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www.ahrq.gov/news/newsletters/e-newsletter/709.html
April 01, 2020 - Reports Examine Effectiveness, Risks of Pain Treatments . … And an AHRQ strike team of internal experts is addressing short- and long-term needs related to risk … and risks of different kinds of chronic pain treatments. … Development and validation of a predictive model of the risk of pediatric septic shock using data known … Social risk factors for medication nonadherence: findings from the CARDIA study.
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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/shareddecisionmaking/workshop/module1/shareworkshop-mod1slides.ppt
January 01, 2014 - Discuss benefits/risks/costs.
Clarify patient’s values/preferences. …
*
Discuss the benefits and risks of each treatment option. … Clearly communicate risks and benefits of each option. … Clearly communicate risks and benefits of each option. … Conversation Starters
“When you think about the possible risks, what matters most to you?”
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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/news/newsletters/e-newsletter/942.html
December 01, 2024 - COVID-19 Surges Tied to Higher Risks for All Hospital Patients, AHRQ Study Finds
Issue Number … Today's Headlines: COVID-19 Surges Tied to Higher Risks for All Hospital Patients, AHRQ Study Finds . … COVID-19 Surges Tied to Higher Risks for All Hospital Patients, AHRQ Study Finds Hospitals with high … ET: Approaches to Address Health Risks in Older Adults , sponsored by AHRQ’s National Center for Excellence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool4b.docx
January 29, 2013 - Environmental risks (e.g., hooked up to IV). … Educates patient/family about fall risk factors. … Environmental risks (e.g., hooked up to IV). … CNA
Reports any new fall risks to nurse.
Keeps environment around bed clutter free. … Reviews medications for fall risk.
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www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
January 01, 2024 - Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment … medication management behavior risks that should be further explored by health systems? … At times, patients are aware of the potential risk, and at other times they
learn about the risk only … Medication Management at Home: Patient Identified Processes and Risk
Assessment. … Medication Management at Home: Patient Identified Processes and Risk Assessment.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17904-Hall-report.pdf
September 18, 2023 - 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/2024-01/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/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/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/challenges/health-data/review-process.html
September 01, 2022 - Anticipated risks, barriers, and strategies to successfully complete the project? … Description of the Process (40 points)
Are the risks, barriers, challenges encountered, solutions
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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/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/health-literacy/professional-training/shared-decision/workshop/mod1-slides.html
September 01, 2020 - Discuss benefits/risks/costs.
Clarify patient's values/preferences. … Presents options and describes the risks and harms. … Results in patient having more accurate expectations of possible benefits and risks. … Clearly communicate risks and benefits of each option. … Result in patient having more accurate expectations of possible benefits and 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/reports/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/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/news/newsletters/e-newsletter/620.html
June 01, 2018 - Study Finds Medicare Advantage Enrollees Have Lower Health Risks Based on Their Prescription Drug Use … Study Finds Medicare Advantage Enrollees Have Lower Health Risks Based on Their Prescription Drug Use … Medicare beneficiaries enrolled in Medicare Advantage health plans appear to have lower overall risks … Health Services Research , analyzed drug use patterns for Medicare beneficiaries to determine health risk … found that beneficiaries enrolled in Medicare Advantage plans in 2015 had 6.9 percent lower health risk
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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