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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
    March 18, 2020 - Surgical factors can also increase the risk of aspiration including head-down positioning and certain … GA. 4 The risk of intraprocedural hypoxemia, hypercapnia, and apnea is greater with MAC compared to … Some preemptive measures include thorough preoperative risk assessment and preoperative fasting. … endotracheal intubation must be carefully considered in procedures such as ECRP, taking into account the risks … January 7, 2015 Infrequent physician use of implantable cardioverter-defibrillators risks
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. psnet.ahrq.gov/web-mm/complaints-safety-surveillance
    May 05, 2021 - Once a doctor is identified as being at risk (for example, because of multiple complaints), remediation … Patients and families will often identify patient safety risks that are not detected by other mechanisms … Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints … The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely … February 14, 2017 The PRONE score: an algorithm for predicting doctors' risks of formal
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47356/psn-pdf
    September 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety. September 5, 2018 Ross J. … 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. … https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety The health care environment … The author suggests raising awareness of the risks associated with personal communication technology … https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety https://psnet.ahrq.gov
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43481/psn-pdf
    December 23, 2016 - Managing risk during transition to new ISO tubing connector standards. … https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards The … Joint Commission issues sentinel event alerts in response to significant emerging safety risks for events … which carry high risk and require immediate action. … https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards https
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39554/psn-pdf
    October 13, 2010 - Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions … Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions … https://psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work … https://psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour … https://psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33723/psn-pdf
    December 01, 2011 - Balancing these competing risks is even more vital in a health care economy where falls may be designated … Tools exist that aim to translate some of these well-known risk factors into a simple risk score that … will predict patients who are at high or low risk of falls. … of falls.(18) An assessment of risks and benefits for individual patients is required, and equipment … Let's talk about restraint: rights, risks and responsibilities.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35756/psn-pdf
    April 17, 2009 - Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care … https://psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based … found that attitudes about patient safety among nurses with medical responsibility may heighten the risk … https://psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care … https://psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
  15. psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event
    June 30, 2019 - J Patient Saf Risk Manag. 2019;24:118–124. … J Patient Saf Risk Manag. 2019;24:118–124. View more articles from the same authors. … The authors conclude that risks associated with health IT persist and further research is needed to … J Patient Saf Risk Manag. 2019;24:118–124. … June 30, 2019 Risk perception on the labour ward: a mixed methods study.
  16. psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error
    January 20, 2021 - "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk … View More Related Resources Digital health technology-specific risks … December 7, 2022 Opportunities to mine EHRs for malpractice risk management and patient … July 8, 2020 Deploying and measuring a risk and patient safety program. … February 1, 2017 View More See More About The Topic Hospitals Risk
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44284/psn-pdf
    September 09, 2015 - Operating room to intensive care unit handoffs and the risks of patient harm. … Operating room to intensive care unit handoffs and the risks of patient harm. … https://psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm This … The authors identified 81 process failures and outlined recommendations to mitigate many of these risks … https://psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm https
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74149/psn-pdf
    January 07, 2022 - Suicide risk at discharge was assessed as being “chronic risk which was mildly elevated,” although he … and helped classify overall population-level risks, they had low positive predictive values with high … or reduce risk. … Risk factors can be divided into non-modifiable risk factors (sex, family history) and modifiable risk … If patients who do not have a high acute risk for suicide are reflexively sent to the ED, they risk
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49861/psn-pdf
    May 01, 2019 - common risk factors, typical presentation, methods for risk stratification, and the morbidity, mortality … Describe the options for managing low-risk and high-risk pulmonary embolism, including recent developments … The management of PE is based on initial risk stratification. … For low-risk PE and many intermediate-risk PEs, anticoagulation remains the mainstay of treatment. … decision to recommend CDT by providing a framework for multidisciplinary discussion of the potential risks
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850678/psn-pdf
    June 14, 2023 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital … https://psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults- risk-hospital … Addressed The AAM program was designed to identify patients on general hospital units who are at high risk … with the comparison cohort—remaining KPNC hospitals not participating in the pilot program (adjusted relative … Automated identification of adults at risk for in-hospital clinical deterioration.

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