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psnet.ahrq.gov/node/865817/psn-pdf
May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in … Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in … psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-
safety-risk … study, a hospital used Healthcare Failure Mode and Effect Analysis
(HFMEA) to prospectively identify risks … psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-safety-risk
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psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - Dashboard design to identify and balance competing risk
of multiple hospital-acquired conditions. … Dashboard design to identify and balance competing risk of
multiple hospital-acquired conditions. … https://psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital- … 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
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psnet.ahrq.gov/node/72545/psn-pdf
December 09, 2020 - Comparing the evolution of risk culture in radiation
oncology, aviation, and nuclear power. … Comparing the evolution of risk culture in radiation oncology, aviation,
and nuclear power. … https://psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear … The authors explored the relationship between risk culture in three fields that require high
standards … high reliability in aviation
and nuclear power and that could mitigate or eliminate patient safety risks
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - Recognize the importance of performing an unbiased and individualized assessment of risks and benefits … At this time, the benefits of prophylactic anticoagulation seem to outweigh the risks associated with … of VTE and the risks of general anesthesia. … into consideration the risk of VTE and the risks associated with anticoagulation use near the time of … take into consideration the risk of VTE and the risks associated with anticoagulation use near the time
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psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - Increased frailty among a subset of older patients can complicate management of risk further. … Bed rest, hospitalization,
and the testing and treatment patients receive come with a number of risks … .4
Risk assessment of treatment
Frail older patients are at risk of unintended consequences from procedures … long-term care planning with the patient and/or family can reduce patient exposure to
unnecessary risks … Care providers should consider both the risks of
the proposed treatment and the long-term care goals
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - • Recognize the importance of performing an unbiased and individualized
assessment of risks and benefits … • At this time, the benefits of prophylactic anticoagulation seem to outweigh the risks
associated … of
VTE and the risks of general anesthesia.
3. … into consideration the
risk of VTE and the risks associated with anticoagulation use near the time … should take into consideration the risk of VTE and the risks associated
with anticoagulation use near
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psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - To date, much of the evidence has
focused on quantifying risk rather than defining appropriate use. … than central venous catheters.(8) These data have
undoubtedly led to a greater appreciation of the risks … Importantly, the
recommendations weigh relative risks and benefits associated with each device against … Risk of venous thromboembolism associated with peripherally
inserted central catheters: a systematic … Risk factors for peripherally inserted central
venous catheter complications in children.
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psnet.ahrq.gov/node/837663/psn-pdf
July 13, 2022 - Long-term risk of overdose or mental health crisis after
opioid dose tapering. … Long-term risk of overdose or mental health crisis after opioid
dose tapering. … This study assessed the long-term risks of overdose and mental health crisis
as a result of dose tapering … Consistent with earlier research on short-term risks, results indicate that opioid
tapering is associated … with increased risk of adverse events up to 24 months after initiation of tapering.
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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/node/73397/psn-pdf
June 16, 2021 - Safe opioid prescribing: a prognostic machine learning
approach to predicting 30-day risk after an opioid … Safe opioid prescribing: a prognostic machine learning approach to
predicting 30-day risk after an opioid … Opioids are high-risk medications and a significant source of patient harm. … prescription from 2017-2018, the
authors developed machine learning models to estimate the 30-day risk … perspective/patient-safety-and-opioid-medications
https://psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain
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psnet.ahrq.gov/node/50814/psn-pdf
January 22, 2020 - Evaluation of the extended-release/long-acting opioid
prescribing Risk Evaluation and Mitigation Strategy … Evaluation of the Extended-Release/Long-Acting Opioid
Prescribing Risk Evaluation and Mitigation Strategy … https://psnet.ahrq.gov/issue/evaluation-extended-releaselong-acting-opioid-prescribing-risk-evaluation-and … researchers investigated the
implementation and effectiveness of the Food and Drug Administration (FDA) Risk … manufacturers to
deliver continuing education, develop medication guides for patients about opioid risks
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psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - First, the relative risk
reduction in mortality is constant across the spectrum of severe sepsis, yielding … Second, as in the first case, the relative risk reduction in sepsis-related mortality is constant, and … of death and who are not at undue risk for bleeding. … of this underutilization.(13) However, as reviewed above, when given to
appropriate patients, the risks … Risks and benefits of activated protein C
treatment for severe sepsis.
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psnet.ahrq.gov/node/843081/psn-pdf
January 25, 2023 - COVID-19 related negative emotions and emotional
suppression are associated with greater risk perceptions … COVID-19 related negative emotions and emotional suppression are
associated with greater risk perceptions … Negative emotions can adversely impact perception of both patient safety and personal risks. … their emotions (e.g., afraid, calm), emotional suppression and
reappraisal behaviors, and perceived risk … negative emotions, but only negative emotions were significantly
associated with greater perception of risk
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psnet.ahrq.gov/node/866279/psn-pdf
July 10, 2024 - Need to systematically identify and mitigate risks upon
hospitalisation for patients with chronic health … Need to systematically identify and mitigate risks upon hospitalisation for
patients with chronic health … https://psnet.ahrq.gov/issue/need-systematically-identify-and-mitigate-risks-upon-hospitalisation-patients … example, the authors present a framework for
systematically identifying and mitigating patient safety risks … The framework underscores the importance of identifying high-risk patients and implementing
appropriate
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psnet.ahrq.gov/node/47812/psn-pdf
April 17, 2019 - Are more experienced clinicians better able to tolerate
uncertainty and manage risks? … Risk aversion in clinical practice may lead to the ordering of unnecessary tests and procedures, a … Experienced clinicians may be more comfortable with uncertainty
and risk than less experienced providers … understand their level of experience and used vignettes to
characterize their reactions to uncertainty and risk … They found a significant association between more
clinical experience and less risk aversion as well
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psnet.ahrq.gov/node/867752/psn-pdf
March 12, 2025 - Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient … Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient … https://psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive … This article describes the use of
a risk management approach to improve handoffs from the operating … https://psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
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psnet.ahrq.gov/node/865483/psn-pdf
April 03, 2024 - Risks in the analogue and digitally-supported medication
process and potential solutions to increase … Risks in the analogue and digitally-supported medication
process and potential solutions to increase … https://psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential- … This study sought to identify critical
risks and solutions in analog (pathway including at least one … In both processes, experts identified that the most critical risk of errors and harm occurs at
admission
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psnet.ahrq.gov/node/44168/psn-pdf
May 27, 2015 - The PRONE score: an algorithm for predicting doctors'
risks of formal patient complaints using routinely … The PRONE score: an algorithm for predicting doctors' risks of formal
patient complaints using routinely … https://psnet.ahrq.gov/issue/prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints … https://psnet.ahrq.gov/issue/prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints-using-routinely … https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
https://psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints
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psnet.ahrq.gov/node/73867/psn-pdf
September 22, 2021 - A dynamic risk management approach for reducing harm
from invasive bedside procedures performed during … A dynamic risk management approach for reducing harm from
invasive bedside procedures performed during … https://psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-
procedures-performed-during … The authors outline how ALARA risk standards can be
adapted by training program directors to measure … procedural competency and assess and reduce bedside
procedural risks.
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psnet.ahrq.gov/node/867640/psn-pdf
February 26, 2025 - Patient safety of virtual primary care: a qualitative study
examining risks and mitigation strategies … Patient safety of virtual primary care: a qualitative study examining risks
and mitigation strategies … https://psnet.ahrq.gov/issue/patient-safety-virtual-primary-care-qualitative-study-examining-risks-and … This study, conducted with patients and providers, identifies patient safety risks associated
with virtual … care and strategies patients and providers can implement to mitigate those risks.