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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - Changing CVC dressings too frequently can increase the risk of introducing bacteria to the entry site … When we enter or access a central venous line, we should remember that every entry increases the risk … As we discussed, improper disinfection procedure of hubs, connectors, or ports can increase the risk … of contamination, misuse, and disconnection of the central line, so discuss among the team the risks … They found that the implementation of checklists and bundles appeared the strongest risk reductions.
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - incidence of 0.32 per 100,000 operations.( 2 ) Many anesthesiologists and surgeons remain unaware of fire risks … the fires occurred during sedation for sedation procedures with use of supplemental oxygen in high-risk … in high fire-risk surgical procedures.( 10 )
Take-Home Points
OR fires are preventable. … Prevention is especially essential to reduce risk of patient injury in on-the-patient fires. … Preoperative checklists for high fire-risk procedures, team communication patterns, fire drills, and
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - After hearing the risks and benefits of surgery from the physicians, the patient refused. … AMA.( 6 ) It is not clear why the patient in this case wanted to leave AMA, but he had a number of risk … Patient Outcomes in Discharges AMA It seems likely that discharge AMA puts patients at increased risk … It is uncertain whether patients leaving the hospital AMA face an increased risk of death, as no study … If the patient is at very high risk of serious health consequences, the physician can seek the patient
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www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
January 01, 2024 - using prototypes of a risk dashboard and patient risk profiles
designed to be integrated into the EHR … The PROMs were a distinct input into the predictive model of UTE risk. … surveillance
and monitoring of UTE risk. … of patient risks scores by a charge nurse (or other frontline clinician); future
integration of the … “Design of a clinical
deterioration response system for at risk cancer patients.”
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdesc.pdf
January 01, 2012 - Clinical Topic Maternity Care
Measure Title Behavioral Health Risk Assessment
Measure # MC-3
Measure … a 12-month period seen at least once for prenatal care
who received a behavioral health screening risk … Category/Assessment
Risk Category/Assessment
during FIRST [Encounter, Performed: Prenatal Visit] … Encounter Encounter, Performed Prenatal Visit
Risk Category/Assessment
Risk Category/Assessment Alcohol … Value Present
RISK CATEGORY/ASSESSMENT
Result
Illicit, Prescription and Over the
Counter Drug Use
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - Assessment at
Admission and Daily
Evaluate all patients for pressure ulcers and pressure
ulcer risk … (using Braden Scale or other tool) upon
admission and every 24 hours thereafter, using valid
risk … o Agrees on the use of a standard risk assessment tool (for example, Braden Scale);
facilities may … ulcer risk assessment will be used as the standard in your
organization. … Risk assessment & prevention of
pressure ulcers.
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www.ahrq.gov/news/newsroom/case-studies/201804.html
July 01, 2018 - estimated $107,000 in medical costs, according to Jackie Krason, R.N., M.S.N., the hospital’s quality and risk … Fall prevention involves managing a patient's underlying fall risk factors and optimizing a hospital's … Using the toolkit, the hospital updated its fall risk assessment system to use more specific risk factors … , which enabled the registered nurses to better identify patients at greatest risk of a fall. … “We previously had a falls prevention program in place, but it was definition-driven instead of risk-driven
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3b_pdi_resultspresentation.pptx
January 01, 2006 - Currently the ICD-10 software does not calculate expected, risk-adjusted, or smoothed rates, but will … Consider adding a descriptive title (e.g., “High similarity between risk-adjusted and smoothed rates” … Risk-Adjusted and Smoothed Rates of Neonatal Blood Stream Infection Rate (NQI 03)
Risk-Adjusted Rate … Comparing Risk-Adjusted Rates of Neonatal Blood Stream Infection Rate (NQI 3)
to National Average Rates … -2 4.675E-2 3.6997000000000002E-2 0.03 2.3880999999999999E-2 Risk-Adjusted (Lower Confidence Interval
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1
Say:
Just Culture helps us understand risk and … At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized or is … Slide 19: Managing Error and Risk 1
Say:
To improve outcomes, human error, at-risk behavior, and … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … for healthy, risk-reducing choices.
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effectivehealthcare.ahrq.gov/sites/default/files/back-pain-treatment_research_executive.pdf
February 01, 2016 - confidence interval; NSAID = nonsteroidal anti-inflammatory drug; RCT = randomized controlled trial; RR = relative … vs. placebo
of nausea, dizziness, constipation, vomiting, somnolence, and
dry mouth; risks of opioids … PENS = percutaneous electrical nerve stimulation;
RDQ = Roland-Morris Disability Questionnaire; RR = relative … The Effectiveness and Risks
of Long-Term Opioid Treatment of Chronic Pain. … The effectiveness and risks of
long-term opioid therapy for chronic pain: a systematic review for
a
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary34/lipid-disorders-in-children-screening-2007
July 15, 2007 - What are other important risk factors? … Risk factors that might contribute to a risk assessment tool have not been adequately studied. … trials would facilitate combining data across trials, and lead to more thorough understanding of the risks … low-density lipoprotein cholesterol level in predicting adult dyslipidemia and other cardiovascular risks … What are other important risk factors?
2f.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-tobacco-caused-disease-counseling-2003
November 01, 2003 - direct evidence of health benefits, the USPSTF found good evidence that smoking cessation lowers the risk … this framework include motivational interviewing, the 5 R's used to treat tobacco use ( relevance, risks
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psnet.ahrq.gov/primers-0
March 15, 2025 - Transcription Errors
(1)
Side Effects/Adverse Drug Reactions
(1)
Specific to High-Risk … the epidemic can be ascribed to inappropriate prescribing of opioids, despite knowledge of the safety risks
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www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
December 01, 2012 - effective communication, list three to four ways in which communication could be improved to reduce the risk … What are patients’ greatest safety risks?
Return to Contents
Slide 15.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/prostate-cancer-screening-adults
December 21, 2023 - What is the accuracy of using a prebiopsy prostate cancer risk calculator or magnetic resonance imaging … What is the effect of using a prebiopsy prostate cancer risk calculator or MRI in combination with a … What is the effect of using a prebiopsy prostate cancer risk calculator or MRI in combination with a … How does the use of various treatment approaches vary by age, race, ethnicity, clinical risk category … prediction instruments for diagnosis of any prostate cancer; risk prediction instruments without PSA
-
www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2023-12/2023-annual-report-to-congress.pdf
January 01, 2023 - However,
they are also often important predictors of health risk. … risk in children and adolescents in primary care settings … • Includes the accuracy of screening tests for suicide risk. … • Includes the potential harms of suicide risk interventions. … of HIV
acquisition to decrease the risk of acquiring HIV.
-
psnet.ahrq.gov/node/47969/psn-pdf
June 12, 2019 - Opioid medication discontinuation and risk of adverse
opioid-related health care events. … Opioid medication discontinuation and risk of adverse opioid-related health care
events. … https://psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care … https://psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events … https://psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events
-
digital.ahrq.gov/principal-investigator/kharrazi-hadi
January 01, 2023 - Kharrazi, Hadi
Project Name
A Community Health Information Exchange-based Hospital Readmission Risk … A Community Health Information Exchange-based Hospital Readmission Risk Prediction & Notification System … Kharrazi, Hadi
Project Name
A Community Health Information Exchange-based Hospital Readmission Risk … Arkansas
A Community Health Information Exchange-based Hospital Readmission Risk … Notification System
Description
This project developed and validated a 30-day readmission risk
-
psnet.ahrq.gov/node/46822/psn-pdf
April 12, 2019 - Effect of an in-hospital multifaceted clinical pharmacist
intervention on the risk of readmission: a … Effect of an In-Hospital Multifaceted Clinical Pharmacist
Intervention on the Risk of Readmission: A … https://psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission … conducted, and demonstrated a
durable improvement in safety for patients at increased readmission risk … https://psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
April 01, 2018 - Initial Risk Factors
Appendix J. Additional Risk Factors
Appendix K. … Final Risk Factors
Appendix L. … any analysis of risk from surveillance systems using the algorithm. … electronic markers between postoperative days 4 and 30 because pre- or perioperative data might indicate risks … , because risk was used to determine eligibility for SSI.