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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/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/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/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/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/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/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/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/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/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
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psnet.ahrq.gov/node/47480/psn-pdf
December 19, 2018 - Selected medication safety risks that can easily fall off the
radar screen—part 1, part 2, and part … Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part … This three-part series discusses medication safety risks and highlights topics
such as wrong-patient … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part
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psnet.ahrq.gov/node/41833/psn-pdf
November 14, 2012 - Risks related to patient bed safety.
November 14, 2012
Sharkey JE, Van Leuven K, Radovich P. … Risks related to patient bed safety. … https://psnet.ahrq.gov/issue/risks-related-patient-bed-safety
Reviewing the three major contributing … factors to medical errors associated with hospital beds, this
commentary recommends a risk assessment … https://psnet.ahrq.gov/issue/risks-related-patient-bed-safety
https://psnet.ahrq.gov/issue/hospital-bed-system-dimensional-and-assessment-guidance-reduce-entrapment
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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/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/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/45026/psn-pdf
April 19, 2016 - Managing the risks of concurrent surgeries.
April 19, 2016
Mello MM, Livingston EH. … Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. … https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
Scheduling overlapping surgeries may … This perspective describes strategies to decrease risks associated with concurrent operations,
including … https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
https://psnet.ahrq.gov/issue/clash-name-care
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psnet.ahrq.gov/node/37470/psn-pdf
January 16, 2008 - Iatrogenic disease management: moderating medication
errors and risks in a pharmacy benefit management … Iatrogenic Disease Management: Moderating Medication Errors and Risks in
a Pharmacy Benefit Management … https://psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-
pharmacy-benefit … https://psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit … https://psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit
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psnet.ahrq.gov/node/40027/psn-pdf
November 24, 2010 - Reducing iatrogenic risks: ICU–acquired delirium and
weakness—crossing the quality chasm. … Reducing iatrogenic risks: ICU-acquired delirium and weakness--
crossing the quality chasm. … https://psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality … https://psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality-chasm … https://psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality-chasm
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psnet.ahrq.gov/node/38496/psn-pdf
January 31, 2011 - The CMS ruling on venous thromboembolism after total
knee or hip arthroplasty: weighing risks and benefits … The CMS ruling on venous thromboembolism after total knee or hip arthroplasty:
weighing risks and benefits … psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-
weighing-risks-and … psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and … psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
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psnet.ahrq.gov/node/37934/psn-pdf
July 23, 2008 - Pediatric safety in the emergency department: identifying
risks and preparing to care for child and … Pediatric safety in the emergency department: identifying risks and preparing
to care for child and … https://psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care … https://psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family … https://psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family