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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
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psnet.ahrq.gov/node/858171/psn-pdf
December 13, 2023 - Uncovering the risks of anticancer therapy through
incident report analysis using a newly developed … Uncovering the risks of anticancer therapy through incident report
analysis using a newly developed … https://psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using … -
newly-developed
Oncology is a high-risk care environment involving complex medication administration … The researchers identified nine intermediate- and high-risk scenarios carrying the
greatest risk to
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - Risk Mitigation Using the Anesthesia Risk Alert Program:
Applying a Proactive Approach With Data Review … The data analysis revealed key risk factors presenting in key
populations or risk groups with some common … risk scenarios to
form the basis of the Anesthesia Risk Alert program. … The NAPSI team designed the Anesthesia Risk Alert program around the five clinical risk scenarios and … Alert
program with strong communication, collaboration, and literature-supported practices to mitigate risks
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - Balancing these competing risks is even more vital in a health care economy where falls may be designated … of falls.( 18 ) An assessment of risks and benefits for individual patients is required, and equipment … Let's talk about restraint: rights, risks and responsibilities. … Talking about falls: a qualitative exploration of spoken communication of patients' fall risks … Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks
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psnet.ahrq.gov/node/865703/psn-pdf
May 01, 2024 - Co-worker unprofessional behaviour and patient safety
risks: an analysis of co-worker reports across … Co-worker unprofessional behaviour and patient safety risks:
an analysis of co-worker reports across … https://psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co- … The researchers found that three in ten reports indicated a risk to patient safety, such as interruptions … https://psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
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psnet.ahrq.gov/node/838314/psn-pdf
October 12, 2022 - Stakeholder safety communication: patient and family
reports on safety risks in hospitals. … Stakeholder safety communication: patient and family reports on safety risks in hospitals. … J
Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036. … https://psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks … responded to stakeholder communication and discusses ways in which organizational risk management
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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:/
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psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric
Patients at Risk of Physiologic Instability … Mitigating the Risk of Intrahospital Transport for Pediatric Patients at
Risk of Physiologic Instability … https://psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic … risks that can be mitigated prior to the transport of the patient. … Problems must be anticipated and
risks should be mitigated.
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - In these
controlled settings, the severity of suicide risk dictates whether rapid suicide risk mitigation … Improving suicide risk screening and detection in the
emergency department. … Screening for suicide risk. Zero Suicide Institute. Accessed February 27, 2025. … essential on the day of discharge from in-
patient psychiatric hospitalization in reducing future risks … safety-planning-why-it-is-essential-on-the-day-of-discharge-from-in-patient-psychiatric-hospitalization-in-reducing-future-risks-of-suicide
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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
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psnet.ahrq.gov/web-mm/novel-drug-misuse
September 30, 2010 - 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, … 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/60281/psn-pdf
April 29, 2020 - How can task shifting put patient safety at risk? … How can task shifting put patient safety at risk? … https://psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences … as hospital
specialists and other specialists) and whether task shifting increased patient safety risks … https://psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
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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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psnet.ahrq.gov/node/72664/psn-pdf
January 20, 2021 - Delayed flow is a risk to patient safety: a mixed method
analysis of emergency department patient flow … Delayed flow is a risk to patient safety: A mixed method analysis of
emergency department patient flow … https://psnet.ahrq.gov/issue/delayed-flow-risk-patient-safety-mixed-method-analysis-emergency-
department-patient-flow … This study examined patient flow bottlenecks in the ED and several factors posing risks to patient
safety … https://psnet.ahrq.gov/issue/delayed-flow-risk-patient-safety-mixed-method-analysis-emergency-department-patient-flow
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step
Technique Innovation Summary
February 26, 2025 … https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation … assessments (PRA) and reactive risk assessments (RRA)s to proactively monitor
risk, guide clinical … of CPRA is to utilize institutional databases to analyze patient safety data, proactively monitor
risks … Combined proactive risk assessment: unifying proactive and
reactive risk assessment techniques in health
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psnet.ahrq.gov/node/73497/psn-pdf
July 14, 2021 - Health care workers' experiences of workplace incidents
that posed a risk of patient and worker injury … Health care workers’ experiences of workplace incidents that posed a risk
of patient and worker injury … https://psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and … Respondents also highlighted the importance of
organizational support for managing risks, individual … https://psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - factors but increased to 11.2% with one risk factor and more than 20% with two risk factors.( 5 ) The … N-Acetylcysteine produced a relative risk of 0.1 in the incidence of CN (defined as increase of 0.5 mg … An algorithm for radiocontrast use in high-risk patients should include risk assessment, avoidance of … in at-risk patients. … Risk assessment – What risk factors does the patient have?
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psnet.ahrq.gov/node/47807/psn-pdf
March 13, 2019 - Unintended patient safety risks due to wireless smart
infusion pump library update delays. … Unintended Patient Safety Risks Due to Wireless Smart Infusion
Pump Library Update Delays. … https://psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library … These delays
resulted in failure to alert for two high-risk medication cases, but neither case led to … controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/node/45908/psn-pdf
April 05, 2017 - Towards a framework for managing risk associated with
technology-induced error. … Towards a Framework for Managing Risk Associated with Technology-Induced
Error. … risk management focuses on managing risk at the system rather than the unit or incident level. … The authors outline potential risks present at the time of
purchasing the technology and during pre- … https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
https
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psnet.ahrq.gov/node/45879/psn-pdf
July 02, 2017 - A hybrid methodology for modeling risk of adverse
events in complex health-care settings. … A Hybrid Methodology for Modeling Risk of Adverse Events in Complex
Health-Care Settings. … Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. … This study aimed to use modeling, a strategy to detect safety hazards, to characterize the risk of … assess organizational and nonorganizational factors that
contribute to risks.