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Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. | PSNet

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February 14, 2024 - safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk … Safety in the ICU by Prospective Identification of Missing Safety Barriers Using the Bow-Tie Prospective Risk … April 15, 2020 Adverse drug events caused by three high-risk drug-drug interactions in … 2010 View More Related Resources Analyzing and mitigating the risks … December 18, 2014 Risks in the implementation and use of smart pumps in a pediatric intensive

Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. | PSNet

psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain

November 16, 2022 - Review Classic Strategies to identify patient risks of … Strategies to Identify Patient Risks of Prescription Opioid Addiction When Initiating Opioids for Pain … High-risk opioid prescribing by providers contributes to opioid misuse . … This systematic review sought to identify factors that confer risk for opioid addiction and thereby … Strategies to Identify Patient Risks of Prescription Opioid Addiction When Initiating Opioids for Pain

Long-term risk of overdose or mental health crisis after opioid dose tapering. | PSNet

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August 25, 2021 - Study Long-term risk of overdose or mental health crisis after opioid dose tapering … Long-term risk of overdose or mental health crisis after opioid dose tapering. … This study assessed the long-term risks of overdose and mental health crisis as a result of dose tapering … Consistent with earlier research on short-term risks, results indicate that opioid tapering is associated … Long-term risk of overdose or mental health crisis after opioid dose tapering.

Managing the risks of concurrent surgeries. | PSNet

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September 24, 2017 - Commentary Managing the risks of concurrent surgeries. … Managing the Risks of Concurrent Surgeries. … This perspective describes strategies to decrease risks associated with concurrent operations, including … Managing the Risks of Concurrent Surgeries.

The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. | PSNet

psnet.ahrq.gov/issue/prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints-using-routinely

September 07, 2011 - Study The PRONE score: an algorithm for predicting doctors' risks of formal patient … The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely … They developed a risk prediction model which predicted future complaints with reasonable accuracy. … Actions to reduce future litigation risk —such as directed education, referral to a regulatory agency … The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely

Minimising treatment-associated risks in systemic cancer therapy. | PSNet

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December 22, 2021 - Review Minimising treatment-associated risks in systemic cancer therapy. … Minimising treatment-associated risks in systemic cancer therapy. … This article reviews the high-risk process of cancer drug therapy and describes how integrating pharmacist … Minimising treatment-associated risks in systemic cancer therapy. … October 26, 2022 Using failure mode and effects analysis to reduce patient safety risks

Patient Safety, Risk and Quality. | PSNet

psnet.ahrq.gov/issue/patient-safety-risk-and-quality

March 10, 2021 - Multi-use Website Patient Safety, Risk and Quality. … Citation Text: Patient Safety, Risk and Quality. … Copy URL Cite Citation Citation Text: Patient Safety, Risk … November 16, 2022 Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk … September 21, 2005 View More See More About The Topic Risk Managers

Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet

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May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer … Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … Findings suggested major improvements and risk reduction resulting from the reengineering process, with … Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … December 22, 2021 Risks and medication errors analysis to evaluate the impact of a chemotherapy

Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. | PSNet

psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear-power

October 07, 2020 - Study Comparing the evolution of risk culture in radiation oncology, aviation, and … Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. … The authors explored the relationship between risk culture in three fields that require high standards … high reliability in aviation and nuclear power and that could mitigate or eliminate patient safety risks … Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power.

Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? | PSNet

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September 11, 2019 - Study Parents' perceptions of pediatric day surgery risks: unforeseeable complications … Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes … that understanding parents' expectations and vulnerability plays an essential role when communicating risks … Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes … February 25, 2015 Medication safety at the interface: evaluating risks associated with

From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

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April 24, 2018 - From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. … J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205. … J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205. … October 17, 2018 Patient Safety Risk Management Playbook. … June 21, 2015 The PRONE score: an algorithm for predicting doctors' risks of formal patient

Improving risk management: from lame excuses to principled practice. | PSNet

psnet.ahrq.gov/issue/improving-risk-management-lame-excuses-principled-practice

April 05, 2006 - Risk Anal. 2014;34(7):1228-39. doi:10.1111/risa.12241. … Diagnoses of Cancer July 31, 2023 Are apologies a way to reduce malpractice risks … February 8, 2023 Digital health technology-specific risks for medical malpractice liability … December 7, 2022 Stakeholder safety communication: patient and family reports on safety risks … August 19, 2020 Targeting zero harm: a stretch goal that risks breaking the spring.

Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids | PSNet

psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows

October 30, 2024 - by displaying a patient’s risk factors and associated evidence-based risk mitigation interventions. … Innovation Patient Safety Focus This innovation focuses on mitigating overdose and suicide risks … The providers who initiate the risk review vary by site. … Effectiveness of policy and risk targeting for opioid-related risk mitigation: a randomised programme … Opioid dose and risk of suicide.

Towards a framework for managing risk associated with technology-induced error. | PSNet

psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error

May 10, 2013 - Commentary Towards a framework for managing risk associated with technology-induced … Towards a Framework for Managing Risk Associated with Technology-Induced Error. … Enterprise risk management focuses on managing risk at the system rather than the unit or incident level … The authors outline potential risks present at the time of purchasing the technology and during pre … Towards a Framework for Managing Risk Associated with Technology-Induced Error.

Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. | PSNet

psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks

July 20, 2022 - Talking about falls: a qualitative exploration of spoken communication of patients' fall risks … Talking about falls: a qualitative exploration of spoken communication of patients’ fall risks in hospitals … Risk assessments and categorization (e.g., high- or low-risk) were discussed in conjunction with strategies … to focus on modifiable risk factors. … Talking about falls: a qualitative exploration of spoken communication of patients’ fall risks in hospitals

Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. | PSNet

psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel

June 22, 2022 - Commentary Quality measures for patients at risk of adverse outcomes in the Veterans … Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administration. … Patients with chronic or complex healthcare needs are at increased risk of adverse events such as … Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administration. … Laboratory test ordering and results management systems: a qualitative study of safety risks

Promoting Patient Safety Through Effective Health Information Technology Risk Management. | PSNet

psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management

May 25, 2016 - Resource Promoting Patient Safety Through Effective Health Information Technology Risk … Citation Text: Promoting Patient Safety Through Effective Health Information Technology Risk Management … Investigators sought to determine challenges to engaging in identifying and addressing safety risks related … The authors call for greater awareness of safety risks related to health IT, better cooperation between … risk management and health IT departments, identification of safety measures for health IT, incentives

Patient complaints and malpractice risk. | PSNet

psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk

November 08, 2013 - Study Classic Patient complaints and malpractice risk. … Patient complaints and malpractice risk. JAMA. 2002;287(22):2951-7. … Both patient complaints and risk management events were higher for surgeons than nonsurgeons. … Both complaint and risk management data were positively correlated with clinical volume. … Patient complaints and malpractice risk. JAMA. 2002;287(22):2951-7.

Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet

psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety

August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient … Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. … Physicians who performed only one or fewer ICD implantations per year had a significantly higher risk … Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. … March 18, 2020 Post-hospital medication discrepancies at home: risk factor for 90-day

Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. | PSNet

psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department

March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return … Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department … This study found that the presence of medication discrepancies was associated with an increased risk … January 7, 2015 Infrequent physician use of implantable cardioverter-defibrillators risks … November 2, 2022 Patient and consumer safety risks when using conversational assistants

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