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Delineation of risk through the exploration of a culture of safety in community home health. | PSNet

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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

Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. | PSNet

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October 13, 2021 - improvement strategy to reduce parenteral medication administration errors and associated potential risk … improvement strategy to reduce parenteral medication administration errors and associated potential risk … This commentary describes the results of a Six Sigma improvement project to reduce risks of parenteral … improvement strategy to reduce parenteral medication administration errors and associated potential risk … readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk

mHealth and mobile medical apps: a framework to assess risk and promote safer use. | PSNet

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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

Failure mode and effects analysis: a comparison of two common risk prioritisation methods. | PSNet

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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

Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. | PSNet

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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 Citation Citation Text: 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.

Delayed Clozapine Prescription in an Elderly Man With Dementia | PSNet

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August 06, 2014 - Because of the drug's risks for adverse effects, clozapine must be prescribed and dispensed in accordance … certain medications that need special attention to ensure that the benefits of therapy outweigh the risks … The purpose of REMS is to reduce the occurrence or severity of serious known risks. … serious, known medication safety risks. … Approved Risk Evaluation and Mitigation Strategies (REMS).

Electronic health record–related safety concerns: a cross-sectional survey. | PSNet

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August 03, 2016 - J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. … J Healthc Risk Manag . 2014; 34 (1) :14-26 . View more articles from the same authors. … records (EHRs) have led to many improvements in care, they have also created novel patient safety risks … This Web-based survey assessed the perceptions of lawyers and health care risk management specialists … J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146.

Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet

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April 01, 2008 - One of the primary roles of the surgical team is to mitigate risk once the risks and benefits of the … For central line insertions, the risks include initial catheter malposition and bleeding. … A preoperative discussion between the attending surgeon and the trainee regarding anticipated risks and … At such a pre-procedure pause, the surgeon has an opportunity to communicate anticipated risks of the … procedure, risks that are specific to that procedure and for that patient, to the team.

Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. | PSNet

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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

Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. | PSNet

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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.

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet

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 See More About The Topic Operating Room Health Care Providers Risk

Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals. | PSNet

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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

Patient Safety and Managing Risk in Nursing. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-managing-risk-nursing

March 27, 2017 - Book/Report Patient Safety and Managing Risk in Nursing. … Citation Text: Patient Safety and Managing Risk in Nursing. Fisher MA, Scott M. … Cite Citation Citation Text: Patient Safety and Managing Risk … November 3, 2010 Clinical risk management and patient safety education for nurses: a … View More See More About The Topic Hospitals Nurses Nurse Managers Risk

High-alert medications: shared accountability for risk identification and error prevention. | PSNet

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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.

Risk factors associated with incorrect surgical counts. | PSNet

psnet.ahrq.gov/issue/risk-factors-associated-incorrect-surgical-counts

October 20, 2010 - Study Risk factors associated with incorrect surgical counts. … Risk factors associated with incorrect surgical counts. … Risk factors associated with incorrect surgical counts.

It's always something: hospital nurses managing risk. | PSNet

psnet.ahrq.gov/issue/its-always-something-hospital-nurses-managing-risk

September 29, 2017 - Study It's always something: hospital nurses managing risk. … It's always something: hospital nurses managing risk. … It's always something: hospital nurses managing risk.

Normal Accidents: Living with High-Risk Technologies. | PSNet

psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies

March 06, 2005 - Book/Report Classic Normal Accidents: Living with High-Risk … Citation Text: Normal Accidents: Living with High-Risk Technologies. Perrow C. … Cite Citation Citation Text: Normal Accidents: Living with High-Risk

Operating room to intensive care unit handoffs and the risks of patient harm. | PSNet

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

A systematic quantitative assessment of risks associated with poor communication in surgical care. | PSNet

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

Risks of complications by attending physicians after performing nighttime procedures. | PSNet

psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures

February 14, 2018 - Study Classic Risks of complications by attending physicians … Risks of Complications by Attending Physicians After Performing Nighttime Procedures. … Risks of Complications by Attending Physicians After Performing Nighttime Procedures.

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