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psnet.ahrq.gov/issue/wrong-site-surgery
March 13, 2013 - July 28, 2010
'Balancing risk, that is my life': The politics of risk in a hospital operating … View More
See More About The Topic
Operating Room
Physicians
Nurses
Risk
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psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
October 02, 2013 - June 20, 2014
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … March 20, 2018
Improving the Measurement of Surgical Site Infection Risk Stratification … October 7, 2015
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - The
area-level definition adds cases where a patient’s risk of the
complication occurred in a separate … excludes patients with a diagnosis of
cancer or an immunocompromised state, who are at an increased risk … New York discharges, 2001
N
Rate
(%)
Total discharges 2,478,204 -
Eligible hospital-level risk … Risk factors for nosocomial infection in
intensive care: “devices vs. nature” and goals for the
next … The relative risk of
intravascular device related bloodstream infections in
adults [abstract].
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
September 22, 2010 - quality improvement initiatives
Must balance the need for data to support
accurate measurement of risk-adjusted … Screens high-risk conditions, elective surgical
procedures, and inpatient childbirth. … ICD-9-CM Codes
• Coma
• Severe Malnutrition
Abstracted Key Clinical Findings
The Bottom Line
Risk-Adjusted … U
pp
er
T
hr
es
ho
ld
Observed vs Predicted Rates of True Complications
Bias Due to Failure to Risk-Adjust … PSI Models
Vital Signs, Other Lab Data, Scores
Abstracted Key Clinical Findings
Slide Number 42
Risk-Adjusted
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - who are obese, African American, older than 35 years, and who have type 2 diabetes mellitus.( 3 ) The risk … of superimposed preeclampsia in patients with chronic hypertension is approximately 20%; this risk is … of delivery.( 3 ) This patient with chronic hypertension and pregnancy with twins was at very high risk … ) In an Illinois study of 58 cases of hypertensive disorders of pregnancy, failure to identify high-risk … of this patient (chronic hypertension and twins), this patient must be considered at extremely high risk
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psnet.ahrq.gov/node/60173/psn-pdf
March 30, 2020 - Gaffey, RN, MSN, CPHRM, DFASHRM is the President of Healthcare Risk and
Safety Strategies, LLC. … In her professional role, Ann Gaffey is active in the American Society for Health Care Risk Management … ,
serving on the Nominating Committee, as Chair of the Enterprise Risk Management Task Force, as a … I work primarily in the risk management arena. … While not a failure of a hospital process, these
nevertheless were a risk or potential risk that impacted
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter3.html
December 01, 2017 - A nationally recognized risk-adjustment software program (Risksmart™) was used to identify conditions … The health risk score is an indicator of morbidity burden and summarizes a person’s risk for health resource … A higher risk score indicates higher morbidity burden or expected health resource use. … The risk score correlates with a person’s expected health service utilization and health spending for … The health risk score is benchmarked to a U.S. commercial population for whom the average health risk
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0075_03-10-2009.pdf
January 01, 2009 - She is particularly interested in strategies
that reduce the risk of further surgeries and complete … Outcome(s): Surgical risk reduction, improved quality of life, and cost effectiveness. … or in conjunction with one another, provide the
highest rate of disease management with the lowest risk
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0311_06-17-2008.pdf
January 01, 2008 - Staff-Generated PICO
Population(s): Individuals diagnosed with, or at risk for, acute coronary syndromes … Do specific TnI assays or specific troponin (TnI vs TnT) types confer different
degrees of risk in patients … Do elevated troponin levels predict acute coronary syndrome risk in asymptomatic
renal function–impaired
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0122_06-29-2009.pdf
January 01, 2009 - nominator is interested in the safety and effectiveness of nitrous oxide for labor pain
management in low-risk … Population(s): pregnant women, not designated high-risk, in 2nd and/or 3rd stage of
labor, attempting … For low-risk women delivering a full-term baby vaginally, what is the comparative
effectiveness of the
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/VwvmgA5bLZZJhK6YSqRonU
November 01, 2022 - as screening
tools that can accurately detect persons in the general adult population at increased risk … • Individuals at increased risk for sleep apnea include men, postmenopausal persons, older adults (aged … accuracy of screening questionnaires and multistep screening
approaches to identify adults at increased risk
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www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/recommendations-in-progress
June 22, 2025 - Currently in this Stage
Autism Spectrum Disorder in Young Children: Screening
BRCA-Related Cancer: Risk … Assessment, Genetic Counseling, and Genetic Testing
Breast Cancer: Medication to Reduce Risk
Chronic … Screening
Early Allergen Introduction to Prevent Food Allergies in Infants: Counseling
Enhanced Risk
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-stones-draft-appendices.pdf
January 01, 2025 - difference; NA = not applicable; RCT = randomized controlled trial; ROB = risk of bias; RR = risk ratio … difference; NA = not applicable; RCT = randomized controlled trial; ROB = risk of bias; RR = risk ratio … difference; NRSI = nonrandomized studies of intervention; ROB = risk of bias; RR = risk ratio. … of bias; RR = risk ratio. … size; RCT = randomized controlled trial; ROB = risk of bias; RR
= risk ratio.
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - acceptable response to other antipsychotics. 9-10 Both chlorpromazine and thioridazine carry cardiac risks … chlorpromazine. 12
As presented above, the patient had very complex clinical picture with various risk … agents to cause QT prolongation and additive effects with unintended thioridazine further increased her risk … enhancements made to the clinical decision-making support system for this medication to highlight the cardiac risk … Safety-II Principles
August 28, 2024
Perspective
Risk
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-screening-for-familial-hypercholesterolemia/lipid-disorders-in-children-screening-july-2016
August 09, 2016 - is associated with atherosclerotic burden, 2-5 and untreated FH has been associated with increased relative … risk of coronary heart disease (CHD) events and CHD mortality. 6-8 The excess relative CHD mortality … rather than treating existing disease, only a low risk of harm is acceptable. … Risk of fatal coronary heart disease in familial hypercholesterolaemia. … No: universal screening has uncertain benefits and a high risk of harms.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/alternative-payment-models-protocol.pdf
December 16, 2024 - (e.g. pay-for-performance) and so-called “advanced APMs” which incorporate
shared savings, shared risk … on the risk of bias that may distort effect estimates reported in the
study. … The risk of bias results will be
used to identify high and low risk of bias studies for sensitivity … Risk of bias in model-based economic
evaluations: the ECOBIAS checklist. … Chapter 25: Assessing risk of bias in a non-
randomized study.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
July 01, 2017 - The Facilitator pointed out that policies and procedures related to risk factors for hospitalizations … The strategy is to identify which are the most important risk factors and work to prevent declines in … these risk factors to encourage earlier interventions so that the overall risk of hospitalization will … The Facilitator helped the team think about risk factors for hospitalizations. … clarified that discussing residents who were hospitalized is different from identifying changes in risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/workforce-executive-summary.pdf
October 01, 2016 - conditions
Patient engagement
Intensive care coordination
by MAs
Enhanced, patient-centered
risk … Grand
Junction,
Colorado
Small, independent
practice
Rural, small
town
Patient-centered risk … In one
program, women with at-risk pregnancies received intensive interventions such as home visits … 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.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
November 01, 2019 - Other risk factors include intravenous drug use,
necrotizing pneumonia, an ill-appearing patient with … Moxifloxacin can be considered for these low-risk
patients if they have serious penicillin allergies … can occur for otherwise healthy
patients who developed HAP early in their
hospitalization as their risk … review some take-home points for HAP:
Obtain a sputum culture whenever possible
Determine if risk … factors for Pseudomonas are
present to direct empiric therapy
Determine if risk factors for MRSA
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www.ahrq.gov/sites/default/files/publications/files/workforce_executive_summary_0.pdf
October 01, 2016 - conditions
Patient engagement
Intensive care coordination
by MAs
Enhanced, patient-centered
risk … Grand
Junction,
Colorado
Small, independent
practice
Rural, small
town
Patient-centered risk … In one
program, women with at-risk pregnancies received intensive interventions such as home visits … 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