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psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
April 01, 2010 - Review
Safety and risk management interventions in hospitals: a systematic review … Safety and risk management interventions in hospitals: a systematic review of the literature. … Safety and risk management interventions in hospitals: a systematic review of the literature. … Resources
Patient Safety Innovations
Combined Proactive Risk
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psnet.ahrq.gov/node/865871/psn-pdf
May 15, 2024 - delivery-inadequate-level-maternal-care-associated-severe-maternal-morbidity
Obstetric care is a complex, high-risk … of 64,441 deliveries in
Massachusetts in 2019 found that individuals delivering in hospitals with risk-inappropriate … Among the one-third of individuals with a high-risk
obstetric condition, 13% delivered at a hospital … Assessment Tool to better understand their resources
and capabilities to ensure that everyone receives risk-appropriate
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1-slides.html
February 01, 2023 - catheter
Identify causes of CAUTI in the intensive care unit (ICU)
Describe methods to mitigate the risk … urinary catheter don’t have a valid indication for placement
Each day the urinary catheter remains, the risk … Underlying comorbid conditions
Exposure to invasive devices
Antibiotic exposure putting them at risk … a urinary catheter without signs and symptoms of infections
Slide 17
Methods for Mitigating Risk … Reminders/stop orders
Nurse-driven removal protocol
Slide 20
Methods for Mitigating Risk
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/renal-cancer_research-protocol.pdf
April 20, 2015 - renal mass (oncologic outcomes, renal functional outcomes, complications) as well as
competing health risks … Assessment of Methodological Risk of Bias of Individual Studies: The assessment of risk of
bias of … Risk of bias judgment
Overall bias Risk of bias judgment
Table 4. … Risk: Low/High/Unclear
Archived: This report is greater than 3 years old. … of
bias:
• Low risk of bias
• Medium risk of bias
• High risk of bias
Well designed and executed
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/epilepsy-medicine_research-protocol.pdf
February 01, 2008 - proposed by Follman and colleagues.43
For dichotomous endpoints, weighted averages will be reported as relative … risks with
associated 95 percent confidence intervals. … expected, a DerSimonian and Laird random-effects model will be used when pooling data and
calculating relative … risks and 95 percent confidence intervals. … The risk of bias will be assessed
through the evaluation of both design and study limitations.
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - The common perception of increased risk has prompted many hospitals to implement policies restricting … or were transcribed by nurses.( 4 ) However, the only systematic evaluation of error risk by mode of … transmission found that verbal and telephone orders carried a similar or lower error risk than written … Such short cuts place patients at unnecessary risk for error. … Behaviors that inhibit communication place patients at greater risk for an adverse drug event (ADE).
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Tools and Resources
2E: Assessing Screening for Pressure Ulcer Risk
Background: The … Do you use either the Norton or Braden pressure ulcer risk assessment tool?
If Yes, STOP . … Foam dressing may be used on areas at risk for shear injury.
28. … Hot water and soap may dry the skin and increase the risk for pressure injury/ulcers. … Foam dressing may be used on areas at risk for shear injury.
True
28.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Tools and Resources
2E: Assessing Screening for Pressure Ulcer Risk
Background: The … Do you use either the Norton or Braden pressure ulcer risk assessment tool?
If Yes, STOP . … Foam dressing may be used on areas at risk for shear injury.
28. … Hot water and soap may dry the skin and increase the risk for pressure injury/ulcers. … Foam dressing may be used on areas at risk for shear injury.
True
28.
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - The risk factors for drug-induced QT prolongation include age, bradycardia, left ventricular failure, … of each additional QTc-prolonging agent, especially when the patient has other risk factors. … For high-risk QT prolonging medications (e.g. … Female gender as a risk factor for torsades de pointes associated with cardiovascular drugs. … Torsades de pointes associated with fluoroquinolones: importance of concomitant risk factors.
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_Intervention_Content_Prediabetes_and_Type_2_Diabetes_Part_one_Screening.xlsx
January 01, 2024 - Prediabetes and Type 2 Diabetes: Part 1, Screening
DISPLAY notification to patient: You may be at risk … for (in other words, more likely to get) prediabetes or type 2 diabetes based on risk factors you may … If you can prevent or delay getting Type 2 diabetes, you can lower your risk for all those other conditions … Many factors increase a person’s risk for high blood sugar including: being 35 years or older; being … CDC website that provides risk information https://www.cdc.gov/prediabetes/risktest/index.html?
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effectivehealthcare.ahrq.gov/sites/default/files/antipsychotics-children-update_executive.pdf
January 01, 2018 - for ROB.
g Downgraded for ROB and imprecision because of small event rates; confidence intervals of relative … risks ranged between 0.02 to 5.0,
to 0.06 to 48.1).
13
Bipolar Disorder
Of 19 studies examining … Risks for somnolence and EPS symptoms
may be of little or no difference for low- versus high-
dose risperidone … in risk for akathisia. … It may increase risk for any EPS
symptoms.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/tonsillectomy_executive.pdf
January 01, 2017 - We considered 67 studies to have low risk of bias,
110 to have moderate risk, and 41 to have high risk … cohort studies had high risk. … Eighteen
studies had low risk of bias, 28 had moderate risk, and
13 had high risk. … Twenty-two studies had
low risk of bias; 36 had moderate risk; and 12 had high
risk. … balance
needs for relief of illness-related outcomes (including
missing school and work) with the risks
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary27/healthy-diet-and-physical-activity-counseling-for-cvd-prevention-in-adults-2012
December 15, 2010 - Counseling Trials, by Intervention Intensity and Population Risk
Table 2. … Although trials in populations with known traditional cardiovascular risk factors or risk equivalents … Effects of an intensive diet and physical activity modification program on the health risks of adults … Reducing diabetes risk in American Indian women. Am J Prev Med. 2008; 34:192-201. … However, the absolute risk for a cardiac event is very small.
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hcup-us.ahrq.gov/reports/methods/2011_01.pdf
January 01, 2011 - This study simultaneously tests the effects of
safety events on risks of deaths and readmission. … After risk
adjustment, the relative risk of readmission within 3 months was about 1.20 (P < 0.01), … The purpose of the present investigation was to examine the risks
of complications after open reduction … Conclusions: By analyzing a large, diverse patient population, the present study clarifies
the risks … Age Groupings for Risk Adjustment
Table 4.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/effect-dietary-digestible.pdf
January 01, 2021 - accumulation that presents a risk to health. … Assessment of the Risk of Bias of Individual Studies
We will evaluate the risk of bias of the included … unclear risk of bias studies and not rate down the SOE. … Diet, lifestyle, and the risk of type 2 diabetes
mellitus in women. … RoB 2: a revised tool for assessing risk of bias in
randomised trials.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Introduction
Patient safety initiatives are intended to reduce the occurrence of harm and the risk … drugs requiring
laboratory monitoring (High-Risk Drug Lab Monitoring); (4) have chronic kidney disease … category D (i.e., evidence of fetal risk; therapeutic benefits of the drug can
outweigh the risk) or … Identifying and analyzing potential risks of harm. … Study demonstrated importance of
monitoring drugs with toxicity risk.
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digital.ahrq.gov/ahrq-funded-projects/implementation-electronic-health-screening-primary-care-improve-sti-testing
September 29, 2023 - Louis Children’s Hospital (SLCH) Emergency Department (ED) frequently treats at-risk adolescents. … The AQS, integrated with the Epic electronic health record (EHR), assesses STI risk for adolescents aged … Implement an electronic STI risk assessment tool in multiple pediatric clinics and assess for changes … Adapting an electronic STI risk assessment program for use in pediatric primary care. … Adapting an electronic STI risk assessment program for use in pediatric primary care.
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - that hospitals will turn
away high-risk patients who might tarnish their scores. … This is a
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
significant risk … Forcing functions are another
approach that can be used to reduce the risk of unintended consequences … Although hematoma
formation and frank bleeding are recognized risks following both subcutaneous and … , and
thus the benefits of immunization outweighed the risk of complication.(15-18)
Certainly, had
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - orders and retrieval of the medication via override from the automated dispensing cabinet, two high-risk … Risk Mitigation Strategies for Recipients of Verbal Orders Readback and confirmation should be performed … these situations do not technically fit the traditional definition of “override,” they pose similar risks … the chance of medication errors. 7 Overrides should only be used in urgent situations in which the risk … medications (i.e., medications with a heightened risk of harm if used in error) Medications for which
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
June 01, 2013 - of this educational activity, participants should be able to:
State that emergency surgery is high risk … and has high mortality
Appreciate that emergency laparotomy is a particularly high-risk procedure with … to patients undergoing emergency surgery
List simple interventions to reduce risk in emergency surgery … No
Yes
Difficult airway or aspiration risk? … No
Yes, and equipment/assistance available
Risk of >500ml blood loss (7ml/kg in children)?