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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/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
Related Resources
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/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/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
January 06, 2017 - Commentary
The Johns Hopkins Hospital: identifying and addressing risks and safety … The Johns Hopkins Hospital: identifying and addressing risks and safety issues. … The Johns Hopkins Hospital: identifying and addressing risks and safety issues. … December 6, 2017
A framework for operationalizing risk: a practical approach to patient
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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
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psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations
February 07, 2019 - Patient safety officers and risk managers are likely to find it of considerable interest. … View More
Related Resources
Special Section: Event Analysis and Risk … October 14, 2020
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient … January 14, 2009
Risk Management Pearls on Disclosure of Adverse Events. … July 12, 2006
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Risk Managers
Quality
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psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
January 23, 2019 - Newspaper/Magazine Article
ADC survey shows some improvements, but unnecessary risks … Citation Text:
ADC survey shows some improvements, but unnecessary risks still exist. … Cite
Citation
Citation Text:
ADC survey shows some improvements, but unnecessary risks … June 5, 2018
Don't underestimate the impact of change on risk potential. … May 5, 2018
Risk factors for i.v. compounding errors when using an automated workflow
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psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software
September 25, 2008 - Administration Precertification pilot program for digital health software: weighing the benefits and risks … Administration Precertification Pilot Program for Digital Health Software: Weighing the Benefits and Risks … Administration Precertification Pilot Program for Digital Health Software: Weighing the Benefits and Risks … Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk … January 27, 2019
Selected medication safety risks that can easily fall off the radar
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - group of disciplines so that a continuum
of expertise is employed depending on severity of suicide risks … synthesizing it in a way that helps characterize acute risks, chronic risks, and factors that are amenable … ,
minimization of environmental (ligature) risks, provision of safe dining equipment, room sweeps, and … based on a synthesis of multiple risk
factors, Reduce suicide risks by treating modifiable risk factors … life threats (and ensure safety), Risk assessment for suicide, Reduce suicide risks, and Extend care
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psnet.ahrq.gov/issue/frequency-and-risk-factors-preventable-medication-related-hospital-admissions-netherlands
March 01, 2011 - Study
Frequency of and risk factors for preventable medication-related hospital admissions … Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands … Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands … readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … Laboratory test ordering and results management systems: a qualitative study of safety risks
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks … , assess modifiable risk factors,
and intervene to reduce fall risk.9
In addition to fall prevention … While there is an extensive body of research
focusing on fall prevention within inpatient settings, risks … Patient
homes have a wider range of risks and less healthcare professionals can control. … Risk factors and risk assessment tools for falls in hospital
in-patients: a systematic review.
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psnet.ahrq.gov/node/837592/psn-pdf
June 29, 2022 - Combined proactive risk assessment: unifying proactive
and reactive risk assessment techniques in health … Combined proactive risk assessment: unifying proactive and reactive risk
assessment techniques in health … https://psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk- … 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.
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psnet.ahrq.gov/node/48060/psn-pdf
June 19, 2019 - Strategies to identify patient risks of prescription opioid
addiction when initiating opioids for pain … Strategies to Identify Patient Risks of Prescription Opioid Addiction
When Initiating Opioids for Pain … https://psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating … -
opioids-pain
High-risk opioid prescribing by providers contributes to opioid misuse. … This systematic review sought to
identify factors that confer risk for opioid addiction and thereby
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psnet.ahrq.gov/issue/systematic-proactive-risk-assessment-hazards-surgical-wards-quantitative-study
August 15, 2013 - Study
A systematic proactive risk assessment of hazards in surgical wards: a quantitative … A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. … A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. … July 14, 2010
A systematic quantitative assessment of risks associated with poor communication … January 20, 2015
A systematic quantitative assessment of risks associated with poor communication
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - impairment (e.g., dementia, stroke, brain injury, delirium).5,6 Extrinsic factors
include environmental risks … While different falls
risk assessment tools can identify patients’ individualized risks, ongoing assessments … , mobility limitations or
environmental risks such as lines/tubes. … identify high risk patients. … factors and what interventions are in place to reduce those risks, along
with the contributing environmental
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psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
March 09, 2016 - Newspaper/Magazine Article
Selected medication safety risks to manage in 2016 that … Citation Text:
Selected medication safety risks to manage in 2016 that might otherwise fall off the … This two-part newsletter article reviews risks associated with medication use and strategies to enhance … Cite
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Selected medication safety risks … March 7, 2018
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The risks of the prescribing
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psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
May 02, 2018 - Newspaper/Magazine Article
Epidural-IV route mix-ups: reducing the risk of deadly … Citation Text:
Epidural-IV route mix-ups: reducing the risk of deadly errors. … Cite
Citation
Citation Text:
Epidural-IV route mix-ups: reducing the risk … June 10, 2018
Benefits and risks of including patients on RCA teams. … May 2, 2018
Don't underestimate the impact of change on risk potential.
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psnet.ahrq.gov/node/47150/psn-pdf
November 21, 2018 - hospital mortality surveillance
system that generates monthly mortality alerts) and trends in the relative … risk of mortality across National
Health Service hospital trusts. … On average, mortality risk decreased after a trust received a mortality alert. … A past PSNet perspective discussed the use of risk-adjusted mortality
as part of a safety measurement … report-mid-staffordshire-nhs-foundation-trust-public-inquiry
https://psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program