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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/health-literacy/professional-training/training-for-health-care-leaders.pdf
January 01, 2014 - Department of Veterans Affairs
Barbara Giardino, RN, BSN, MJ, CPHRM, CPPS
Risk Manager, Rockford … , including remote but
severe risks? … Option of getting no
treatment, and its benefits,
harms, and risks? … therapists, educators)
Administrative staff = registration and billing
Hospital leader = C-suite, risk … ohrp/education-and-
outreach/index.html
AHRQ Informed Consent and Authorization Toolkit for Minimal Risk
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - Worksheet Root Cause Analysis
Learn From Defects Form Failure Mode and Effects Analysis
Probabilistic Risk … Worksheet - Discovery Form
- Root Cause Analysis
- Failure Mode and Effects Analysis
- Probabilistic Risk … following:
List all defects that have the potential to cause to cause harm
Discuss the three greatest risks … Sensemaking of patient safety risks and hazards. Hlth Svcs Res. 2006;41(Aug 4 Pt 2.):1555-75.
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www.talkingquality.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … involvement of human subjects and proposed protections according to the following review criteria:
Risk … Adequacy of protection against risks. … various reasons, some related to the claims about the research protocol (e.g., for exemption or the risk … inadequate procedures to maximize privacy and confidentiality or subjects not adequately informed about risks
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www.talkingquality.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
August 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … issues such as hypertension, obesity, and diabetes, they were significantly more vulnerable to the risks … important ground by exploring how differences in job characteristics and household composition impacted risks … In contrast, workers in office-based jobs who are able to work remotely have a significantly lower risk
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www.talkingquality.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Residents and their family members may not know how antibiotics should be used or understand the risks … them understand what the nursing home is doing to make sure antibiotics are used properly, what the risks
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
January 01, 2019 - Organizations (and perhaps
health IT technology developers, industry professional associations, and risk … Rather, the list reflects ECRI’s judgment about which risks should receive
priority now. … All the items on the list represent problems that can be avoided or risks that can be minimized
through … provided with the full article,
which is available separately, provides guidance to help manage the risks … also introduced new opportunities for
error and other unanticipated outcomes that can present safety risks
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www.talkingquality.ahrq.gov/evidencenow/heart-health/smoking/pcor.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Resource description: This EvidenceNOW fact sheet provides an overview of PCOR findings about the risks
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
November 01, 2019 - Imaging overuse subjects children to a number of
risks (Malviya, Vopel-Lewis, Eldevik, et al., 2000; … Administration of anesthesia raises risks
related to the process of intubation for respiratory support … When imaging is deemed
necessary, providers must weigh the risks of radiation exposure and possibly … Projected cancer risks from computed
tomographic scans performed in the United States in 2007. … Frequently asked questions: What are the risks of anesthesia?
2014.
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www.talkingquality.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
September 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … description: This patient education booklet explains how heart attack and stroke happen, and the potential risks
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www.talkingquality.ahrq.gov/evidencenow/heart-health/smoking/detailing.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Primary Care
Resource description: This facts-at-a-glance handout for clinicians summarizes evidence, risks
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www.talkingquality.ahrq.gov/evidencenow/heart-health/smoking/use.html
August 01, 2018 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Tobacco Use
Resource description: This script and slide deck from a 14-minute presentation cover the risks
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
January 01, 2019 - anemia (Hb SS or Hb S beta‐zero thalassemia [SCA]) who received
anticipatory guidance regarding the risks … There are no
existing quality measures for anticipatory guidance regarding the risks and benefits of … calculated as the percentage of eligible children
who received anticipatory guidance regarding the risks … of children younger than 18 years of age
with SCA who received anticipatory guidance regarding the risks … randomized Phase II pilot study in young children (12 to 48 months old) without stroke or
stroke risk
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - Point of Care Tools
ASCVD Risk Calculator app
NIH Heart attack assessment tool
Point of Care Tools (2 … Patient is at a high risk for bleeding (i.e. GI hemorrhage, bleeding disorders documented). … Benefits usually outweigh the risks for secondary prevention. … The ASCVD Risk Estimator provides easy access to recommendations specific to the risk estimates produced … the most current evidence on bleeding and aspirin use to derive a patient’s likely benefits and risks
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Are governance/senior leaders regularly and thoroughly briefed on risks and hazards?
b. … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings?
f. … Comments
Leadership and Culture
Are governance/senior leaders regularly and
thoroughly briefed on risks … Are patient safety risks, hazards, and opportunities
discussed and documented at board meetings? … There is strong consensus that
improved communication between providers and patients about risks to
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - But there is only limited understanding of such risk factors currently. … Health Care Leaders and Professionals
Many individuals do not understand the benefits, harms, and risks … that hospitals and clinical teams can use to ensure that people understand the benefits, harms, and risks … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … These skin lesions bring pain, associated risk for serious infection, and increased health care utilization
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Leadership and Culture:
Are governance/senior leaders regularly and thoroughly briefed on risks and … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings? … Is a risk manager available at all times to respond to patient safety incidents?
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Comments
Leadership and Culture
Are governance/senior leaders regularly and thoroughly briefed on risks … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings?
… Is a risk manager available at all times to respond to patient safety incidents?
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - Imaging overuse
subjects children to a number of risks (Malviya, Voepel-Lewis, Eldevik, et al., 2000 … Administration of anesthesia raises risks
related to the process of intubation for respiratory support … The most severe risks, though rare, include brain damage and death (SPA, 2014). … Projected cancer risks from computed
tomographic scans performed in the United States in 2007. … Frequently asked questions: What are the risks of
anesthesia? Richmond, VA: SPA; 2014.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
April 01, 2019 - Imaging overuse
subjects children to a number of risks (Malviya, Voepel-Lewis, Eldevik, et al., 2000 … ; Costs
The literature offers many examples of the potential risks associated with imaging. … The most severe, though rare, risks include brain damage and death (Society for Pediatric
Anesthesia … Projected cancer risks from computed
tomographic scans performed in the United States in 2007. … Frequently asked questions: What are the risks of anesthesia?
2014.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
January 01, 2009 - areas where evidence-based behavioral treatments
are not available, the clinician needs to weigh the risks … Benefits-harms assessment Given the risks of untreated ADHD, the benefits
outweigh the risks. … medication is extremely
rare, and evidence is conflicting as to whether stimulant medications increase the risk … age
depends in part on the clinician’s assessment of the estimated developmental impairment, safety risks … 2005;115(6):1734-1746
iv Attention Deficit Hyperactivity Disorder: Effectiveness of Treatment in At-risk