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www.ahrq.gov/funding/process/grant-app-basics/apptips.html
February 01, 2025 - project involves clinical research, are the plans for 1) protection of human subjects from research risks … evaluate the justification for involvement of human subjects and the proposed protections from research risk … relating to their participation according to the following five review criteria: 1) risk to subjects … , 2) adequacy of protection against risks, 3) potential benefits to the subjects and others, 4) importance
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
June 01, 2020 - diagnostic performance should hence consider the broader context of value-based care, including quality, risks … EHRs can be useful for measuring both discrete (and perhaps relatively uncommon) events and risks that … Emerging patterns that may suggest high-risk situations.
Peer review. … Risk management sources.
Malpractice claims.
Autopsy. … Selection of high-risk cohorts (such as patients with cancer or epidural abscess).
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
January 01, 2025 - FLORIDA
Robert Wears
University of
Florida
Gainesville, Florida
R18 HS017902
[Grant]
Reducing Risks … either some sort of regulatory floor (beyond
the HIPAA), 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 … Chemotherapy Processes
2003–2005
$200,000
Final Report
Purpose: To evaluate the risks associated
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - The facilitator reviews ways risk information is transmitted to clinical staff and ways care plans are … populated on the report to ensure that data on the report agree with staff knowledge of residents’ health/risks … The first report, Intervention History for Nutrition Risk Reports: High Risk and Medium Risk , focuses … on intervention history of residents with nutrition risks. … Intervention History for Nutrition Risk. Reports: High Risk and Medium Risk.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - Create Independent Checks (CUSP Element)
Assess appropriateness of procedures that increase risk … Probabilistic risk assessment.
Causal tree worksheet. … In the context of cord prolapse, this includes risk awareness, timely recognition of a cord prolapse … of transition communication techniques assures a shared mental model of plan of care and perceived risks … Earlier studies, prior to the advent of continuous fetal monitoring, showed association with increased risks
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - processes, further aids in the development of high-quality patient care by allowing providers to mitigate risks … speaking up if they do not agree with task assignments and protocols or when they see patient safety risks … ratios exceed best practice based on the unit's acuity and rate of volume change, there is an increased risk … How will you reduce the risk of recurrence?
How will you know it worked?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - Senior Executive Collaborates To Develop and Implement a Plan Addressing Safety Issues
Considers patient risks … identified in the staff safety assessment with team members
Involves frontline providers to help reduce risks … Psychological safety is the degree to which team members feel that their environment supports the interpersonal risk … Meet with hospital departments (risk management, quality improvement) to ensure that L&D CUSP efforts … Managing the Risk of Learning: Psychological Safety in Work Teams. In West M, ed.
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www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
January 01, 2024 - Public Health Advisory
Recently completed studies found an increased risk of death, blood clots, strokes … risks.” … ESA therapy has serious side
effects and might be associated with decreased survival and increased risk … oncology
patients was also released on March 2007 and included a mandate that providers engage
in a risk … The relative contribution of measured variables
to death risk among hemodialysis patients, Chapter 13
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - processes, further aids in the development of high-quality patient care by allowing providers to mitigate risks … speaking up if they do not agree with task assignments and protocols or when they see patient safety risks … ratios exceed best practice based on the unit’s acuity and rate of volume change, there is an increased risk … How will you reduce the risk of recurrence?
How will you know it worked?
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www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
January 01, 2024 - Additionally, risks of acute liver injury
were low among fluconazole, ketoconazole, and itraconazole … Pre-
existing chronic liver disease increased risks of aminotransferases >200 U/L (hazard ratio, 4.68 … In our study evaluating the comparative hepatic safety of azole antifungals,83 the absolute
risks and … Risks of acute liver injury were similarly low among users of fluconazole, ketoconazole,
and itraconazole … Managing the risks of from medical product use:
creating a risk management framework. http://www.fda.gov
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www.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
June 01, 2022 - We risk witnessing patient and health professional safety events because of workforce depletion. … affordable, environmentally responsible, and protects patients and health professionals from safety risks
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www.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
May 01, 2023 - study 2 in the New England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk … While these are reportable events, we can assume the risks are more widespread; safety events in many
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - B. 2015 CRICO Strategies National CBS Report: Malpractice Risks in Communication Failures. https://www.rmf.harvard … .
edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures. … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - B. 2015 CRICO Strategies National CBS Report: Malpractice Risks in Communication Failures. https://www.rmf.harvard … .
edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures. … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures
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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/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/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