-
psnet.ahrq.gov/node/46157/psn-pdf
June 07, 2017 - Proactive risk assessment of surgical site infections in
ambulatory surgery centers. … Proactive Risk Assessment of Surgical Site Infections in
Ambulatory Surgery Centers. … https://psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers … This study reports on the use of a prospective risk assessment tool to identify risks for surgical … safety intervention was developed that specifically targeted the
vulnerabilities identified by the risk
-
psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Because of the drug's risks for adverse effects, clozapine must be
prescribed and dispensed in accordance … The purpose of REMS
is to reduce the occurrence or severity of serious known risks. … Rather, it is focused on preventing, monitoring, and/or managing very specific and serious risks—to … , known
medication safety risks. … Approved Risk Evaluation and Mitigation Strategies (REMS).
-
psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - health for patients with many
diseases, but these benefits have also been accompanied by increased risks … blood's clotting ability to avoid either bleeding complications (if the dose is too high) or clotting risks … risk factors for ADEs. … in older adults, it is now clear that most ADEs are caused by commonly used
medications that have risks … monitoring programs and updated prescribing guidelines
for clinicians, as well as initiatives to mitigate risks
-
psnet.ahrq.gov/node/37312/psn-pdf
January 05, 2012 - Delineation of risk through the exploration of a culture of
safety in community home health. … Delineation of Risk Through the Exploration of a Culture of Safety in
Community Home Health. … https://psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-community-home-health … This study developed a chart review tool to better assess the risks facing community-based patients … and
discovered that the most frequent risks identified were mobility, fall prevention, and medication
-
psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - health for patients with many diseases, but these benefits have also been accompanied by increased risks … blood's clotting ability to avoid either bleeding complications (if the dose is too high) or clotting risks … risk factors for ADEs. … in older adults, it is now clear that most ADEs are caused by commonly used medications that have risks … programs and updated prescribing guidelines for clinicians, as well as initiatives to mitigate risks
-
psnet.ahrq.gov/node/41582/psn-pdf
August 08, 2012 - Safety management in different high-risk domains--all the
same?
August 8, 2012
Grote G. … Safety management in different high-risk domains – All the same? … https://psnet.ahrq.gov/issue/safety-management-different-high-risk-domains-all-same
This commentary … details how lessons and techniques from safety management can be applied across
high-risk industries … /issue/managing-risks-organizational-accidents
-
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/44231/psn-pdf
January 22, 2016 - Just-in-time training for high-risk low-volume therapies:
an approach to ensure patient safety. … Just-in-Time Training for High-Risk Low-Volume Therapies: An
Approach to Ensure Patient Safety. … https://psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient … -
safety
Risk of error is increased when health care facilities offer procedures that they rarely perform … https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
https://psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
-
psnet.ahrq.gov/node/33585/psn-pdf
March 15, 2025 - , as the use
of diagnostic imaging technologies has increased, we have also come to appreciate the risks … Foremost among these risks is the potential for harm related to excess exposure
to ionizing radiation … by a growing body of literature) that radiation exposure from medical
imaging may put patients at risk … Cancer risk from radiation exposure is a future
statistical risk that is not known at the time of exposure … There are also risks of adverse events such as
radiation burns (more common in radiotherapy), which
-
psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - One of the primary roles of the
surgical team is to mitigate risk once the risks and benefits of the … For central line insertions, the risks include initial
catheter malposition and bleeding. … A
preoperative discussion between the attending surgeon and the trainee regarding anticipated risks … At such a pre-procedure pause,
the surgeon has an opportunity to communicate anticipated risks of the … procedure, risks that are specific to
that procedure and for that patient, to the team.
-
psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - Case Objectives
Describe risks associated with intravenous opioid administration through patient-controlled … Best Practices in Opioid PCA Use
Due to the significant risks of mortality and morbidity associated … Identification and Assessment of High-Risk Patients
Risk factors for opioid-induced respiratory depression … Additional risks include activation of PCA by
others (usually well-meaning family, or “PCA by proxy” … Council Tool Kit 2009.27
Implementation of standardized PCA order sets has been shown to mitigate risks
-
psnet.ahrq.gov/node/50434/psn-pdf
September 04, 2019 - Risk of wrong-patient orders among multiple vs singleton
births in the neonatal intensive care units … Risk of Wrong-Patient Orders Among Multiple vs
Singleton Births in the Neonatal Intensive Care Units … https://psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal- … https://psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units … -2
https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks
https://psnet.ahrq.gov
-
psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - 11
Assessing Suicide Risk (1)
• The risk of suicide is increased in people with syndromal major … • Patients with several of these risk factors are at significantly increased risk of
suicide attempts … , so it is useful to tally these risk factors as part of suicidal
ideation risk stratification … assessment remains frustratingly imprecise.13
– As illustrated in this case, the risks of inadequate … social-occupational functioning; the benefits of
medication treatment almost always outweigh these risks
-
psnet.ahrq.gov/node/50938/psn-pdf
February 26, 2020 - Risks and medication errors analysis to evaluate the
impact of a chemotherapy compounding workflow … Risks and medication errors
analysis to evaluate the impact of a chemotherapy compounding workflow management … https://psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-
compounding-workflow … https://psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow … https://psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
-
psnet.ahrq.gov/node/47912/psn-pdf
April 24, 2019 - A systematic literature review and narrative synthesis on
the risks of medical discharge letters for … A systematic literature review and narrative synthesis on the
risks of medical discharge letters for … https://psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge … https://psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients … https://psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients
-
psnet.ahrq.gov/node/42171/psn-pdf
April 17, 2013 - Perceptions of risk to patient safety in the pediatric ICU, a
study of American pediatric intensivists … Perceptions of risk to patient safety in the pediatric ICU, a study of
American pediatric intensivists … https://psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric- … intensivists
This survey of critical care physicians describes patient safety risks in pediatric intensive … https://psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
-
psnet.ahrq.gov/node/39887/psn-pdf
September 29, 2010 - High-alert medications: shared accountability for risk
identification and error prevention. … High-alert medications: shared accountability for risk identification and error prevention. … https://psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error … The author suggests that heightened clinician awareness of risks and potential errors
could protect … https://psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
-
psnet.ahrq.gov/node/46742/psn-pdf
March 14, 2018 - Evidence-based guidelines for fatigue risk management in
emergency medical services. … Evidence-Based Guidelines for Fatigue Risk Management
in Emergency Medical Services. … https://psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-emergency-medical-
services … This study describes
the development of guidelines to reduce fatigue and its associated risks among … https://psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-emergency-medical-services
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Risks and Benefits of Major Surgery
Risk-benefit analysis critical prior to any major surgery
Mean … Recommend strategies to reduce these risks to the extent that they are modifiable
Preoperative … factor
Determining that risks of surgery may potentially exceed the benefits
Recommendation for intraoperative … Risk Assessment in this Case
Higher cardiac risk given age and comorbidities
Revised Cardiac Risk Index … yields risk of 6.6%
Lower risk for pulmonary problems
Spinal surgery is an intrinsically low risk
-
psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
September 27, 2023 - J Patient Saf Risk Manag. 2024;29(3):128-130. doi:10.1177/25160435241234422. … J Patient Saf Risk Manag . 2024; 29 (3) :128-130 . … J Patient Saf Risk Manag. 2024;29(3):128-130. doi:10.1177/25160435241234422. … January 22, 2025
Patient safety of virtual primary care: a qualitative study examining risks … February 22, 2017
Look-alike and sound-alike medicines: risks and 'solutions.'