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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/03-diagnostic-safety-infographic.pdf
August 01, 2021 - Improve
Diagnostic Safety strategy.
1- CRICO Strategies, 2014 Annual Benchmarking Report: Malpractice Risks … Medical Institutions; 2015. https://
www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process … To Improve Diagnostic Safety
https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process
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www.ahrq.gov/ncepcr/care/coordination/mgmt.html
August 01, 2018 - Use multiple metrics to identify patients with modifiable risks
Develop risk-based approaches … Develop/refine tools for risk stratification
Develop predictive models to support risk stratification … This requirement is particularly important for high-risk and/or high-cost populations. … consequently at different stages of modifiable risk. … More work is needed to explore what constitutes modifiable risks.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-2/share-tool2.pdf
April 01, 2014 - Communicate numbers in a way that your patient can understand
Numbers can be a big part of discussing risk … Tips
› Avoid descriptive terms (such as “low risk”). … side effects and of remaining free of side effects.
› Whenever possible, use absolute numbers—not relative … risks. … Numeracy skill and the communication, comprehension, and use of
risk-benefit information.
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psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
June 23, 2021 - Study
Reducing risks in complex care transitions in rural areas: a grounded theory … Reducing risks in complex care transitions in rural areas: a grounded theory. … Reducing risks in complex care transitions in rural areas: a grounded theory. … COVID-19 related negative emotions and emotional suppression are associated with greater risk … May 25, 2022
Expanding frontiers of risk management: care safety in nursing home during
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psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
June 24, 2020 - Book/Report
Medication-related Malpractice Risks. 2016 CRICO Strategies National … February 10, 2016
Annual Benchmarking Report: Malpractice Risks in Surgery. … September 28, 2022
New graduate registered nurses: Risk mitigation strategies to ensure … July 20, 2022
Special Section: Event Analysis and Risk Management. … May 2, 2018
Latent risk assessment tool for health care leaders.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - of risk assessments to identify generic risks and risk contributors. … ) to further evaluate and identify risks and risk contributors.
4. … risks), are identified as
generic risks. … Risk-binning analysis protocol to identify significant risks. … The highest risks
with the highest consequence are in Risk Bin I, the next highest in Risk Bin II, and
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digital.ahrq.gov/2019-year-review/research-summary/smart-mobile-health-app-improves-screening-for-risks-and-protective-factors
January 01, 2019 - Smart Mobile Health App Improves Screening for Risks and Protective Factors for Pregnant Women … Smart Mobile Health App Improves Screening for Risks and Protective Factors for Pregnant Women … A screening tool for risk and protective factors during pregnancy can be integrated in clinic … Research links poor perinatal outcomes to risks such as mental health conditions, substance misuse, and … Gance-Cleveland
Tool supports screening for perinatal risk and protective factors
While providers
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digital.ahrq.gov/sites/default/files/docs/publication/AppendixE_Comm_Tech_For_AA_Women.pdf
May 23, 2013 - Initial stage of change and distribution of final stage of change (all risks discussed)
Initial stage … #
Risks % Total
# ending
at precon-
templation %
# ending at
contemplation %
# ending at … preparation %
# ending at
action/
maintenance %
Self-
reported
not a
risk
Precontemplation … %
# ending at
preparation %
# ending at
action/
maintenance %
Self-
reported
not a
risk … Initial stage of change and distribution of final stage of change (all risks discussed)
Table 2.
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - SPOTLIGHT CASE
Wandering Off the Floors: Safety and Security Risks of Patient Wandering … Relate common risks associated with patient wandering. … Identify measures for reducing risks related to patient wandering. … Reducing the risk There are a range of options for reducing the risk of patient wandering including … measures, the risk for wandering is elevated.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary28/menopausal-hormone-therapy-preventive-medication
November 01, 2022 - heterogeneity in effects between studies. 15
The outcome measure for all quantitative analyses was the relative … risk (RR) of a beneficial or harmful change in risks. … Most increased risks were not statistically different anymore after stopping hormone therapy. … ; NA, not applicable; NR, not reported; PE, pulmonary embolism; RCT, randomized clinical trial; RR, relative … applicable; NR, not reported; OR, odds ratio; PE, pulmonary embolism; RCT, randomized clinical trial; RR, relative
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psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
September 12, 2018 - Study
Risks and medication errors analysis to evaluate the impact of a chemotherapy … Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management … Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management … October 11, 2017
Risks in the implementation and use of smart pumps in a pediatric intensive … February 20, 2019
Using failure mode and effects analysis to reduce patient safety risks
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digital.ahrq.gov/ahrq-funded-projects/enhanced-handoffs-echo
April 01, 2023 - result in improved communication between interdisciplinary teams and increased shared understanding of risks … The specific aims of the research are as follows:
Validate a dynamic ML model to predict patient risks … Researchers will update current ML risk-prediction models for postoperative complications and validate … support personalized communication of both standardized and tailored content, based on predicted patient risks
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psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-risks-and
January 26, 2011 - The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks … The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks … to address such risks in dental practice. … December 2, 2020
Inappropriate hospital admission as a risk factor for the subsequent … September 7, 2022
Surgery is in itself a risk factor for the patient.
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-prevent-medication-induced-birth-3
January 01, 2022 - Women's perspectives on counseling about risks for medication-induced birth defects. … Women's perspectives on counseling about risks for medication-induced birth defects.
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digital.ahrq.gov/sites/default/files/docs/safety-risks-ehr-qa-082916.pdf
August 29, 2016 - AHRQ National Web Conference Q&A - Assessing Safety Risks Associated with EHRs
P a g e | 1
AHRQ … National Web Conference on
Assessing Safety Risks Associated with EHRs
Questions and Answers
August … AHRQ National Web Conference on Assessing Safety Risks Associated with EHRs Q&A
P a g e | 2
That … AHRQ National Web Conference on Assessing Safety Risks Associated with EHRs Q&A
P a g e | 3
ANSWERS … https://www.ncbi.nlm.nih.gov/pubmed/25724623
AHRQ National Web Conference on Assessing Safety Risks
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www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
April 01, 2018 - models; the variables that they consider important among their patients, and the appropriateness and relative … risks of those variables; and ideas on optimizing feedback to enhance performance. … of risk might be considered, such as risks for emergency surgery patients versus those for elective … surgery patients; risks for a patient with managed comorbidities versus those for patients with poorly … managed or undocumented comorbidities; risks for patients in compliance with medical recommendations
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digital.ahrq.gov/sites/default/files/docs/safety-risks-ehr-slides-082916.pdf
August 29, 2016 - Webinar - A National Web Conference on Assessing Safety Risks Associated With EHRs - August 29
A National … Web Conference
on Assessing Safety Risks Associated
With EHRs
Presented by:
David Classen, M.D., … Describe the potential risk of providers placing orders in
the wrong patient’s record when multiple … support the benefits.1,2
However, literature provides multiple anecdotes of new health IT
safety risks … the
system.1
o Found many situations in which “a leading CPOE
system facilitated medication error risks
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psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
January 23, 2019 - Newspaper/Magazine Article
ADC survey shows some improvements, but unnecessary risks … January 28, 2015
Selected medication safety risks to manage in 2016 that might otherwise … September 23, 2020
Any new process poses a risk for errors: learning from 4 months of … December 15, 2021
Safety committees need to proactively address the risk of accidental … October 26, 2022
Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication
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www.ahrq.gov/health-literacy/professional-training/shared-decision/tools/options-poster.html
September 01, 2020 - What are the benefits and harms (risks)?
3. … Learn about the benefits and risks of your treatment options: https://www.ahrq.gov/patients-consumers
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psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-improving-outcomes-reducing-risks
May 29, 2019 - Issue
Patient Safety in Obstetrics and Gynecology: Improving Outcomes, Reducing Risks … March 10, 2021
Risk Management in Obstetrics and Gynaecology. … May 13, 2015
Risk and Safety Management in Infertility and Assisted Reproductive Technology … April 4, 2007
Clinical Risk Management. Enhancing Patient Safety. 2nd ed.