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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - High-Risk Medications, High-Risk Transfers
Citation Text:
Staggers N. … High-Risk Medications, High-Risk Transfers. PSNet [internet]. … High-Risk Medications, High-Risk Transfers. PSNet [internet]. … events, such as that described in this case, have not historically been identified as a significant risks … Take-Home Points Intrahospital transfers have inherent risks, especially for critical care patients
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - Bleeding Risk
Citation Text:
Crowther MA. Bleeding Risk. PSNet [internet]. … Bleeding Risk. PSNet [internet]. … of excessive (or inadequate) anticoagulation with the associated risks of bleeding (or thrombosis).( … Oral anticoagulation and risk of death: a medical record linkage study. … Bleeding Risk. PSNet [internet].
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psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores
December 07, 2022 - Study
Patient perception of fall risk and fall risk screening scores. … Patient perception of fall risk and fall risk screening scores. … score and patient perceptions of fall risk. … behavior, the lower the fall-risk score. … Patient perception of fall risk and fall risk screening scores.
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psnet.ahrq.gov/issue/looking-collectively-risk
December 19, 2018 - Toolkit
Looking Collectively at Risk. … Citation Text:
Looking Collectively at Risk. … The tools emphasize the importance of a multidisciplinary approach to managing risk with key sections … focusing on physicians, nurses, pharmacists, risk managers, and administrators. … May 24, 2015
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint
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psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
May 11, 2022 - Study
Combined proactive risk assessment: unifying proactive and reactive risk assessment … Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health … This study combined proactive and reactive risk assessments into a Combined Proactive Risk Assessment … (CPRA) to identify risks not detected by one method on its own. … Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review … The data analysis revealed key risk factors presenting in key populations or risk groups with some common … clinical risk scenarios to form the basis of the Anesthesia Risk Alert program. … The NAPSI team designed the Anesthesia Risk Alert program around the five clinical risk scenarios and … Alert program with strong communication, collaboration, and literature-supported practices to mitigate risks
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psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk
November 03, 2015 - vs. electronic risk assessment tool scores. … Electronic Risk Assessment Tool Scores. … and found that nurses more commonly identified psychological or social risks as relevant to harm … risk had been incorporated into the plan of care. … Electronic Risk Assessment Tool Scores.
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psnet.ahrq.gov/issue/risk-management-or-just-different-risk
April 12, 2011 - Study
Risk management, or just a different risk? … Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9. … Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9. … management, or just a different risk: a national survey of newborn units following a patient safety … October 6, 2011
Risk management, or just a different risk: a national survey of newborn
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psnet.ahrq.gov/issue/scariest-hospital-risks
September 29, 2017 - Image/Poster
Scariest hospital risks. … Citation Text:
Scariest hospital risks. Herper M; Lindner M. … September 11, 2013
With money at risk, hospitals push staff to wash hands. … July 31, 2012
Medicare study finds teaching hospitals have higher risk of complications … February 29, 2012
Shifting the risks at night.
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psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
January 18, 2013 - Study
Risk factors for retained surgical items: a meta-analysis and proposed risk … Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. … patient who was discharged with a retained surgical item and reveals technological solutions to reduce risks … Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. … December 21, 2014
Miscount incidents: a novel approach to exploring risk factors for
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability … Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability … Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability … Problems must be anticipated and risks should be mitigated. … Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - Miscalculated Risk
Citation Text:
Strassels SA. Miscalculated Risk. PSNet [internet]. … Miscalculated Risk. PSNet [internet]. … Pain scales don't weigh every risk. ISMP Medication Safety Alert! Acute Care Edition. … Miscalculated Risk. PSNet [internet]. … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks
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psnet.ahrq.gov/issue/managing-risks-organizational-accidents
May 13, 2011 - Book/Report
Classic
Managing the Risks of Organizational … Citation Text:
Managing the Risks of Organizational Accidents. Reason JT. … this seminal book, readers are introduced to the now-famous " Swiss cheese model " of errors in high-risk … Copy URL
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Managing the Risks … Resources
Patient Safety Innovations
Combined Proactive Risk
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psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations
July 10, 2024 - Commentary
Managing health IT risks: reflections and recommendations. … Managing health IT risks: reflections and recommendations. … To manage problems associated with health IT systems, this commentary recommends applying risk assessment … and organizational learning strategies to identify and address predictable risks. … Managing health IT risks: reflections and recommendations.
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psnet.ahrq.gov/issue/risks-related-patient-bed-safety
July 19, 2023 - Commentary
Risks related to patient bed safety. … Risks related to patient bed safety. … contributing factors to medical errors associated with hospital beds , this commentary recommends a risk … Risks related to patient bed safety.
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psnet.ahrq.gov/issue/risks-prescribing-cascade
December 16, 2020 - Newspaper/Magazine Article
The risks of the prescribing cascade. … The risks of the prescribing cascade. New York Times. 2020. … The risks of the prescribing cascade. New York Times. 2020. … July 20, 2022
Operating room to intensive care unit handoffs and the risks of patient … September 9, 2015
Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk
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psnet.ahrq.gov/issue/balancing-risk-my-life-politics-risk-hospital-operating-theatre-department
July 20, 2010 - Commentary
'Balancing risk, that is my life': The politics of risk in a hospital … ‘Balancing risk, that is my life’: The politics of risk in a hospital operating theatre department. … Health Risk Soc. 2005;7(4). doi:10.1080/13698570500390705. … ‘Balancing risk, that is my life’: The politics of risk in a hospital operating theatre department. … Health Risk Soc. 2005;7(4). doi:10.1080/13698570500390705.
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psnet.ahrq.gov/issue/risk-and-event-assessment
August 12, 2020 - Special or Theme Issue
Risk and Event Assessment. … Citation Text:
Risk and Event Assessment. Jt Comm J Qual Patient Saf. 2010;36:348-385. … issue contains several articles dedicated to Failure Mode and Effects Analysis and other proactive risk … Linkedin
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Risk … Resources
Patient Safety Innovations
Combined Proactive Risk
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psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
February 17, 2016 - Book/Report
Patient Safety Risk Management Playbook. … Citation Text:
Patient Safety Risk Management Playbook. … Chicago, IL: American Society for Healthcare Risk Management; 2015. … Chicago, IL: American Society for Healthcare Risk Management; 2015. … June 21, 2015
The PRONE score: an algorithm for predicting doctors' risks of formal patient
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psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety
March 27, 2005 - Book/Report
Principles of Risk Management and Patient Safety. … Citation Text:
Principles of Risk Management and Patient Safety. Youngberg BJ, ed. … This textbook discusses claims management, risk financing, and proactive risk reduction within the context … December 14, 2010
2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic … July 18, 2018
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine