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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - measurable, and therefore feasible
to include in a reporting system; (2) of a nature such that the risk … Although health
care facilities cannot eliminate all risk of these events, they can take preventive … measures to reduce their risk of occurrence. … Maternal death or serious
disability associated with labor or
delivery in a low-risk pregnancy
while … • What are the preferred methods for risk-adjusting the data when
individuals’ risks of experiencing
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
February 01, 2020 - receive counseling about prevention; those who are obese are quite likely to have obesity-related
health risks … However, among severely obese children, the risk of developing metabolic syndrome has been
estimated … First, for
a child with a BMI above the 85th percentile, medical risks include future or persistent … weight and
body shape ideals that are culturally pervasive is associated with social and psychological risks … Health risks and body fat levels are proportionate.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-6-tables-4-6.pdf
January 23, 2019 - Table 4
Availability of maternal fetal medicine specialist or an indicated
subspecialist for high risk
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
January 01, 2013 - Structured
telephone support (relative risk
(RR) 0.77 [95% CI 0.68 to 0.87],
p<0.0001) and telemonitoring … reduced readmissions were
(1) intense self-management and
transition coaching of patients at
high risk … patients were ≥70 years
old, had a confirmed diagnosis of
CHF, and had at least 1 of the
following risk … Lower quality of inpatient care
was associated with a higher risk
of unplanned readmission within … knee arthroscopy
Lack of adherence to surgical
processes of care was associated
with increased risk
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www.cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Image: Medical papers labeled “fall risk.” … Slide 14: Toolkit Approach
The Toolkit includes accurate, evidence-based, and effective risk assessments … Identifying and communicating risk at the earliest possible time. … optimizing the effectiveness of interventions by:
Tailoring interventions to address individual risk
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-info-form.docx
May 01, 2017 - (e.g., Operating Room Technicians, Ward Clerks, Nurse’s Aides)
Staff from Safety, Quality, or Risk
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - central venous catheters are increasingly used outside the
intensive care unit, putting more patients at risk … catheters in adults.2
o Use of the femoral vein should be avoided except in an emergency.2,7
o The risks
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - What happens if a patient is found to have risk factors or experiences a fall? … Slide 13
SAY: Here is an example of a process map from an initial patient risk assessment using the … The gray boxes are the risk assessment processes. … notice that the ED’s EMR does not interface with the ICU’s EMR, which creates problems in completing the risk … Note all the places where the risk assessment can break down.
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www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-info-form.html
July 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … ., Operating Room Technicians, Ward Clerks, Nurse’s Aides)
Staff from Safety, Quality, or Risk
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-247-fullreport.pdf
December 01, 2019 - Affective Disorders and Suicide Risk: a Reexamination. Am J
Psychiatry 2000; 157:1925-32. … Based on the 2006 Behavioral Risk Factor Surveillance System. Atlanta, GA:
CDC; 2009. … Prevention of depression in at-risk adolescents: A
randomized controlled trial. … Hyperactivity and conduct problems as risk factors
for adolescent development. … Depression and the risk for cardiovascular
diseases: Systematic review and meta-analysis.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/action-plan-template.docx
August 22, 2018 - it SMART: Specific, measureable, actionable, realistic and time-bound
Testable Ideas
Identify at-risk
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www.cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … What happens if a patient is found to have risk factors or experiences a fall? … Slide 13
Say: Here is an example of a process map from an initial patient risk assessment using … The gray boxes are the risk assessment processes. … Note all the places where the risk assessment can break down.
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
October 01, 2016 - WellMed assumes
risk for all of its Medicare Advantage patients and, using the flexibility of capitated … WellMed highlights its leadership in medical risk management, effective disease management
and chronic … Physicians are incentivized to track and intervene with high-risk patients to keep readmission
rates … The PCC team assigns or adjusts the risk level of each patient, based on clinical
parameters. … chronic
conditions based on their risk stratification scores.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-139-fullreport.pdf
May 01, 2017 - Children with sickle cell anemia (Hb SS) have over 300 times the stroke risk compared with
children … Initiation of chronic blood
transfusions reduces the risk of stroke by 92 percent among children at … highest risk of stroke as
identified through TCD screening (Adams, et al., 1997; Adams, et al., 1992 … Long-term stroke risk in children with sickle cell disease
screened with transcranial Doppler. … Cerebrovascular accidents in sickle cell
disease: Rates and risk factors.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-117-fullreport.pdf
October 18, 2017 - Regression risk analysis
estimates the adjusted risk ratio (ARR) and adjusted risk difference: hypothermia … , from a baseline risk of 8.9 percent among those who were euthermic to an
exposed risk of 13.1 percent … Hospitals use various means to collect the data on their high risk newborns, but
they must submit the … "Late-preterm" infants: a population at risk. Pediatrics
2007; 120(6):1390-401.
Fischer L. … Hypothermia in very low birth weight infants: distribution, risk
factors and outcomes.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - Studies 2
UNDERTAKING CHANGE
Standardizing Oxytocin Administration
Oxytocin is listed as a high-risk … In an effort to minimize the risk of errors and standardize
oxytocin administration during the intrapartum … record for oxytocin administration
to establish a standard dosing protocol to reduce variability and risk … We expanded our patient
volume and are caring for more high-risk patients than ever before, so it is … It is a safe way to deal with high-risk
situations.
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www.cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … A Unit Team comprises staff members who provide daily direct patient care by:
Conducting fall risk … Slide 19: Electronic Health Record
What information about fall risk factors is already part of the … the most logical place in the record to collect, organize, and assess information about patient fall risk
-
www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … ___
___
Organizational Structure
Organizational chart showing connections among safety, risk
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - with multiple psychiatric conditions
referred to other provider), or
patient determined to be at risk
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www.cahps.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
February 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … On-Time Falls Prevention to help nursing homes with electronic medical records identify residents at risk