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psnet.ahrq.gov/issue/hospitals-tackle-high-risk-drugs-reduce-errors
October 07, 2015 - Newspaper/Magazine Article
Hospitals tackle high-risk drugs to reduce errors. … January 14, 2009
To reduce risks, hospitals enlist 'proceduralists.' … June 28, 2006
Hospitals target risks of color wristbands. … August 22, 2007
Hospitals move to reduce risk of night shift. … July 2, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
September 24, 2010 - Commentary
Identified safety risks with splitting and crushing oral medications. … Identified safety risks with splitting and crushing oral medications. … Identified safety risks with splitting and crushing oral medications. … July 2, 2008
Failure mode and effects analysis: a useful tool for risk identification … October 3, 2011
High-alert medications: shared accountability for risk identification
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psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-community-home-health
December 04, 2016 - Study
Delineation of risk through the exploration of a culture of safety in community … Delineation of Risk Through the Exploration of a Culture of Safety in Community Home Health. … This study developed a chart review tool to better assess the risks facing community-based patients and … discovered that the most frequent risks identified were mobility, fall prevention , and medication … February 3, 2010
Insulin treatment as a tracer for identifying latent patient safety risks
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - Neither the surgical resident nor the nurse responsible for administering the drug was aware of the risks … subsequent timing based on that last dose's timing.( 6 ) Prior to surgery, prescribers must weigh the risks … Considering the risks associated with dofetilide, we believe that prescribing should be restricted to … Although there may no longer be FDA requirements for prescribing and dispensing of the medication, the risks … The risks associated with the medication and the safeguards to mitigate them should be known to patients
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psnet.ahrq.gov/node/856592/psn-pdf
January 01, 2024 - Talking about falls: a qualitative exploration of spoken
communication of patients' fall risks in hospitals … Talking about falls: a qualitative exploration of spoken
communication of patients’ fall risks in hospitals … psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-
risks … Risk assessments and categorization (e.g., high- or low-risk) were discussed in
conjunction with strategies … to focus on modifiable risk factors.
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psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
December 16, 2020 - Study
Dashboard design to identify and balance competing risk of multiple hospital-acquired … Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. … healthcare-acquired condition reduction and prevention target a single condition , rather than the risks … discusses clinician feedback on a proposed dashboard to enhance clinicians’ management combining the risks … Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.
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psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
March 18, 2010 - Magazine Article
Healthcare industry representatives: maximizing benefits and reducing risks … Citation Text:
Healthcare industry representatives: maximizing benefits and reducing risks. … This article addresses strategies for minimizing patient safety risks related to interactions with health … Citation
Citation Text:
Healthcare industry representatives: maximizing benefits and reducing risks … April 17, 2017
Perioperative medication errors: uncovering risk from behind the drapes
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psnet.ahrq.gov/issue/patient-data-outage-exposes-risks-electronic-medical-records
June 27, 2018 - Newspaper/Magazine Article
Patient data outage exposes risks of electronic medical … Citation Text:
Patient data outage exposes risks of electronic medical records. Terhune C. … incident during which dozens of hospitals lost access to electronic medical records (EMRs) and discusses risks … Cite
Citation
Citation Text:
Patient data outage exposes risks … September 4, 2013
With money at risk, hospitals push staff to wash hands.
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psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer-use
October 01, 2014 - Commentary
mHealth and mobile medical apps: a framework to assess risk and promote … Citation Text:
Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and … This commentary discusses the potential risks associated with mobile applications and describes a framework … to guide developers , clinicians, and patients who use the technologies to manage those risks. … View More
Related Resources
Digital health technology-specific risks
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psnet.ahrq.gov/issue/medication-safety-interface-evaluating-risks-associated-discharge-prescriptions-mental-health
March 11, 2020 - Study
Medication safety at the interface: evaluating risks associated with discharge … Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental … These findings underscore the risks of adverse events in the postdischarge period and the need for … , 2017
Is the availability of hospital IT applications associated with a hospital's risk … July 18, 2016
High-risk, high-alert medication management practices in a regional state
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psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care
August 11, 2010 - Study
A systematic quantitative assessment of risks associated with poor communication … A systematic quantitative assessment of risks associated with poor communication in surgical care. … A systematic quantitative assessment of risks associated with poor communication in surgical care. … Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted … July 31, 2013
A systematic proactive risk assessment of hazards in surgical wards: a
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psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
December 31, 2014 - Failure mode and effect analysis (FMEA), a tool that allows prospective risk assessment, has been … applied to learning about risk in large health systems. … May 19, 2015
Prospective risk analysis and incident reporting for better pharmaceutical … December 17, 2014
Risks in the implementation and use of smart pumps in a pediatric intensive … June 15, 2012
Risk and pharmacoeconomic analyses of the injectable medication process
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psnet.ahrq.gov/issue/risk-prevention-and-surgical-checklists
November 16, 2015 - Special or Theme Issue
Risk Prevention and Surgical Checklists. … Citation Text:
Risk Prevention and Surgical Checklists. Neurosurg Focus. 2012;33(5):E1-E16. … Linkedin
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Risk … View More
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Operating Room
Health Care Providers
Risk
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psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
October 09, 2024 - Review
Patient safety risks associated with telecare: a systematic review and narrative … Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature … Many risks were identified, but the authors conclude more study is needed to understand telecare-related … Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature … January 27, 2012
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Home Care
Risk
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psnet.ahrq.gov/issue/patient-safety-latent-risk-factors
March 28, 2011 - Review
Patient safety: latent risk factors. … Patient safety: latent risk factors. Br J Anaesth. 2010;105(1):52-9. doi:10.1093/bja/aeq135. … Patient safety: latent risk factors. Br J Anaesth. 2010;105(1):52-9. doi:10.1093/bja/aeq135. … September 18, 2013
Evidence-based guidelines for fatigue risk management in emergency … effect of computerised decision support alerts tailored to intensive care on the administration of high-risk
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
September 09, 2015 - Study
Failure mode and effects analysis: a comparison of two common risk prioritisation … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … human factors engineering method used to examine a process in health care to identify potential safety risks … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … Resources From the Same Author(s)
Operating room to intensive care unit handoffs and the risks
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - SPOTLIGHT CASE
Wandering Off the Floors: Safety and Security Risks of Patient Wandering … Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. … Relate common risks associated with patient wandering. … Identify measures for reducing risks related to patient wandering. … Reducing the risk There are a range of options for reducing the risk of patient wandering including
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psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
April 06, 2016 - This revised report documents a process for adverse event analysis that risk managers and others may … June 28, 2017
Improving the Measurement of Surgical Site Infection Risk Stratification … December 23, 2012
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine … June 13, 2012
Managing the Risks of Organizational Accidents. … March 27, 2005
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Risk Managers
Error
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psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
October 05, 2022 - Study
Operating room to intensive care unit handoffs and the risks of patient harm … Operating room to intensive care unit handoffs and the risks of patient harm. … The authors identified 81 process failures and outlined recommendations to mitigate many of these risks … Operating room to intensive care unit handoffs and the risks of patient harm. … safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - prevent cancer progression following antiestrogen therapy).( 1 ) To help practitioners weigh the risks … clarity and lack of a strong evidence basis.( 5-7 ) For example, categories do not clearly communicate relative … risk (e.g., risk does not necessarily increase as one goes from categories C to D to X) nor how the … levothyroxine B No evidence of risk in humans: either animal studies show risks, but … amoxicillin C Risk cannot be ruled out.