-
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/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
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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
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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
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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
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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/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
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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
-
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
-
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
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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
-
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
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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.
-
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
-
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
-
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://
-
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
-
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
-
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:/
-
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