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Showing results for "risks".

81. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
    www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
    January 01, 2025 - Key Words: human factors, risk assessment, safety 2. … Traditional risk assessment methods ill-suited to reveal risks in a complex sociotechnical system such … For example, Probabilistic Risk Assessment (PRA) can be used to quantify the likelihood of risk, but … the risk must be known. … Risk is the likelihood of exposure to hazard.

82. Strategies to Better Engineer Safety into Healthcare Delivery (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
    March 06, 2025 - such as practices designed to reduce the transmission of healthcare-associated infections and the risk … Anticipate, Prevent, and Mitigate Hazards and Risks II. … Establish standard contingency plans for high-risk failures such as cybersecurity breaches, natural … monitoring for patients receiving sedative/analgesic pain medication to decrease the risk of “failure … Anticipate, Prevent, and Mitigate Hazards and Risks Implementation Support II.

83. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - CULTURE Have leaders established methods to identify risks and provide employees opportunities … FUTURE RISKS Are there other areas in the organization where this could happen?       … FUTURE RISKS Are there opportunities to improve trainings, competencies and orientation sessions

84. Engage Module Alternate Text | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/engage/alt-text.html
    April 01, 2013 - 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 … 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

85. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - How will you reduce the risk of it happening again? How will you know the risk was reduced? … Slide 28: How Will You Know Risks Were Reduced? … Do staff believe risks were reduced? Make data-driven metrics the goal whenever possible. … Slide 29: How Will You Know Risks Were Reduced? Identify how you will measure success. … Slide 30: How Will You Know Risks Were Reduced?

86. CUSP: A Framework for Success (Slide Presentation) | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
    October 01, 2014 - Ensure unit team has resources to reduce risks. … What could you do to reduce risk? How do you know risk was reduced? … Do staff believe risks have been reduced? Return to Contents   Slide 31. … What are potential risks during the day; how can we reduce these risks? … Safety survey to identify at-risk departments. Mandatory science of safety training.

87. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
    January 01, 2017 - First-Order Problem Solving Second-Order Problem Solving Recovers for one patient, but does not reduce risks … for future patients Example: You get the supply from another area or you manage without it Reduces risks … How will you reduce the risk of it happening again? … How Will You Reduce Risk Reoccurring? … Do staff believe risks were reduced?

88. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
    December 01, 2023 - older adults, such as screening for opioid-related risks (falls, etc.) or medication management. … for opioid related risks (falls, etc.) … , such as screening for opioid-related risks and recommendations for improved medication management … A policy and agreed upon standard of practice about screening for risks of adverse events in older … An opioid treatment agreement/plan customized for older adults that describes risks specific to older

89. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
    April 01, 2018 - Study Strengths and Limitations ST-PRA is a valuable and important tool for assessing the risks associated … unique combinations of risks that contribute to the adverse outcome. … Return to Contents Next Steps The use of ST-PRA as a modeling tool to identify risks in the ASC … years, there have been a variety of methods and tools designed to improve our understanding of the many risks … and easier to use by health care providers as they attempt to improve system design and reduce the risks

90. Vol 4: Effects of Eicosapentanoic Acid & Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review & Meta-Analysis of Randomized Trials & Prospective Cohorts | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/evidence-based-reports/nutritn4tp.html
    April 01, 2018 - Results: In RCTs, the summary relative risks for all-cause mortality (17 trials, 51,264 patients) and … dose-response meta-regressions, mean EPA and DHA intake up to 0.20 grams daily was associated with decreased risk … intake, 95% CI: 0.46, 0.89—data from 7 cohorts, 123,122 participants), with no significant change in risk

91. 32. System Recommendations | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide32.html
    October 01, 2014 - Recommendation: Because of the serious risks of smoking to the pregnant smoker and the fetus, whenever

92. EvidenceNOW PCOR Fact Sheet: Smoking Cessation | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/heart-health/smoking/pcor.html
    August 01, 2018 - Resource description: This EvidenceNOW fact sheet provides an overview of PCOR findings about the risks

93. Exhibit 3. Inclusion and exclusion criteria for literature review | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/stpra/stpraexh3.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 3. … criteria for literature review Previous Page Next Page Table of Contents Proactive Risk … Risk-Informed Interventions Chapter 4. Conclusions and Next Steps Appendix A. … e.g., academic medical centers) Specific studies on hospital and care related infections and their risks … or refute information from the site visit estimates Studies containing risk factor estimates related

94. 170-Cusp-Science-Safety-Notes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
    October 01, 2024 - Slide 3 Risks of Healthcare-Associated Infections (HAI) SAY: The risk of healthcare-associated infections … The risk is even higher for patients in intensive care units (ICU), where 30 percent develop an HAI. … This reduces the risk that future patients will be harmed by the same type of error. … Given her trauma, he was concerned about Susan’s bleeding risks. … The hospital didn’t have a standardized protocol for VTE risk assessment.

95. Appendix L. Intensive Care Unit Infographic Poster | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
    October 01, 2015 - Poster on Urinary Catheter Risks and Indications Appendix F. … RAISE AWARENESS AND UNDERSTAND THE RISKS OF INDWELLING URINARY CATHETERS Possible misconceptions: … Unnecessary catheterization puts patients at risk for urinary tract infections and may cause other complications … such as multidrug-resistant organisms, additional antibiotics leading to increased risk of Clostridium

96. Engage the Senior Executive | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
    December 01, 2012 - Considers patient risks and involves frontline personnel in creating ways to mitigate those risks. … Slide 13: Collaborates To Develop and Implement a Plan Addressing Safety Issues Considers patient risks … Involves frontline providers to help reduce risks.

97. AHRQ Safety Program for MRSA Prevention
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
    October 01, 2024 - Hospitals face pressures, including balancing safety risks with costs. … providing essential safety-related information, but clear lines are drawn between human error and at-risk … Due to psychological safety, there is no risk when people report their errors and near-misses. … The hospital does not have a standard VTE risk assessment protocol. … Framework for analyzing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7.

98. Give People a Reason To Look at a Health Care Quality Report | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/explain/communicate/reason.html
    November 01, 2018 - In general, advertisers and marketers believe that messages that emphasize risks people face are more … hospital information found that when quality information is framed in terms of helping people avoid risks … hospital, people understand it better, value it more, and are more willing to make tradeoffs to avoid risk … home data at all. [3] These findings suggest that when people need to be reminded that there is a risk … because many people believe they all offer about the same quality of care and don’t think about the risks

99. Engageexecnotes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
    June 02, 2025 - They should also join frontline providers and managers for rounds and a monthly meeting to discuss risk … The senior executive should: · Work with team members to consider patient risks identified in the Staff … , · Help prioritize risks and develop an improvement plan, and · Hold himself or herself and unit staff … with their teammates to tackle risks at the unit or hospital level. … Further, when prioritizing risks and developing an improvement plan with the team, senior executives

100. Antimicrobial Stewardship | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/antimicrobial-stewardship.html
     members understand what the nursing home is doing to make sure antibiotics are used properly, what the risks