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psnet.ahrq.gov/node/43330/psn-pdf
July 09, 2014 - Impact of workplace mistreatment on patient safety risk
and nurse-assessed patient outcomes. … Impact of workplace mistreatment on patient safety risk and nurse-assessed patient
outcomes. … https://psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-
patient-outcomes … other disrespectful behaviors in the
workplace were associated with more reports of patient safety risks … https://psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-patient-outcomes
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - Objectives
At the conclusion of this educational activity, participants should be able to:
• Describe risks … • Identify patient populations at high risk for postoperative opioid-induced
respiratory depression … Patients
14
Identifying and Assessing High-Risk Patients (1) 15
Risk Factors for Opioid-Induced … concentration
– Initial loading dose
– Demand dose
– Lockout interval
– Background infusion rate
• Additional risks … Patients (1)
Identifying and Assessing High-Risk Patients (2)
Identifying and Assessing High-Risk
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - They all have common risk factors and those risk factors are frequently found in frail older patients … 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 … in 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/838197/psn-pdf
September 28, 2022 - vesicants, (iii) be placed by a member
of a trained vascular access team,3–5 and (iv) carry fewer risks … PICC line explanation
central lines require a higher level of care and maintenance and have higher risks … ease and convenience of using these devices should not lead health care providers to
downplay the risks … Conclusion
There are several keys to minimizing the risks associated with using PICC lines. … staff
and patients with fundamental knowledge of PICC lines is one way to help mitigate the potential risks
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psnet.ahrq.gov/node/43040/psn-pdf
March 05, 2014 - Framework for analysing risk and safety in clinical
medicine. … Framework for analysing risk and safety in clinical medicine.
BMJ. 1998;316(7138):1154-1157. … https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
This commentary … https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
https://psnet.ahrq.gov … /primer/systems-approach
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
https:/
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psnet.ahrq.gov/node/862617/psn-pdf
February 14, 2024 - Risks to Medication Delivery Using Ambulatory Infusion
Pumps – Design and Usability in Inpatient Settings … https://psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-
usability-inpatient … https://psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient … https://psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient
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psnet.ahrq.gov/node/41448/psn-pdf
December 21, 2014 - Surgeon fatigue: a prospective analysis of the incidence,
risk, and intervals of predicted fatigue-related … Surgeon fatigue: a prospective analysis of the incidence,
risk, and intervals of predicted fatigue-related … https://psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted … https://psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted-fatigue-related … https://psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
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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/44869/psn-pdf
November 18, 2016 - Fake and expired medications in simulation-based
education: an underappreciated risk to patient safety … Fake and expired medications in simulation-based education: an
underappreciated risk to patient safety … https://psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-
risk-patient-safety … This commentary describes how these fake medications
can introduce risks when they are accidentally … https://psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations … Repeat prescribing of medications: A system-centred risk management
model for primary care organisations … https://psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-
primary-care … Investigators employed a
systems approach to reduce risks associated with repeated medication prescribing … https://psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - vesicants, (iii) be placed by a member of a trained vascular access team, 3–5 and (iv) carry fewer risks … PICC line explanation central lines require a higher level of care and maintenance and have higher risks … the ease and convenience of using these devices should not lead health care providers to downplay the risks … Conclusion There are several keys to minimizing the risks associated with using PICC lines. … staff and patients with fundamental knowledge of PICC lines is one way to help mitigate the potential risks
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psnet.ahrq.gov/node/40684/psn-pdf
August 10, 2011 - Accountability, organisational learning and risks to
patient safety in England: conflict or compromise … Accountability, organisational learning and risks to patient safety in England: Conflict
or compromise … Health Risk Soc. 2011;13(4):327-346. doi:10.1080/13698575.2011.575454. … https://psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict … -
or
This commentary explores risk regulation in the English National Health Service and describes
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psnet.ahrq.gov/node/39849/psn-pdf
September 15, 2010 - The need for risk profiling in patient safety.
September 15, 2010
Donaldson LJ, Noble DJ. … The need for risk profiling in patient safety. J Patient Saf. 2010;6(3):125-7. … https://psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
This commentary describes the need for … health care professionals and organizations to proactively
consider and manage risks of medical errors … https://psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
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psnet.ahrq.gov/node/42147/psn-pdf
March 27, 2013 - The clinical safety of disabled patients: proposal for a
methodology for analysis of health care risks … The clinical safety of disabled patients:
proposal for a methodology for analysis of health care risks … /psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-
risks-and … to address such risks in dental practice. … ://psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-risks-and
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psnet.ahrq.gov/node/44683/psn-pdf
June 21, 2016 - Physician spending and subsequent risk of malpractice
claims: observational study. … Physician spending and subsequent risk of malpractice
claims: observational study. … https://psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational- … Because procedures and tests carry risks of complications, defensive medicine also may lead to
adverse … https://psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
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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/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - factors for infection of traumatic lacerations of the skin and soft tissue
Explain how the risks and … Utter, MD, MSc, FACS
8
8
Background
9
Background (1)
This case illustrates the patient safety risks … If a foreign body causes pain or risks damage to a vital structure from chronic irritation (e.g., a sharp … of Infection and the Role of Antibiotics
33
Risk of Infection and Role of Antibiotics (1)
High risk … Reducing Risk in Emergency Department Wound Management.
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psnet.ahrq.gov/node/42430/psn-pdf
February 19, 2014 - Framework for analysing risk and safety in clinical
medicine. … Framework for analysing risk and safety in clinical medicine.
BMJ. 1998;316(7138):1154-7. … https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
This commentary outlines … https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
https://psnet.ahrq.gov … /issue/managing-risks-organizational-accidents
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psnet.ahrq.gov/node/45259/psn-pdf
July 13, 2016 - Communicating Radiation Risks in Paediatric Imaging:
Information to Support Healthcare Discussions About … Benefit and Risk. … https://psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-
healthcare-discussions … This report reviews
techniques clinicians can use to discuss risks associated with using radiologic … https://psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-healthcare-discussions
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psnet.ahrq.gov/node/47142/psn-pdf
June 13, 2018 - Managing health IT risks: reflections and
recommendations.
June 13, 2018
Sujan M. … Managing health IT risks: reflections and recommendations. … To manage
problems associated with health IT systems, this commentary recommends applying risk assessment … and
organizational learning strategies to identify and address predictable risks. … issue/introducing-new-technology-safely
https://psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit