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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - 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 … Safety
January 31, 2024
WebM&M Cases
The Risks
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psnet.ahrq.gov/node/843083/psn-pdf
January 25, 2023 - devices in new device authorizations
under the US Food and Drug Administration's 510(k)
pathway and risk … devices in new device authorizations under the US Food and Drug
Administration's 510(k) pathway and risk … In this cross-sectional study, researchers identified a high risk of future Class 1 FDA recall (the most … serious recall designation, indicating serious risks to patient safety) among previously authorized
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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/42218/psn-pdf
June 10, 2018 - Your high-alert medication list—relatively useless without
associated risk-reduction strategies. … https://psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk … reviewed regularly to
ensure their efficacy in preventing errors and offers other strategies to reduce risks … https://psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction … https://psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
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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/49478/psn-pdf
April 01, 2005 - factors but increased to 11.2% with
one risk factor and more than 20% with two risk factors.(5) The … N-Acetylcysteine produced a relative risk of 0.1 in the incidence of CN (defined as increase
of 0.5 … An algorithm for radiocontrast use in high-
risk patients should include risk assessment, avoidance … Among high-risk patients, chronic kidney disease and other
risk factors should be considered relative … in at-risk patients.
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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.'
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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/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/45201/psn-pdf
June 08, 2016 - Safety risks associated with physical interactions
between patients and caregivers during treatment … Safety risks associated with physical interactions between patients and
caregivers during treatment … https://psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers … This systematic review
defined home care safety risks for both patients and caregivers, including awkward … https://psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
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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/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/43169/psn-pdf
May 07, 2014 - Copy, paste, and cloned notes in electronic health
records: prevalence, benefits, risks, and best practice … Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks,
and best practice … ://psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-
risks-and-best … medical
documentation, this commentary relates how this might facilitate communication and introduce risks … https://psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
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psnet.ahrq.gov/node/40743/psn-pdf
February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy.
December 23, 2016
Sentinel Event Alert. … https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
The Joint Commission issues Sentinel … overuse of diagnostic imaging,
particularly computed tomographic (CT) scans, poses patient safety risks … This alert reviews specific strategies
organizations should take to minimize radiation risks, including … that may contribute to overutilization of diagnostic imaging, with
consequent short- and long-term risks
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psnet.ahrq.gov/node/45521/psn-pdf
December 21, 2016 - The effectiveness and risks of long-term opioid therapy
for chronic pain: a systematic review for a … The effectiveness and risks of long-term opioid therapy for chronic
pain: a systematic review for a … https://psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic … -
review-national
Opioid medications are associated with increased risk of adverse drug events, including … https://psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
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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/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/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/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.