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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/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/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/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/37509/psn-pdf
January 30, 2008 - Hidden danger, obvious opportunity: error and risk in the
management of cancer. … Hidden danger, obvious opportunity: error and risk in the management of cancer. … https://psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
This … commentary provides context on risks, errors, and safety in cancer treatment in light of a recent
analysis … https://psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
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psnet.ahrq.gov/node/39643/psn-pdf
December 21, 2014 - A systematic quantitative assessment of risks associated
with poor communication in surgical care. … A systematic quantitative assessment of risks associated with poor
communication in surgical care. … https://psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication- … surgical-care
This study used failure mode and effect analysis to identify safety risks in perioperative … https://psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care
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psnet.ahrq.gov/node/42960/psn-pdf
February 19, 2014 - Risk Management Pearls for Medication Safety: Part I and
Part II. … February 19, 2014
Chicago, IL: American Society for Healthcare Risk Management; 2014. … https://psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
These guides … cover medication safety principles, common causes for errors, and strategies to manage
risks, such … https://psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/39306/psn-pdf
February 17, 2010 - Detection of patient risk by nurses: a theoretical
framework. … Detection of patient risk by nurses: a theoretical framework. … https://psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
This article outlines … a framework for nurses to promptly identify risks and prevent delays when a patient's
condition deteriorates … https://psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/38285/psn-pdf
December 10, 2008 - AHRQ Risk-informed Intervention Development and
Implementation of Safe Practices in Ambulatory Care. … https://psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-
practices-ambulatory-care … announcement lists 13 projects funded to demonstrate effective strategies in
identifying and addressing risks … https://psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care … https://psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care
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psnet.ahrq.gov/node/846915/psn-pdf
March 29, 2023 - Assessing suicide risk
The risk of suicide is increased in people with syndromal major depressive disorder … 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
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - Candello, established as a
division of the Risk Management Foundation of the Harvard Medical Institutions … to patient falls in
nursing homesessional liability insurers across the country to provide clinical risk … these two residents provides sufficient information to highlight
their risk for future falls. … focused deprescribing especially of psychotropic medications and opioids, decreasing
environmental risks … staff, enabling greater transparency, better
communication, and greater awareness of patient safety risks
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psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - Describe the risks associated with colonoscopy in the setting of acute colonic pseudo-obstruction. … Risk factors for ACPO are shown in Table 1. … Patients at
highest risk for developing ACPO typically have one or more of the following risk factors … The anticipated benefit of performing the procedure should outweigh the risks, which
must be clearly … Ultimately, the physician must use their
experience and judgment to determine when the risks of proceeding
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psnet.ahrq.gov/node/843412/psn-pdf
February 01, 2023 - discharge data from four states, researchers
found that non-Hispanic Black patients were at higher risk … This increased risk for delayed diagnosis translated into higher risks for postoperative 30-
day readmission … The researchers found that this risk was mitigated when Black patients received
care at hospitals serving
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psnet.ahrq.gov/node/850934/psn-pdf
June 21, 2023 - Are apologies a way to reduce malpractice risks?. … Are apologies a way to reduce malpractice risks? … https://psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
Effective apology for medical … https://psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
https://psnet.ahrq.gov/issue/
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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/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/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety
October 28, 2020 - J Patient Saf Risk Manag. 2021;26(1):5-10. doi:10.1177/2516043520975926. … J Patient Saf Risk Manag . 2021; 26 (1) :5-10 . … J Patient Saf Risk Manag. 2021;26(1):5-10. doi:10.1177/2516043520975926. … , 2013
Is the availability of hospital IT applications associated with a hospital's risk … December 14, 2022
Digital health technology-specific risks for medical malpractice liability
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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/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - example, tobacco and blood pressure screenings are routine in many healthcare settings to catch hidden risks … . 1,2 It is what we call incidental risk, or sometimes people call it occult risk, meaning it was hidden … For example, with a person who has mild risk, we cannot ignore the risk, but they probably do not need … They would be in the high-risk group. … is essential on the day of discharge from in-patient psychiatric hospitalization in reducing future risks
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psnet.ahrq.gov/node/42777/psn-pdf
December 11, 2013 - Risk of medication safety incidents with antibiotic use
measured by defined daily doses. … Risk of medication safety incidents with antibiotic use measured by
defined daily doses. … https://psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses … numbers of incidents, but this
study standardized events per defined daily dose, which highlighted the risks … https://psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses