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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/10th-USPSTF-Annual-Report-to-Congress.pdf
November 01, 2020 - disparities persist
in healthcare based on age, race and ethnicity, sexual orientation, and social risk … Suicide Risk in Adolescents, Adults, and Older Adults: Screening
• Evaluate screening and interventions … for suicide risk, including:
– Understanding how to better help people with suicide intentions before … they act
– Whether screening and interventions might be effective in individuals at average or
high risk … Screening for suicide risk in adolescents, adults, and older adults in primary care: U.S.
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - The Commentary
This case illustrates the risk to safety that can arise when patients with acute psychiatric … No automated system or
lab test can provide useful information about suicide risk. … admitted to a medicine service following a serious suicide attempt who are judged an ongoing
suicide risk … Standard order sets would minimize risk to patients and serve as the basis for
care guidelines. … Risk assessment remains a critical part of caring for suicidal medical inpatients, but it lacks precision
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www.ahrq.gov/ncepcr/tools/workforce-financing/exec-summary.html
July 01, 2019 - conditions
Patient engagement
Intensive care coordination by MAs
Enhanced, patient-centered risk … In one program, women with at-risk pregnancies received intensive interventions such as home visits and … (See Cherokee and Methodist case examples)
Key Finding 6: Risk Stratification and Population Management … Through home visits by community health worker programs, patients at risk for specific health-related … issues receive intensive monitoring, for example elderly patients at risk for falls or patients with
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-for-prediabetes-and-type-2-diabetes
November 15, 2018 - blood pressure, lipid levels, body mass index, weight, and calculated 10-year cardiovascular disease risk … outcomes (blood pressure, lipid levels, BMI, weight, and calculated 10-year cardiovascular disease risk … Are there risk assessment tools that are feasible for use in primary care settings, accurately predict … the risk of prediabetes or type 2 diabetes, and have been externally validated in U.S. populations? … plasma glucose, and the oral glucose tolerance test
All other tests, such as genetic testing for the risk
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - to be completed as intended or the use of a wrong plan to achieve an aim 12 ) that creates harm or risk … how many layers of latent flaws, preconditions, and unsafe acts align to create vulnerable moments of risk … the method as described allows for multiple contributing factors that create preconditions that pose risk … as a vulnerability, although it acknowledges that latent flaws in the system create preconditions of risk … without confirmation on exam or testing to exclude a more serious explanation when the patient may have risk
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - How can investigators determine whether this is an error, or at-risk or reckless behavior? … Determining whether this is an honest error or at-risk/reckless behavior is a very difficult judgment … What is the recommended response in case of an error or at-risk/reckless behavior? … It may have managed the organization's risk, but it is probably seen as very unjust by all other major … The response, however, is probably typical: hospitals often want to manage their own (liability) risk
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/cmJ4Bm9BysHuBX2Wy8MQbc
December 07, 2005 - The use of risk factors for selective screening has not been evaluated, and a list of
specific risk … Does Identification of Risk Factors Improve Screening? … The use of risk factors for selective screening has not been evaluated and a list of specific
risk … Risk factors for speech delay of unknown origin in 3-year-old children. … Does identification of risk factors improve screening?
b.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Jwn6dWRHvK3C9oJCV6hLKc
September 05, 2017 - of the condition of interest (eg, amblyopia or its risk fac
tors). … Risk Factors for Amblyopiaa,b
Age, mo
Risk Factorc 12-30 31-48 >48
Astigmatism, diopters >2.0 >2.0 … for amblyopia risk factors or other
visual conditions. … Risk factors for
amblyopia in the vision in preschoolers study. … Amblyopia
prevalence and risk factors in Australian preschool
children.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotics-children_research-protocol.pdf
June 04, 2010 - Timing: See KQ1 above
Settings: See KQ1 above
Question 4: Do the effectiveness and risks of first … be rated as high risk of bias. … The overall risk of bias will be
considered low only if all components are rated as having a low risk … The risk of bias for
all other studies will be rated as unclear. … Chapter 8: Assessing risk of bias in included studies. In:
Higgins JPT, Green S, eds.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetic-neuropathy_research-protocol.pdf
May 09, 2016 - Sensory loss
from neuropathy increases risk for foot injury, delayed treatment (since injuries are not … Altered proprioception can also increase risk of falling and fear of falling. … Assessment of Methodological Risk of Bias of Individual Studies: The assessment of risk of
bias of included … Prevention of foot ulcers in the at-risk patient with
diabetes: a systematic review. … ROBIS: A new tool to assess risk of bias in
systematic reviews was developed.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - thought it would save time, but clearly, with extended length of stay, infection complications, and other risks … and renal patients
Monitor does not necessitate catheter
Elderly women seem to be at the highest risk … Others at risk for inappropriate placement include those who are incontinent, obese, immobile, and patients … drop with fewer catheters and eliminating those procedures that are unnecessary will eliminate the risk … In many cases it is not just the UTI that is avoided, but risk of urosepsis is also avoided.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar8_pu_sustainingpractices.pdf
April 01, 2011 - Staff may leave and be replaced by others who
do things differently.
7
Risk-Adjusted Rates of … your program to
leadership
22
Examples of Process Measures
Percentage of—
•
•
•
Patients at risk … for pressure ulcers with
interventions in place
Patients with a pressure ulcer risk assessment
completed … within 8 hours of admission
Care plans addressing all risk factors identified
Process measures answer … Myself
Today We Will Talk About
Purpose of Sustaining Practices
Challenges of Sustaining Practices
Risk
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.ppt
July 01, 2004 - form of human activated protein C
Approved by FDA for adult patients with severe sepsis with a high risk … Referenced 4
PROWESS Exclusion
Drotrecogin alfa has anticoagulant properties, so patients at high risk … Severe head trauma, intracranial mass lesion
Platelet count <30,000/mm3
Trauma with an increased risk … Computer-based reminders
Case audit and feedback
Development of specialized teams to identify high- risk … FDA approved for mortality reduction in treatment of adult patients with severe sepsis without high risk
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/dietary-protein-intake-disposition-comments.pdf
November 22, 2024 - acid requirements by
method/technique, and emphasizing the differences in the terms “study quality,” “risk … ”
● In response to peer reviewers’ suggestions on providing greater detail for risk of bias
assessments … , we added the risk of bias assessment by each specific domain, as
applicable, in Appendix C and we … to use to minimize risk of
bias in future studies, and challenges to conducting nutrition and protein … Further, detailed narrative summaries and findings tables were
added to Appendix G for high/very high risk
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psnet.ahrq.gov/node/34592/psn-pdf
January 04, 2017 - john-m-eisenberg-patient-safety-awards-advocacy-lexington-veterans-affairs-medical-center
https://psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy … https://psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/citation/management
January 01, 2023 - Management of fall risk among older adults in diverse primary care settings. … Management of fall risk among older adults in diverse primary care settings.
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digital.ahrq.gov/ahrq-funded-projects/implementation-novel-multi-platform-evidence-based-clinical-decision-support/citation/external
January 01, 2023 - External validation of the IMPROVE-DD risk assessment model for venous thromboembolism among inpatients … External validation of the IMPROVE-DD risk assessment model for venous thromboembolism among inpatients
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions
January 19, 2021 - Combined pharmacotherapy and behavioral interventions (pooled risk ratio [RR], 1.83 [95% CI, 1.68-1.98 … The pooled risk ratio (RR) for smoking abstinence at 6 months or more for combined pharmacotherapy plus … Biomedical risk assessment as an aid for smoking cessation. … precise
Possibility of publication bias but unlikely that the presence of additional studies with lower relative … risks would alter the findings, given large number of studies and consistency in findings for each type
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - The telemetry floor charge nurse referred the case to the hospital's risk management department due to … common example would be the formal creation of a list of differential diagnoses including common, high-risk … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks … Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk
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digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights/citation/risk
January 01, 2023 - Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units … Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units