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psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
January 27, 2019 - Study
Risks and medication errors analysis to evaluate the impact of a chemotherapy … Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management … Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management … September 1, 2016
Inappropriate hospital admission as a risk factor for the subsequent … June 15, 2012
Use of a prospective risk analysis method to improve the safety of the
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - Case Objectives
Review common risk factors, typical presentation, methods for risk stratification … Describe the options for managing low-risk and high-risk pulmonary embolism, including recent developments … The management of PE is based on initial risk stratification. … For low-risk PE and many intermediate-risk PEs, anticoagulation remains the mainstay of treatment. … decision to recommend CDT by providing a framework for multidisciplinary discussion of the potential risks
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psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
July 18, 2018 - Book/Report
Medication-related Malpractice Risks. 2016 CRICO Strategies National … Citation Text:
Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. … Cite
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Medication-related Malpractice Risks … July 18, 2018
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine … September 26, 2012
Annual Benchmarking Report: Malpractice Risks in Surgery.
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psnet.ahrq.gov/issue/defensive-medicine-among-high-risk-specialist-physicians-volatile-malpractice-environment
February 17, 2011 - Study
Defensive medicine among high-risk specialist physicians in a volatile malpractice … Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. … Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. … February 22, 2010
Disclosure of medical injury to patients: an improbable risk management … February 14, 2017
Annual Benchmarking Report: Malpractice Risks in Surgery.
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psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
June 24, 2020 - Study
Probabilistic risk assessment of accidental ABO-incompatible thoracic organ … Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and … Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and … June 19, 2013
Infrequent physician use of implantable cardioverter-defibrillators risks … View More
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Operating Room
Health Care Providers
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - Study
A system safety approach to assessing risks in the sepsis treatment process … A system safety approach to assessing risks in the sepsis treatment process. … This study uses the Systems Theoretic Process Analysis (STPA) to analyze risks related to pediatric sepsis … A system safety approach to assessing risks in the sepsis treatment process. … October 21, 2015
Perceptions of risk to patient safety in the pediatric ICU, a study
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psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
May 01, 2015 - Study
Classic
Physician spending and subsequent risk of … Physician spending and subsequent risk of malpractice claims: observational study. … Because procedures and tests carry risks of complications, defensive medicine also may lead to adverse … Physician spending and subsequent risk of malpractice claims: observational study. … September 1, 2018
Malpractice Risks in Communication Failures: 2015 Annual Benchmarking
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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
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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/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
September 24, 2010 - Commentary
High-alert medications: shared accountability for risk identification … High-alert medications: shared accountability for risk identification and error prevention. … The author suggests that heightened clinician awareness of risks and potential errors could protect against … High-alert medications: shared accountability for risk identification and error prevention. … July 28, 2010
Identified safety risks with splitting and crushing oral medications.
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psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
July 15, 2020 - Article
Artificial intelligence is rushing into patient care - and could raise risks … Citation Text:
Artificial intelligence is rushing into patient care - and could raise risks. … Citation
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Artificial intelligence is rushing into patient care - and could raise risks … May 5, 2021
How chaos at chain pharmacies is putting patients at risk.
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psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
December 01, 2021 - Commentary
Targeting zero harm: a stretch goal that risks breaking the spring. … Targeting zero harm: a stretch goal that risks breaking the spring. … Targeting zero harm: a stretch goal that risks breaking the spring.
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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/evidence-based-guidelines-fatigue-risk-management-emergency-medical-services
August 03, 2017 - Review
Evidence-based guidelines for fatigue risk management in emergency medical … Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. … This study describes the development of guidelines to reduce fatigue and its associated risks among emergency … Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. … October 19, 2022
Adverse drug events caused by three high-risk drug-drug interactions
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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/issue/intervention-model-promotes-accountability-peer-messengers-and-patientfamily-complaints
June 27, 2018 - Among more than 370 high-risk physicians who received coaching, nearly all responded professionally to … Although disruptive and unprofessional behavior has long been tolerated in health care despite the safety risks … Author(s)
Use of unsolicited patient observations to identify surgeons with increased risk … July 31, 2024
Patient complaints and malpractice risk. … February 12, 2014
Identification of doctors at risk of recurrent complaints: a national
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psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
October 15, 2008 - Elements of the guidance discuss assessment of risk, individualized care plans, shared decision making … View More
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Medicare Part D Beneficiaries at Serious Risk … Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk … November 30, 2016
Communicating Radiation Risks in Paediatric Imaging: Information to … Support Healthcare Discussions About Benefit and Risk.
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psnet.ahrq.gov/issue/changes-practice-among-physicians-malpractice-claims
February 14, 2017 - A PSNet perspective explored the risk of recurring medicolegal events among providers who have received … September 7, 2011
The PRONE score: an algorithm for predicting doctors' risks of formal … May 27, 2015
Identification of doctors at risk of recurrent complaints: a national study … February 17, 2011
Defensive medicine among high-risk specialist physicians in a volatile … "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk
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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/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care
December 24, 2008 - Grant Recipient
AHRQ Risk-informed Intervention Development and Implementation of … Citation Text:
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in … announcement lists 13 projects funded to demonstrate effective strategies in identifying and addressing risks … Linkedin
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AHRQ Risk-informed … May 24, 2015
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.
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psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm
March 04, 2011 - Study
Comparison of potential risk factors for medication errors with and without … Comparison of potential risk factors for medication errors with and without patient harm. … Comparison of potential risk factors for medication errors with and without patient harm. … June 16, 2010
Frequency of and risk factors for preventable medication-related hospital … November 4, 2015
What are the safety risks for patients undergoing treatment by multiple