-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/safety-modules.pptx
March 01, 2017 - and Human Behavior1
Human Error:
Inadvertently completing the wrong action; slip, lapse, mistake
At-Risk … Behavior:
Choosing to behave in a way that increases risk where risk is not recognized, or is mistakenly … be justified
Reckless Behavior:
Choosing to consciously disregard a substantial and unjustifiable risk … Safety Modules
Applying Safety Principles | ‹#›
18
Managing Error and Risk1
Human Error At-Risk … believed insignificant or justified
Manage through:
Removal of incentives for at-risk behaviors
Creation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar3/aspire_webinar3.pptx
December 01, 2014 - providers may offer services and supports hospital staff are unaware of
Health plans may offer high risk … patients flagged
IT: Use CRISP for notifications
What’s needed next:
Care coordination model for high risk … Which high-risk populations are not being served? … Medicaid adults
Behavioral health
Social support needs
High utilizers
High risk diagnoses based on your … Medicaid MCO at-risk contracts? DSRIP goals?
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-exe-sum.pdf
April 01, 2025 - 3
implementation of interventions for children, adolescents, and young adults at high risk … harms of treatments for suicidal thoughts and
behaviors in specific populations of youths deemed at risk … for suicide and those from populations deemed at risk. … Suicidal
Thoughts and Behaviors Among High
School Students — Youth Risk Behavior
Survey. … Intervention research with persons at high
risk for suicidality: safety and ethical
considerations.
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/56vB_8UTTE_HjygLvJfYqM
May 01, 2002 - , suggesting that screening
provided a 13% reduction in relative risk. … We detected heterogeneity in
the results for the outcome of reduction in relative
risk (P= 0.052), in … A. summary estimate of relative risk of persistent depression for screening versus no screening. … A. summary estimate of relative risk of persistent depression for screening versus no screening. … is associated with a 13% reduction in relative risk
and a 9-percentage point absolute reduction in the
-
digital.ahrq.gov/ahrq-funded-projects/feedback-treatment-intensification-data-reduce-cardiovascular-disease-risk-0
January 01, 2023 - Improving treatment intensification to reduce cardiovascular disease risk: a cluster randomized trial … Improving treatment intensification to reduce cardiovascular disease risk: a cluster randomized trial … Project Name
Feedback of Treatment Intensification Data to Reduce Cardiovascular Disease Risk
-
www.ahrq.gov/hai/clabsi-tools/appendix-2.html
March 01, 2018 - The following interventions decrease the risk for CLABSIs
Use appropriate hand hygiene. … Risk factors of catheter-related bloodstream infections in parenteral nutrition catheterization. … For adults, lower extremity insertion sites are associated with a higher risk for infection than are … Place CVCs in an alternative site to reduce the risk for infection. … Risk of infection due to central venous catheters: effect of site of placement and catheter type.
-
digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research
January 01, 2019 - of lung cancer among individuals with a history of heavy smoking, less than five percent of those at risk … The tool prompts providers to initiate a risk-benefit discussion based on the patient’s profile. … This tool will provide breast cancer patients and surgeons with individually tailored risk predictions … During this pilot study, high-risk patients identified via EHRs will be contacted by text message and … This mobile text message intervention seeks to improve the early detection of those at risk of type 2
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication-2011
July 15, 2011 - Grade: A
Risk Assessment
All newborns should receive prophylaxis. … However, some newborns are at increased risk, including those with a maternal history of no prenatal … newborns are at increased risk for gonococcal ophthalmia neonatorum. … Newborns at increased risk include those with a maternal history of sexually transmitted infections, … risk factors, could be as effective as universal prophylaxis.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/behavioral-counseling-interventions-promote-healthy-diet-physical-activity-weight-loss-prevent-cardiovascular-disease-adults
November 02, 2023 - Adults age >18 years, including studies among:
Adults who are unselected based on BMI, CVD risk … factors, or behavior
Adults with no known CVD risk factors
Adults with poor dietary intake, not … elevated lipid levels, impaired fasting glucose or impaired glucose tolerance, and mixed or multiple risk … factors such as 10-year CVD risk >7.5% or metabolic syndrome
Analyses will include examination of … effects by various population characteristics such as by BMI and presence of CVD risk factors.
-
psnet.ahrq.gov/primer/falls
October 27, 2021 - Patients in long-term care facilities are also at very high risk of falls. … Prevention efforts begin with assessing individual patients' risk for falls. … There are several existing clinical prediction rules for identifying high-risk patients, but none has … However, non elderly patients who are acutely ill are also at risk for falls. … An individualized plan of care that is responsive to individuals' differing risk factors, needs, and
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system
January 01, 2023 - In addition, antipsychotic and antidepressant drugs contribute to fall risk by affecting cognitive and … An increase in the variability in stride-to-stride velocity has also been identified as an important risk … health, medication regimens, cognitive impairment, and other predisposing factors involved in fall risk … which, when combined with other known risk factors for falls, can significantly improve the accuracy … of fall prediction than can other risk factors alone.
-
effectivehealthcare.ahrq.gov/sites/default/files/renal-cancer_executive.pdf
February 01, 2016 - Risk of bias was low in 5 studies and high in
the remaining 15 studies based on the potential risk of … This decision-making process has to
occur thorough discussion of risks and benefits between
physician … both associated with worse overall
survival, reflecting the increased age, comorbidity and
competing risks … Partial nephrectomy and thermal ablation
have similar risks of estimated glomerular filtration rate … As such, younger patients and
those with other comorbidities may have differing risks of
malignancy
-
psnet.ahrq.gov/node/35379/psn-pdf
June 15, 2011 - Report 6: Managing Risk and Minimising Mistakes in
Services to Children and Families. … https://psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families … https://psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/e9f8a_uGMXxSbBUxpRPkrc
June 18, 2024 - participants taking
semaglutide (3.8%) developed gallstones, compared with none
taking placebo (calculated relative … through 11 years of age with obesity weight
loss pharmacotherapy, according to medication indications, risks … Similar to behavioral
intervention trials, pharmacotherapy trials reported no increased
risks of harmful … cholesterol; NA, not applicable; NR, not reported; QoL, quality of life;
RCT, randomized clinical trial; RR, relative … suggest that there may be important risks.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan-aspirin-to-prevent-cardiovascular-diseas/aspirin-to-prevent-cardiovascular-disease-and-cancer-april-2016
October 07, 2013 - , or related risk conditions (e.g., diabetes mellitus, decreased ankle–brachial index, or elevated blood … subgroup characteristics, such as age, sex, smoking status, race/ethnicity, 10-year cardiovascular risk … , related risk conditions (e.g., diabetes mellitus, decreased ankle–brachial index, or elevated blood … Which of the accepted and available cardiovascular risk prediction tools commonly used in practice are … Do these cardiovascular risk prediction tools vary by subgroup?
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/field-triage-glascow_executive.pdf
January 01, 2017 - is needed to understand
how use of the tGCS versus the mGCS
or SMS impacts clinical outcomes and
risk … The ultimate goal of selecting
one risk prediction instrument over another is to
improve clinical … , and predictive values), or
adjusted risk estimates (e.g., odds ratio, relative risk,
hazards ratio … ).21 Other factors that could inform selection
of field triage risk assessment instruments include … adults or mixed), study year (before 2006 or 2006 or later),
or risk of bias ratings.
-
psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
September 12, 2016 - This article discusses risk management in magnetic resonance imaging facilities and the use of root … cause analysis to inform risk management methodologies. … January 12, 2022
Operating room traffic as a modifiable risk factor for surgical site … June 14, 2011
Hidden danger, obvious opportunity: error and risk in the management of … Hits MRI
February 1, 2003
View More
See More About The Topic
Risk
-
psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high
May 11, 2019 - J Patient Saf Risk Manag. 2019;24:127–133. … J Patient Saf Risk Manag . 2019;24:127–133.
View more articles from the same authors. … J Patient Saf Risk Manag. 2019;24:127–133. … October 28, 2020
Risk perception on the labour ward: a mixed methods study. … August 31, 2022
Managing risk in hazardous conditions: improvisation is not enough.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/epilepsy-medicine_disposition-comments.pdf
March 01, 2012 - Risk of nausea is nonsignificantly
decreased by 34 percent when LEV is used versus CBZ-CR”. … Pellock,
M.D., American
Epilepsy Society
President 2011
Results Issues concerning AED risks and … apporpriate
statement would be that there was insuffient to low SOE for
switching to increase short term risks … A
combined CER risks obscuring these vital differences and
diluting clinical points of special relevance … Suggesting that this should be used for policy recommendations
risks harming children by restricting
-
psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - elderly patients have impaired ambulation
and/or poor functional status, and thus there is a higher risk … setting the standards for dialysis unit water.(8) Reuse standards include protocols
to reduce the risk … economic, and some would argue that the best practice is to abandon reuse entirely.(9)
Considering the risks … in hemodialysis patients is higher than in the general population.(4)
Assessment of fall risk, exercise … of
neuropsychiatric medications, and avoiding hypotension in dialysis patients may all reduce fall risk