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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/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - Accountability and Ethics (7)
Understanding liability risk … Commentary
Understanding liability risk from using health care artificial intelligence … The authors discuss risk management approaches that clinicians and organizations can use to manage AI-related … liability risk. … potential inherent in AI to enhance decision-making, diagnosis, and risk management.
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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/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/49602/psn-pdf
April 01, 2010 - require temporary interruption of OAC.(1) The appropriate management requires balancing competing
risks … ) of 3 has an annual stroke risk
of 6% without anticoagulation, which translates into a risk of 0.13% … while minimizing risk. … at
the highest risk (see Table 2). … The risks may outweigh the benefits for those undergoing major surgery.
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - These transitions increase risk of adverse events or missed patient care by
opening up opportunities … However, with increased risk of adverse events comes an opportunity to recognize, recover from, and learn … , increase resilience through timely detection
and mitigation of these risks, and avoid patient harm … of patient care from one healthcare
professional to another, has been associated with an increased risk … Communication training in healthcare has been shown to strengthen resilience, improve
teamwork, and reduce risk
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - 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/848110/psn-pdf
April 26, 2023 - two residents
provides sufficient information to highlight their risk for future falls. … However, even in cases where there is
no history of falls, resident fall risk assessments should be … focused deprescribing especially of psychotropic medications and opioids, decreasing
environmental risks … Lastly, she was simply at risk for falling because of her
impaired cognitive status, as she may have … staff, enabling greater transparency, better
communication, and greater awareness of patient safety risks
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psnet.ahrq.gov/node/49770/psn-pdf
September 01, 2016 - Neither the surgical resident nor the nurse responsible for administering the drug was
aware of the risks … subsequent timing based on that last
dose's timing.(6) Prior to surgery, prescribers must weigh the risks … Considering the risks associated with
https://psnet.ahrq.gov//#references
https://www.ismp.org/tools … Although there may no longer
be FDA requirements for prescribing and dispensing of the medication, the risks … The risks associated with the medication and the safeguards to mitigate them should be known to
patients
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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/issue/considering-insulin-pens-routine-hospital-use-consider
May 03, 2023 - May 3, 2023
Epidural-IV route mix-ups: reducing the risk of deadly errors. … June 10, 2018
Benefits and risks of including patients on RCA teams. … May 2, 2018
Don't underestimate the impact of change on risk potential. … June 16, 2019
Don't underestimate the impact of change on risk potential. … May 11, 2014
Clear liquids may place patients at risk.
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - The decision to undergo major surgery requires a careful assessment of the risks and benefits of the … or potentially uncover important risks that
would have escaped clinical detection. … The next step is to recommend strategies to reduce these risks to
the extent that they are modifiable … factor, a
determination that the risks of the surgery may potentially exceed the benefits, or a recommendation … According to the Revised Cardiac Risk Index, his estimated risk for
postoperative cardiac complications
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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/60217/psn-pdf
January 01, 2012 - MBRRACE-UK: Mothers and Babies: Reducing Risk
through Audits and Confidential Enquiries across the UK … https://psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential … This initiative
seeks to review clinical practices and make recommendations reduce risks to material … https://psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential-enquiries-across … https://psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential-enquiries-across
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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/node/837324/psn-pdf
July 08, 2022 - births.2 While cesarean delivery may be the safest
option in certain births, in others, the risks associated … 30%.2 The increase
caused alarm because, while cesarean delivery is sometimes the safest option, the risks … Risks to
maternal health that are associated with cesarean births include infection, anesthesia-related … risks, blood
loss, blood clots, and longer recovery periods (i.e., risks associated with any major … Long-term risks and benefits associated with cesarean delivery for
mother, baby, and subsequent pregnancies
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - anticipated physiological falls can be prevented by following these
three steps: properly screening for fall risks … Hospitalization increases the risk for falls. … Use of a validated fall risk screening tool can help identify risks and guide development of an
individualized … Risk factors and risk assessment tools for falls in hospital in-
patients: a systematic review. … )
Risks: Evidence-based Interventions:
https://psnet.ahrq.gov//#references
Previous fall
Safety
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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