting with its
concomitant safety risks
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www.ahrq.gov/patient-safety/reports/hotline/appd.html
May 01, 2016 - Communications
Patient Relations and or Patient/Family Advisory Council members/VP Patient Experience
Legal/Risk … Probe: [ASK EVERYONE BUT ESPECIALLY RISK MANAGEMENT] What about involving legal or risk management? … Can you tell us anything about what risks were identified? Any concerns that emerged? … ]
Very encouraging
Somewhat encouraging
Neutral
Somewhat discouraging
Very discouraging
ASK RISK … MANAGEMENT, LEGAL, AND HUMAN-SUBJECTS RESPONDENTS ONLY:
Knowing what you know now about the risks
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www.ahrq.gov/news/newsroom/case-studies/cquips0901.html
October 01, 2014 - "We are striving to create a culture where staff feels comfortable and compelled to report risks to patient
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-i.pdf
July 01, 2017 - These tools increase
knowledge, improve risk estimates, increase patient’s involvement in decisions, … Shared Decision-Making
July 2017 6.I-3
discussions to focus on the critical risk/benefit tradeoffs … to success lies in training physicians and other members of the
care team to:
communicate about risks … expressed needs when making
recommendations for care.18
Clinical decision support tools, such as risk … can follow-up with patients to
determine whether they understood that they had options, how much the risks
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - Exposure to antibiotics also puts your mom at risk for developing a future infection with resistant bacteria … Sometimes we start treatment here, but even oral medications have risks and side effects.”
23
Discussing … Points
Effective communication is a key component
Educating residents and family members about the risks
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
October 01, 2020 - catheterized would save time, but clearly, with extended lengths of stay, infection complications, and other risks … Slide 77
Saves time for the bedside nurse:
With infection complications, extended stay and other risks
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
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
-
www.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
January 01, 2024 - thromboembolism, or post-acute coronary syndrome using
administrative data, studying heterogeneity of risks … PURPOSE/STUDY OBJECTIVES
Aim 1: To determine how GIB risk (total-, upper- and lower-GIB risk) among … Our
study results demonstrate that these risks may be similar, and, in some individuals, the
use … approaches to mitigate risk. … claims data of ACS patients following PCI,
we discovered that ticagrelor was associated with a 25% relative
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard.pptx
December 01, 2017 - Consider participating in surgical morbidity and mortality conferences
Post the stories of reduced risks … Post the stories of the reduced risks, along with your data within your hospital network.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
June 02, 2025 - authors address their experiences in introducing various
clinical improvements targeted at identified risk … Patients are an important source of information about risks and hazards and about
how care can be made
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-persily.pdf
June 02, 2025 - 42% response rate)
4949
Demographics of respondents
70% Clinical
8% Administration, quality, risk … leaders listen to and seek advice from front line
staff who know how processes really work and
where risks