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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide207.html
October 01, 2014 - effective psychosocial interventions with pregnant patients:
Physician advice regarding smoking-related risks … (2-3 minutes); videotape with information on risks, barriers, and tips for quitting; midwife counseling
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
October 01, 2016 - dialogue between nurses or prescribing clinicians and residents’ family members about antibiotics and the risks … points are designed to: (1) educate residents’ family members about antibiotics and the associated risks … However, watchful waiting is a good way to make sure that your family member avoids the risks of antibiotics … What are the risks—or harms—of antibiotics? … What is our nursing home doing to decrease the chance of these risks?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - monthly with unit team
Executive should –
Review defects
Ensure unit team has resources to reduce risks … Hold team accountable for improving risks and central line-associated blood steam infection rate … What could you do to reduce risk?
How do you know risk was reduced ? … during the day; how can we reduce these risks
*
*
Step 5 cont’d: Shadowing
Follow another type … success
*
Science of Safety Education
Education done prior to CAUTI
Safety survey to identify at-risk
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www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/surgery/tips/tipsurgery.pdf
June 02, 2025 - No surgery is risk free. … It is important to learn
about the possible benefits and risks involved
in the surgical procedure you … What are the risks of having the operation?
6. What will happen if I don’t have this
operation?
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www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
January 01, 2024 - Scope: The project aimed to develop a checklist-based cognitive tool to reduce the risks of gaps in care … The intended goal was to implement and
evaluate the tool to reduce the risks of information gaps in … This study, Evaluation of Risk by Active
Surveillance in the Emergency Department (ERASED), uses a novel … In this
study, we propose to develop, implement, and evaluate a tool that will minimize the risks of … The initial risk assessment project, Evaluation of Risk by Active Surveillance in the Emergency Department
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www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - Risks for medication-related harms in ambulatory care are multi-dimensional and complex (6, 7). … assessment tool to document
medication safety risks during the transition period and in the home. … A theoretical framework of risks and hazards for medication-related adverse events.
Table 1. … Significance
The project developed a risk assessment tool that may be implemented to reduce risks of … and sources of risks
identified in this project.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/co-nm-specialinnovation.html
August 01, 2015 - Problems Addressed
Adolescence is a time when numerous risks to health emerge. 1 Failure to assess … these risks systematically can cause providers to miss opportunities to intervene and change risky behaviors … In general, discussing health risks with adolescents can promote healthy habits and improve care overall … Lack of electronic data makes it hard to track whether students’ risks have been addressed, both on an … Providers credited the eSHQ with facilitating discussions about risks with adolescents and referrals
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - Slide 1
Educational Objectives
SAY:
This presentation will describe the patient safety risks that … Slide 3
Risks of Healthcare-Associated Infections
SAY:
The risk of healthcare-associated infections … The risk is even higher for patients in intensive care units, where 30 percent develop an HAI. … This reduces the risk that future patients will be harmed by the same type of error. … He assessed the patient for her venous thromboembolism (VTE) risk and followed the VTE risk protocol,
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/co-nm-specialinnovation.pdf
January 01, 2020 - Problems Addressed
• Adolescence is a time when numerous risks to health
emerge.1 Failure to assess … these risks systematically can
cause providers to miss opportunities to intervene and
change risky … In general, discussing health risks with adolescents can
promote healthy habits and improve care overall … Lack of electronic data
makes it hard to track whether students’ risks have
been addressed, both on … • Providers credited the eSHQ with facilitating discussions
about risks with adolescents and referrals
-
www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - Replacing these artefacts by computerized versions may introduce new
risks.
Methods. … Although this
malleability leads to risks of its own, they seem to be more than balanced by the risks … Organizing patient safety research to identify risks and
hazards. … Managing the Risks of Organizational Accidents. … Reducing Risks, Protecting People: HSE's Decision-
making Process.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - ST-
PRA is particularly helpful for estimating risks in outcomes that are very rare, such as the risk … ST-PRA is particularly helpful for estimating risks in outcomes that
are very rare, such as the risk … and combinations of risks, and
the design of an intervention aimed at reducing the risk of SSIs. … of the other risks in the model. … unique combinations of risks that
contribute to the adverse outcome.
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt2.html
October 01, 2015 - Poster on Urinary Catheter Risks and Indications
Appendix F. … The CUSP model draws on the wisdom of frontline providers who have practical knowledge about safety risks … Through use of the Learn From Defects tool, it provides a way to help analyze and reduce the risk of … which errors are treated as an opportunity to learn about root causes and prevent future errors and risks
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/14-diagnostic-safety-toolkit-references.pdf
November 24, 2020 - CRICO Strategies, 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic
Process. … edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process. … /tools/pf-handbook/index.html
https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process … Hoffman J, ed. 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic
Process. … MA: CRICO Strategies; 2015. https://www.rmf.harvard.edu/
Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process
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www.ahrq.gov/evidencenow/projects/heart-health/evidence/smoking.html
March 01, 2021 - Cigarette smoking accounts for one out of every five deaths and is estimated to increase the risk for … Smoking during pregnancy increases the risk of congenital anomalies, perinatal complications, miscarriage … Smoking Cessation Fact Sheet
This EvidenceNOW fact sheet provides an overview of PCOR findings about the risks … Smoking Cessation in Primary Care
This facts-at-a-glance handout for clinicians summarizes evidence, risks … Ready or Not…Addressing Tobacco Use
This script and slide deck from a 14-minute presentation cover the risks
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/116-cusp-premortem-project-assessment.docx
January 01, 2007 - implementation barriers and challenges before launching a project can help the team mitigate these risks … Use this worksheet to identify, prioritize, and address these potential risks.
1. … concerns, brainstorm interventions that can be carried out during implementation to mitigate these risks
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
August 01, 2023 - the consequences of not treating specific illnesses are devastating.” 16 The juxtaposition of the risk … When definitive tests exist, such tests may expose children to greater risks than similar testing in … malignancy over their lifetime. 26,27 Thus, clinicians caring for children must carefully weigh the risks … and diagnostic yield associated with computed tomography and fluoroscopy. 28-30
The risks of testing … children with medical complexity (CMC) represents a population with considerable diagnostic safety risks
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk is reduced? … Slide 13: How Will You Reduce Risk of Recurrence? … Slide 16: How Will You Reduce Risk of Recurrence? … Slide 19: How Will You Know Risks Were Reduced? … Post the stories of reduced risks (with data!).
Share with others.
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www.ahrq.gov/patient-safety/resources/learning-lab/idea-ll-long-desc.html
August 01, 2025 - errors in emergency departments (EDs) by examining diagnostic decision making, identifying contributing risk … and clinician workload. 3 This computational work enabled the development of early-stage diagnostic risk … These diverse data streams produced a robust, multilayered understanding of diagnostic risk in academic … Monitoring diagnostic safety risks in emergency departments: protocol for a machine learning study . … Intervention concepts included: Clinician-facing dashboards that visually displayed diagnostic risk signals
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexec.pptx
January 01, 2006 - Joins frontline staff and middle manager for rounds and a 1-hour monthly meeting
Considers patient risks … and involves frontline personnel in creating ways to mitigate those risks
Reviews unit data with team … Change
12
13
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
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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - Quality (AHRQ R21 HS19532).
1
ABSTRACT
Purpose: Physician-patient miscommunication with inadequate risk … Risk management resources were compared by estimated time and costs for processing patient
complaint … Informed
consent accounted for 41% of total risk management files. … the lists of risks to combine minor risks lacking numerical estimates of probability. … of total
risk management files) and 47 medical errors (24% of total risk management files).