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psnet.ahrq.gov/node/855057/psn-pdf
October 31, 2023 - Risk factors
for workplace violence in healthcare settings can include (1) unpredictable behaviors of … among staff can
also have negative psychological consequences, such reduced self-esteem and increased risk … These standards require that hospitals manage safety and security risks by
establishing processes for … Workplace violence in healthcare settings: the
risk factors, implications and collaborative preventive … Risk Management and Healthcare Policy. 2023;Volume
16:1545-1553. doi:https://doi.org/10.2147/rmhp.s419309
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ace-inhibitor-arb-update_disposition-comments.pdf
October 07, 2011 - First bullet regarding pregnancy risk appears to have been copied
from an ACE-Inhibitor entry. … Question 2, safety information, please note that ACE
inhibitors pose unique, albeit rare, interaction risks … We have added
cancer risk as an important area of future
research and reordered the remaining items … Aside from the risk itself, the emergence of a new
adverse event from an outside meta-analysis raises … “Telmisartan, Ramipril, or Both in
Patients at High Risk for Vascular Events”.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - How is information about patient skin condition and risks documented and shared? … Are the results used to assign risk? What is the risk assessment process? … Are prevention pathways in use for different risk categories? … Less than half (48%) identified the Braden Scale for pressure ulcer risk assessment. … Risk assessment is not being documented at least daily.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
October 01, 2014 - How is information about patient skin condition and risks documented and shared? … Are the results used to assign risk? What is the risk assessment process? … Are prevention pathways in use for different risk categories? … Less than half (48%) identified the Braden Scale for pressure ulcer risk assessment. … Risk assessment is not being documented at least daily.
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psnet.ahrq.gov/node/39164/psn-pdf
December 09, 2009 - not understand instructions for common liquid prescription
medications, potentially increasing the risk … interpret the instructions, and patients with marginal or low health literacy were at even greater
risk
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psnet.ahrq.gov/node/34894/psn-pdf
July 10, 2008 - of being hospitalized in the month following an inappropriate
prescription, an associated greater risk … of death, and similar risk with even intermittent exposure to such
prescriptions.
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psnet.ahrq.gov/node/43960/psn-pdf
April 01, 2015 - /issue/critical-incident-technique
https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors … https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
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psnet.ahrq.gov/node/41127/psn-pdf
February 08, 2012 - associations-safety-climate
This study found that hospital units with poor safety climate had an increased risk … of preventable adverse
events for patients and an increased risk of injuries (such as needlesticks)
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psnet.ahrq.gov/node/42894/psn-pdf
January 29, 2014 - exploratory-study-knowledge-brokering-hospital-settings-facilitating-
knowledge-sharing-and
This study explores the different ways that risk … managers, risk officers, clinical leaders, and professional
executives promote learning about patient
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psnet.ahrq.gov/node/46239/psn-pdf
January 01, 2021 - identifying-high-alert-medications-university-hospital-applying-data-medication-
error
Commonly used lists of high-risk … gathered from a university hospital's incident reporting system to develop a hospital-
specific high-risk
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/intro.html
December 01, 2017 - nursing home EMR systems, staff generate reports that support earlier recognition of pressure ulcers at risk … and width dimensions), theBates-Jensen Wound Assessment Tool (BWAT) 2 score, and a pressure ulcer risk … may prefer having details about ulcers potentially experiencing delayed healing ( Pressure Ulcers at Risk … Reports Included in the Program
Existing Pressure Ulcers Report
Pressure Ulcers At Risk
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digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through/annual-summary/2012
January 01, 2012 - The intervention tested an automated algorithm to identify high-risk patients and send an email alert … It also provided the nurse with medication decisionmaking support, including high-risk medication management … ’ use of CDS was associated with significantly more patients moving below the medication complexity risk … alert had complex medication regimens, it is possible that nurses were more concerned about patient risk
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www.ahrq.gov/ecareplan/resources-publications/index.html
May 01, 2025 - summary of the approaches and models of person-centered care planning (PCCP) for people living with or at risk … Rapid Scan: Measures of implementation of Person-Centered Care Planning for people at risk for or living … implementation of PCCP to help health systems and providers increase the uptake of PCCP for individuals at risk … collaborate with human and social service organizations to better address the needs of individuals at risk
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects-revised.pdf
April 01, 2022 - happened, identify
the factors that may have contributed to the CLABSI, and discuss how to reduce the risk … What can we do to reduce the risk of the CLABSI happening with a different person? … Action Plan Action Plan Owner Targeted Date Evaluation Plan: How will we know
risk is reduced? … 7 days: Off
12 anything else contributed: Off
Chemotherapy: Off
Evaluation Plan How will we know risk
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
April 01, 2022 - happened, identify
the factors that may have contributed to the CAUTI, and discuss how to reduce the risk … What can we do to reduce the risk of the CAUTI happening with a different person? … Action Plan Action Plan Owner Targeted Date Evaluation Plan: How will we know
risk is reduced? … Action PlanRow1:
Action Plan OwnerRow1:
Targeted DateRow1:
Evaluation Plan How will we know risk
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digital.ahrq.gov/population/caregiver
January 01, 2025 - standardizing practices, minimizing unnecessary procedures, and ensuring timely diagnosis for those at highest risk … Support to Improve Participation in Hospital at Home
Impact of personalized risk … Impact of personalized risk scores on shared decision making in left ventricular assist device implantation … Blumenthal-Barby, Jennifer
Project Name
A Multi-Site Trial to Test Benefits of Adding a Personalized Risk
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/fourteenth-annual-report-congress-high-priority-evidence-gaps-across-lifespan-all-communities
November 01, 2024 - commitment to improving health equity by highlighting research gaps in underserved populations and high-risk … These issues are especially important to study in underserved populations and high-risk groups. 40 Years … Although chronic health conditions may affect anyone, some groups of people are at higher risk because … Preventive services combined with a healthy lifestyle can substantially reduce the risk of diseases,
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www.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - approaches to improve the use of screening for unhealthy alcohol use, brief intervention for those at risk … opioids and other substance use disorders
Toward Safer Opioid Prescribing for Chronic Pain in High Risk … Risk of Acute Asthma Associated With the Pediatric Use of Opioids. … Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
September 01, 2021 - Research Agenda
Conclusions and Next Steps
References
Delays in recognition of risk … deaths related to maternal hemorrhage, recognition of hemorrhage could be improved through awareness of risk … how deficiencies in multiple dimensions of the diagnostic process can lead to the escalation of a low-risk … Inappropriate or inadequate treatment, and
Inadequate documentation (poor charting or failure to chart) of risk
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions3.html
June 01, 2023 - patients transferred from the ICU to the general ward face numerous obstacles, placing them at significant risk … structure written or verbal handoffs in the transition from the ICU to the ward despite it being a high-risk … including:
Structures to facilitate patient discharge,
Education programs to train providers,
Risk … performance at the time of transitions of care. 30
In conclusion, the ICU-to-ward transition is a high-risk