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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - The Commentary
By Minna Wieck, MD
Gastrointestinal Endoscopy: Understanding the Risks
Gastrointestinal … factors, institutional protocols, and the availability of an anesthesiologist all affect the
choice and risks … and anesthesiologist should proceed only after an
honest and clear discussion of the indications, risks … pressures to
the lowest level necessary, and, possibly, insufflating with CO2 can help mitigate these risks … Additional education and training for care team members in escalation of care can also help mitigate
the risks
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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/49633/psn-pdf
September 01, 2011 - risk,
fall risk, unplanned weight loss) or high-risk processes (e.g., anticoagulant use) to assure … safety through ongoing communication and feedback about resident-specific and
organization-specific risks … Or perhaps a multidisciplinary team would have identified
the safety risks and made recommendations … leaders and staff must be willing to access and respond to information that
alerts them to safety risks … physicians, nurses, and frontline caregivers access and respond to information
that alerts them to safety risks
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psnet.ahrq.gov/node/43828/psn-pdf
January 14, 2015 - Tragic error with neuromuscular blocker should prompt
risk assessment by all hospitals. … https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-
hospitals … https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals … https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals … medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - 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. … The risks may outweigh the benefits for those undergoing major surgery. … Thromboembolic Risk (examples) Postoperative Bleeding Risk Strategy Comments LOW
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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/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/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/more-treatment-better-care
August 11, 2021 - The Medical Director reviewed the risks of plasmapheresis with the physician and asked him to follow … The most effective way to reduce well-intentioned yet inappropriate care is to consider the risks of … Because of the risks of inappropriate and overly aggressive care, patient-centered decision-making with … That is why it is especially important to have an honest and informed discussion of risks and benefits … Failing the acid test: benefits of proton pump inhibitors may not justify the risks for many users.
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psnet.ahrq.gov/node/33658/psn-pdf
October 01, 2007 - this middle ground: how do we create a safe haven around reporting, but secondly, after
knowing the risks … Organizations must educate the professionals in
the workforce to understand the risks, and ultimately … Because what we're doing is holding people accountable for the risks that they choose to take, not
the … and hospitals a pretty
rapid movement to find that center ground, because we know where some of the risks … There are high-risk industries and, to a certain extent, there's an assumption
of risk.
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psnet.ahrq.gov/node/60185/psn-pdf
April 01, 2020 - Researchers found an increased risk of death
from overdose or suicide regardless of the length of treatment … ; the risk of death increased with longer
treatment duration. … The authors recommend that efforts to improve opioid safety include assessing risks
that may place patients … at risk for overdose or suicide whether they continue or stop opioid treatment.
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psnet.ahrq.gov/node/49867/psn-pdf
July 02, 2019 - Discuss risk factors that predispose to the development of thiazide-induced hyponatremia. … Describe precautionary measures that may reduce the risks associated with thiazide diuretics. … Specifically, the case highlights some of the
risks associated with diuretics. … factors.(2,4,5,8) The most common
nonmodifiable risk factors include advanced age (due to declining … Electrolyte disorders in
community subjects: prevalence and risk factors.
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - Recognize the potential system areas of risk. … Still, in day-to-day counseling of patients regarding the risks of a red blood cell transfusion, most … Some even recognize the risks of
transfusion reactions (allergic, febrile non-hemolytic, etc.) defined … Take-Home Points
Risk of error in the blood delivery pathway is significantly higher than the risk of … Transfusion-related mortality: the ongoing risks of allogeneic blood transfusion
and the available strategies
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psnet.ahrq.gov/node/46792/psn-pdf
February 14, 2018 - Emerging trends in perinatal quality and risk with
recommendations for patient safety. … Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. … https://psnet.ahrq.gov/issue/emerging-trends-perinatal-quality-and-risk-recommendations-patient-safety … https://psnet.ahrq.gov/issue/emerging-trends-perinatal-quality-and-risk-recommendations-patient-safety … https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
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psnet.ahrq.gov/node/43311/psn-pdf
July 02, 2014 - Some IV medications are diluted unnecessarily in patient
care areas, creating undue risk. … psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-
undue-risk … instructions
in the medication administration record regarding dilution and educating nurses about risks … psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk … psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. … Using a change model to reduce the risk of surgical site infection. … https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections … https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
https://psnet.ahrq.gov … costs-associated-surgical-site-infections-veterans-affairs-hospitals
https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
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psnet.ahrq.gov/node/37889/psn-pdf
July 02, 2008 - Minimising treatment-associated risks in systemic cancer
therapy. … Minimising treatment-associated risks in systemic cancer therapy. … https://psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
This article … reviews the high-risk process of cancer drug therapy and describes how integrating pharmacist
care … https://psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
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psnet.ahrq.gov/node/39431/psn-pdf
April 07, 2010 - Identified safety risks with splitting and crushing oral
medications.
April 7, 2010
Paparella S. … Identified safety risks with splitting and crushing oral medications. … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
In the … context of emergency care nursing, this piece explains the risks associated with crushing or splitting … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
https://
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psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of
Patient Wandering
June 1, 2014
Smith TA. … Relate common risks associated with patient wandering. … Identify measures for reducing risks related to patient wandering. … Reducing the risk
There are a range of options for reducing the risk of patient wandering including … measures, the risk for wandering is
elevated.
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psnet.ahrq.gov/node/43193/psn-pdf
June 17, 2014 - Risks in the implementation and use of smart pumps in a
pediatric intensive care unit: application of … Risks in the implementation and use of
smart pumps in a pediatric intensive care unit: application of … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit- … application-failure
This study applied failure mode and effect analysis (FMEA) to identify possible risks … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure