-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
December 01, 2007 - preventing elopement and steps for responding after a patient elopement has been identified
Identify legal risks … within the building or grounds without appreciation of their personal safety
Also leads to safety risks … medical advice) — When a patient decides to leave a facility after being informed of and appreciating risks … legally able to discharge themselves without completing treatment
Physician should inform patient of the risks … conversation is noted in medical record and patient is asked to sign a form indicating awareness of these risks
-
psnet.ahrq.gov/node/46590/psn-pdf
November 01, 2017 - High-alert medications: the safeguards that you should
put in place to reduce risks. … https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
This … reports on high-alert medications, their potential to result in patient harm, and efforts
to reduce risks … organization-specific lists to guide practice
and use of independent double-checks when working with high-risk … https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
https
-
psnet.ahrq.gov/node/43095/psn-pdf
April 09, 2014 - Intravenous chemotherapy preparation errors: patient
safety risks identified in a pan-Canadian exploratory … Intravenous chemotherapy preparation errors: patient safety
risks identified in a pan-Canadian exploratory … https://psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified … https://psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian … https://psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
-
psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - risk, fall risk, unplanned weight loss) or high-risk processes (e.g., anticoagulant use) to assure appropriate … 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 for … home 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
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - adverse events
Multidisciplinary team meetings can help identify and aggressively manage individuals’ risks … patients (e.g., pressure ulcer risk, fall risk, etc.) or high-risk processes (e.g., anticoagulant use … resident safety through ongoing communicating and feedback about resident- or organization-specific risks … :
Nursing home leaders and staff must be willing to access and respond to information about safety risks … physicians, nurses, and frontline caregivers access and respond to information alerting them to safety risks
-
psnet.ahrq.gov/node/39045/psn-pdf
April 04, 2011 - Risks of complications by attending physicians after
performing nighttime procedures. … Risks of Complications by Attending Physicians After Performing Nighttime Procedures. … https://psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-
procedures … https://psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures … simulation-study-rested-versus-sleep-deprived-anesthesiologists
https://psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns
-
psnet.ahrq.gov/node/44725/psn-pdf
February 24, 2016 - Selected medication safety risks to manage in 2016 that
might otherwise fall off the radar screen—part … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar- … This two-part newsletter article reviews
risks associated with medication use and strategies to enhance … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part … -1-and
https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part
-
psnet.ahrq.gov/node/49808/psn-pdf
October 01, 2017 - High-Risk Medications, High-Risk Transfers
October 1, 2017
Staggers N. … High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017. … https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
The Case
A 47-year-old woman … events, such as that described in this case,
have not historically been identified as a significant risks … Take-Home Points
Intrahospital transfers have inherent risks, especially for critical care patients.
-
psnet.ahrq.gov/node/42941/psn-pdf
February 12, 2014 - Risk and Safety Management in Infertility and Assisted
Reproductive Technology. …
https://psnet.ahrq.gov/issue/risk-and-safety-management-infertility-and-assisted-reproductive-technology … Introduction of assisted reproductive technology has led to new risks in reproductive medicine. … https://psnet.ahrq.gov/issue/risk-and-safety-management-infertility-and-assisted-reproductive-technology
-
psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - first 3 weeks after
discharge, with 61% of those events regarded as preventable or ameliorable.(2) Risks … There are a number of
interventions that may reduce risk of harm after discharge. … Improvements in health care technology enhance our abilities to assess risks and deliver interventions … Conclusion
Besides facing the risks of hospitalization, patients also face significant risks upon discharge … Post-hospital syndrome–an acquired, transient condition of generalized risk.
-
psnet.ahrq.gov/node/45827/psn-pdf
January 24, 2018 - Using failure mode and effects analysis to reduce patient
safety risks related to the dispensing process … Using Failure mode and Effects Analysis to reduce patient
safety risks related to the dispensing process … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing
-
psnet.ahrq.gov/node/43375/psn-pdf
July 23, 2014 - Managing risk at the point-of-care: preventing errors.
July 23, 2014
Njoroge S; Nichols JH. … https://psnet.ahrq.gov/issue/managing-risk-point-care-preventing-errors
Highlighting how the disconnect … test can affect detection of errors, this news article
suggests quality control strategies to address risks … https://psnet.ahrq.gov/issue/managing-risk-point-care-preventing-errors
https://psnet.ahrq.gov/issue/
-
psnet.ahrq.gov/node/40525/psn-pdf
June 15, 2011 - The normalization of deviance: what are the perioperative
risks?
June 15, 2011
McNamara SA. … The normalization of deviance: what are the perioperative risks? … https://psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
This commentary discusses … https://psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
-
psnet.ahrq.gov/node/43013/psn-pdf
March 12, 2014 - Laboratory test ordering and results management
systems: a qualitative study of safety risks identified … Laboratory test ordering and results management systems: a qualitative study
of safety risks identified … psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-
safety-risks … psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks … psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
-
psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - Identify legal risks associated with elopement. … "(
1) Wandering can also lead to significant safety risks when the patient has decreased capacity.(2 … In such cases, the physician should inform the patient of the risks associated with
leaving. … in the medical record and the patient is asked
to sign a form indicating that they are aware of the risks … risk for the providers and the organization.
-
psnet.ahrq.gov/node/36809/psn-pdf
May 04, 2015 - Hospitals target risks of color wristbands.
May 4, 2015
Landro L. … https://psnet.ahrq.gov/issue/hospitals-target-risks-color-wristbands
This article reports on initiatives … to standardize the color designations of color-coded wristbands to avoid
confusion and reduce the risk … https://psnet.ahrq.gov/issue/hospitals-target-risks-color-wristbands
https://psnet.ahrq.gov/issue/wristband-color-standardization
-
psnet.ahrq.gov/node/41714/psn-pdf
September 26, 2012 - 2011 Annual Benchmarking Report: Malpractice Risks in
Emergency Medicine. … https://psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
This … report analyzes malpractice claims from 90 hospitals across the United States to identify risks in … https://psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
https
-
psnet.ahrq.gov/node/35863/psn-pdf
March 18, 2010 - Healthcare industry representatives: maximizing benefits
and reducing risks. … https://psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks … This article addresses strategies for minimizing patient safety risks related to interactions with … https://psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
-
psnet.ahrq.gov/node/41604/psn-pdf
August 15, 2012 - Patient data outage exposes risks of electronic medical
records.
August 15, 2012
Terhune C. … https://psnet.ahrq.gov/issue/patient-data-outage-exposes-risks-electronic-medical-records
This newspaper … incident during which dozens of hospitals lost access to electronic
medical records (EMRs) and discusses risks … https://psnet.ahrq.gov/issue/patient-data-outage-exposes-risks-electronic-medical-records
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/49461/psn-pdf
September 01, 2004 - High-Risk Patients It is essential to ask patients about any potential risk factors prior to intravascular … Unfortunately, the risks of nonionic contrast material injection in these patients are not well
studied … ; however, the risks, if there are any at all, are likely much smaller.(5,7)
When interviewing patients … For example, in one study, total adverse reactions to ionic contrast media in both high-risk and
low-risk … patient will receive a contrast injection in the future without any advance awareness of the
increased risks