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psnet.ahrq.gov/node/60928/psn-pdf
September 16, 2020 - The risks of the prescribing cascade.
September 16, 2020
Brody JE. … The risks of the prescribing cascade. New York Times. 2020. … https://psnet.ahrq.gov/issue/risks-prescribing-cascade
Inappropriate care activities can cascade to … https://psnet.ahrq.gov/issue/risks-prescribing-cascade
https://psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
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psnet.ahrq.gov/node/43932/psn-pdf
March 04, 2015 - Safety considerations to mitigate the risks of
misconnections with small-bore connectors intended for … https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors … prevent misconnections,
including recommendations regarding improvements for labeling, user testing, and risk … https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
https … operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
https://psnet.ahrq.gov/issue/risk-and-event-assessment
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psnet.ahrq.gov/node/44484/psn-pdf
May 04, 2016 - Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. … Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation … human factors engineering method used to examine a
process in health care to identify potential safety risks … resource-intensive FMEA
with a simplified version, this analysis found that the simplified method identified 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/40897/psn-pdf
November 02, 2011 - Infrequent physician use of implantable cardioverter-
defibrillators risks patient safety. … Infrequent physician use of implantable cardioverter-defibrillators risks
patient safety. … https://psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient … Physicians who performed only one or fewer ICD implantations per year had a significantly
higher risk … https://psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
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psnet.ahrq.gov/node/60300/psn-pdf
May 06, 2020 - The coronavirus and the risks to the elderly in long-term
care. … The coronavirus and the risks to the elderly in long-term care. … https://psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care
Older adults are particularly … https://psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care
https://psnet.ahrq.gov/primer
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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).
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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/45548/psn-pdf
March 01, 2017 - mHealth and mobile medical apps: a framework to assess
risk and promote safer use. … March 1, 2017
Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and promote … https://psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer- … This commentary discusses the potential risks associated with mobile applications and describes a
framework … to guide developers, clinicians, and patients who use the technologies to manage those risks.
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psnet.ahrq.gov/node/36086/psn-pdf
June 14, 2011 - Sensemaking of patient safety risks and hazards. … Sensemaking of patient safety risks and hazards. Health Serv
Res. 2006;41(4 Pt 2):1555-1575. … https://psnet.ahrq.gov/issue/sensemaking-patient-safety-risks-and-hazards
This commentary discusses … After discussing
probabilistic risk assessment, a case example is provided to illustrate the use of … The authors conclude that identifying risks to patient safety
represents a critical step in prevention
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psnet.ahrq.gov/node/846451/psn-pdf
March 22, 2023 - Reducing risks in complex care transitions in rural areas:
a grounded theory. … Reducing risks in complex care transitions in rural areas: a
grounded theory. … https://psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
Improving … https://psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
https
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psnet.ahrq.gov/node/60801/psn-pdf
August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the
spring. … Targeting zero harm: a stretch goal that risks breaking the spring. … https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
This article describes … https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/44722/psn-pdf
March 15, 2016 - Patient safety's missing link: using clinical expertise to
recognize, respond to and reduce risks at … Patient safety's missing link: using clinical expertise to recognize,
respond to and reduce risks at … psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-
reduce-risks … This commentary provides a framework to use incident
reporting to identify, analyze, and address risks … psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
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psnet.ahrq.gov/node/42837/psn-pdf
January 08, 2014 - What are the safety risks for patients undergoing
treatment by multiple specialties: a retrospective … What are the safety risks for patients undergoing treatment by
multiple specialties: a retrospective … https://psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties … This study found that the risk of errors increases with the number of specialties treating a patient. … https://psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
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psnet.ahrq.gov/node/43367/psn-pdf
May 01, 2015 - Promoting Patient Safety Through Effective Health
Information Technology Risk Management. … https://psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk … Investigators sought to determine
challenges to engaging in identifying and addressing safety risks … The authors call for greater awareness of safety risks related to health IT, better cooperation between … for
health IT developers and vendors to improve health IT safety, and increased investment in risk
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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/43792/psn-pdf
January 07, 2015 - Patient safety risks associated with telecare: a systematic
review and narrative synthesis of the literature … Patient safety risks associated with telecare: a systematic review and
narrative synthesis of the literature … https://psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative … Many risks were identified, but the authors conclude more study is needed to understand
telecare-related … https://psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - Accountability and Ethics
Understanding liability risk from using health care artificial intelligence … artificial-intelligence-and-healthcare-journey-through-history-present-innovations-and-future
https://psnet.ahrq.gov/issue/understanding-liability-risk-using-health-care-artificial-intelligence-tools … Digital health technology-specific risks for medical malpractice liability. … Understanding liability risk from using health care artificial intelligence tools. … Digital health technology-specific risks for medical malpractice liability.
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psnet.ahrq.gov/node/44668/psn-pdf
January 22, 2016 - Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental … Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental … https://psnet.ahrq.gov/issue/medication-safety-interface-evaluating-risks-associated-discharge-
prescriptions-mental-health … These findings underscore the risks of
adverse events in the postdischarge period and the need for more … https://psnet.ahrq.gov/issue/medication-safety-interface-evaluating-risks-associated-discharge-prescriptions-mental-health
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psnet.ahrq.gov/node/44602/psn-pdf
November 25, 2015 - Interorganizational complexity and organizational
accident risk: a literature review. … Interorganizational complexity and organizational accident risk: A literature review. … https://psnet.ahrq.gov/issue/interorganizational-complexity-and-organizational-accident-risk-literature … -
review
Complexity in the health care environment can increase the risk of accidents. … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
https://psnet.ahrq.gov/web-mm/production-pressures