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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50741/psn-pdf
    December 18, 2019 - Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and … Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization … potentially-inappropriate-medication-use-hospitalized-elders https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50886/psn-pdf
    February 12, 2020 - Identifying risks areas related to medication administrations - text mining analysis using free-text … Identifying risks areas related to medication administrations - text mining analysis using free-text … https://psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis … Reporting and Learning System in England and Wales to identify terms most frequently associated with risk … https://psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50855/psn-pdf
    January 29, 2020 - A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic … A Quality Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic … //psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce- risks-inadvertent … Recent guidelines from the Institute for Safe Medication Practices have warned of the risk of blood-borne … https://psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48181/psn-pdf
    August 07, 2019 - Managing the risks of direct oral anticoagulants. August 7, 2019 Sentinel Event Alert. … https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants Anticoagulant medications are … known to be high-risk for adverse drug events. … anticoagulants (DOACs) require less monitoring than warfarin, they are still associated with an increased risk … The Joint Commission has issued a new sentinel event alert to raise awareness of the risks related to
  6. 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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841153/psn-pdf
    December 07, 2022 - Digital health technology-specific risks for medical malpractice liability. … Digital health technology-specific risks for medical malpractice liability. … https://psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability … health technologies, particularly in response to the COVID-19 pandemic, can increase patient safety risks … https://psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability https
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74181/psn-pdf
    December 15, 2021 - Mitigating patient and consumer safety risks when using conversational assistants for medical information … Mitigating patient and consumer safety risks when using conversational assistants for medical information … https://psnet.ahrq.gov/issue/mitigating-patient-and-consumer-safety-risks-when-using-conversational- … https://psnet.ahrq.gov/issue/mitigating-patient-and-consumer-safety-risks-when-using-conversational-assistants-medical … https://psnet.ahrq.gov/issue/mitigating-patient-and-consumer-safety-risks-when-using-conversational-assistants-medical
  9. 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
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866316/psn-pdf
    July 17, 2024 - From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients … From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients … https://psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory … https://psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients … https://psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40743/psn-pdf
    February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy. December 23, 2016 Sentinel Event Alert. … https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging The Joint Commission issues Sentinel … overuse of diagnostic imaging, particularly computed tomographic (CT) scans, poses patient safety risks … This alert reviews specific strategies organizations should take to minimize radiation risks, including … that may contribute to overutilization of diagnostic imaging, with consequent short- and long-term risks
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72805/psn-pdf
    March 03, 2021 - A guide to managing the risks. March 3, 2021 Babic B, Cohen IG,  Evgeniou T, et al. … https://psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks  This article discusses … how machine learning can create unanticipated risks in the context of health care delivery. … https://psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks https://psnet.ahrq.gov … /issue/machine-learning-based-clinical-decision-support-system-identify-prescriptions-high-risk https
  13. Psn-Pdf (pdf file)

    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.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849661/psn-pdf
    June 28, 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 … take into consideration the risk of VTE and the risks associated with anticoagulation use near the
  15. psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
    August 05, 2020 - Risk Anal. 2023;43(7):1463-1477. doi:10.1111/risa.14002. … Risk Anal . 2023; 43 (7) :1463-1477 . View more articles from the same authors. … Patients are uniquely situated to identify safety risks that may be missed or not reported by healthcare … Risk Anal. 2023;43(7):1463-1477. doi:10.1111/risa.14002. … August 25, 2021 Patient and consumer safety risks when using conversational assistants
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73860/psn-pdf
    September 22, 2021 - A system safety approach to assessing risks in the sepsis treatment process. … A system safety approach to assessing risks in the sepsis treatment process. … https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process A systems … This study uses the Systems Theoretic Process Analysis (STPA) to analyze risks related to pediatric … https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process https://
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47480/psn-pdf
    December 19, 2018 - Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part … Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part … This three-part series discusses medication safety risks and highlights topics such as wrong-patient … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46001/psn-pdf
    July 19, 2017 - risk assessment tool scores. … Electronic Risk Assessment Tool Scores. … - electronic-risk This study compared nurses' identification of patients at risk for harm to an electronic … predictive model and found that nurses more commonly identified psychological or social risks as relevant … https://psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46489/psn-pdf
    January 01, 2021 - Intervening in interruptions: what exactly is the risk we are trying to manage? … Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? … https://psnet.ahrq.gov/issue/intervening-interruptions-what-exactly-risk-we-are-trying-manage Interruptions … suggest that designing interventions around high reliability and resilience principles can address risks … https://psnet.ahrq.gov/issue/intervening-interruptions-what-exactly-risk-we-are-trying-manage https:/
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43383/psn-pdf
    August 13, 2014 - Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. … Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. … https://psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk- stratification-system … patient who was discharged with a retained surgical item and reveals technological solutions to reduce risks … https://psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system

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