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  1. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
    March 01, 2016 - Training.pdf LifeWings offers a free tool to train health care staff on speaking up about patient safety risks … assertive statements for 31 possible situations in which staff should speak up about a patient safety risk … Agency for Healthcare Research and Quality’s patient safety case study portfolio aims to identify risks … ambulatory surgery centers implement infection prevention quality improvement projects, reduce infection risks … The primer also identifies known risk factors for ADEs, including health literacy, patient characteristics
  2. www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
    September 01, 2020 - LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers … is critical in managing risk. … causes of many of these claims constitute patient safety issues that expose hospitals to liability risks … High-Risk Scenarios Our research has identified several clinical situations, which we call high-risk … LEP patients should not be excluded from learning about uncertainty, risks, and treatment choices that
  3. www.talkingquality.ahrq.gov/health-literacy/improve/precautions/guide/written.html
    September 01, 2020 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Many patients have difficulty understanding numbers describing medical risks versus treatment benefits
  4. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    November 09, 2017 - report is designed to help clinicians see changes in resident status earlier and intervene earlier when risks … for high risk. … Contributing Risk Factors included in the Falls High-Risk Report. … of Fall Risk Factors Report. … Report Slide 8: Falls High-Risk Report Slide 9: Falls High-Risk Report Slide 10: Falls High-Risk
  5. www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/846.html
    January 01, 2023 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … equity lens that prioritizes protecting and empowering individuals and communities that face the highest risks
  6. www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/849.html
    February 01, 2023 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … proficiency; how an innovative artificial intelligence communication system can identify and mitigate health risks
  7. www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/893.html
    December 01, 2023 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … to develop knowledge and recommendations to improve U.S. nursing homes’ ability to respond to high-risk … kidney transplantation for older transplant candidates: a new microsimulation model for determining risks
  8. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
    March 01, 2013 - All multicomponent interventions also included an assessment of falls risk. … percent (95% CI, 0.2 to 1.1) while in the control group this was 1.5 percent (95% CI, 0.9 to 2.6) for a relativerisk reduction of 0.29 (95% CI, 0.1 to 0.87). … was not powered to assess falls separately, yet it is worth noting that the point estimate for the relative … Use of initial risk assessment and recording as the main nursing intervention in identifying risk of
  9. www.talkingquality.ahrq.gov/news/newsroom/case-studies/202301.html
    March 01, 2023 - “About half of our veterans with diabetes—around 500 patients—are at high risk for hypoglycemia,” said … “For these patients, general efforts to lower A1C levels only increase their risk for hypoglycemia. … To reduce the risk of hypoglycemia in these patients, Dr. … SHARE Approach training, they adopted an electronic tool that allows the healthcare team to monitor risk … clinical pharmacy specialists, to discuss reducing or changing their medication to reduce their risk
  10. www.talkingquality.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
    December 01, 2017 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Telemedicine Universal ICU Decolonization Protocol Toolkit to Engage High-Risk … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings  ( PDF , 1.36 … 2017 Page originally created December 2017 Internet Citation: Toolkit to Engage High-Risk
  11. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
    December 14, 2011 - Key component of the bundle was admission risk assessment followed by daily risk assessment. … The admission assessment should include both a risk assessment (to evaluate risk of developing a pressure … The prompt identification of at-risk patients using a validated risk assessment tool is essential for … Intersection of: "Occurrence A of Risk Category Assessment: Standardized Pressure Ulcer Risk Assessment … Set (1.1.1.1)" "Risk Category Assessment: Occurrence A of Standardized Pressure Ulcer Risk Assessment
  12. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
    June 24, 2022 - ’s local data warehouse and research portfolio, which may include legal counsel to manage liability risk … NAM2019 What special vulnerabilities or risks are anticipated in the study population? … NAM2019 The risk/benefit ratio of trial participation? … Generally, an intervention is not reasonable and necessary if its risks outweigh its benefits. … Generally, an intervention is not reasonable and necessary if its risks outweigh its benefits.
  13. www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module9/office_mgmt.html
    September 01, 2015 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Encourage others to speak up and take risks. Share the information you know.
  14. Section 7C (pdf file)

    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7c.pdf
    February 02, 2018 - P-Value Medicaid Reference Private 0.96 (0.78, 1.18) 0.69 No Insurance 0.67 (0.25, 1.76) 0.42 a RelativeRisk Estimate b Confidence Interval
  15. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
    November 16, 2011 - Information for families and patients on fall risk reduction? 6. … The cause of a fall is often an interaction between patient’s risk, the environment, and patient risk … Increase in hazardous environments increases the risk of falls. … status, continence, and other patient risks. 5. … A patient who is taking four or more oral medications is at risk for falling.
  16. www.talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.html
    September 01, 2020 - Opportunity Guidance AHRQ Grants Policy Notices AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … statute, regulation, and case law, the informed consent process requires explanations of the benefits and risks … Make sure the interpreter understands the information, especially if the patient's life may be at risk … When a minor child interprets, the child is in a very vulnerable position and the practice is at risk
  17. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
    May 01, 2018 - has not been shown to be cost effective (Lochmann van Bennekom, Gijsman, Zitman, 2013). 5 RisksRisks of multiple concurrent antipsychotics in comparison to monotherapy have not been systematically … Girls treated with certain antipsychotics may also be at increased risk for gynecological problems ( … Correll, et al., 2011) also suggests that use of multiple concurrent antipsychotics may pose differing risks … These risks are in addition to the side effects of antipsychotic medications that include metabolic
  18. Table 7.A (pdf file)

    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7a.pdf
    February 02, 2018 - Black 0.52 (0.37, 0.73) <0.001 Hispanic 1.04 (0.78, 1.39) 0.78 Other 0.63 (0.39, 1.01) 0.05 a RelativeRisk Estimate b Confidence Interval
  19. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-performance-comparisons.pdf
    October 01, 2019 - Determine whether to risk adjust. … adjustment, risk stratification and exclusion. … •CHeQ: risk adjusting standard of care measure may mask disparities. … ‣ Even when SES is not included in a model, understanding social risks and other contextual factors … Determine whether to risk adjust. Selecting and using benchmarks.
  20. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
    October 01, 2014 - patients with multiple psychiatric conditions referred to other providers, patients determined to be at risk … In areas where evidence-based behavior therapy is not available, the clinician needs to weigh the risks

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