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psnet.ahrq.gov/node/43025/psn-pdf
March 05, 2014 - Assessment of DoD Wounded Warrior Matters: Managing
Risks of Multiple Medications. … https://psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-
medications … https://psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications … https://psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
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psnet.ahrq.gov/node/43940/psn-pdf
February 25, 2015 - AHRQ Announces Interest in Research About the
Epidemiology of Patient Safety Risks and Harms in
Ambulatory … https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks … https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory … https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory
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psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
July 18, 2018 - July 18, 2018
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine … September 26, 2012
Annual Benchmarking Report: Malpractice Risks in Surgery. … March 21, 2016
Malpractice Risks in Communication Failures: 2015 Annual Benchmarking … March 21, 2016
Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS … See More About The Topic
Hospitals
Long-Term Care
Ambulatory Clinic or Office
Risk
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - achieve long-term benefits from
treatment by accepting and managing the higher short-term procedural risks … of bleeding.(2) Thus, absent the
complicating factor of ongoing anticoagulant use, the short-term risks … To balance the immediate procedural bleeding risks with the longer term DVT risks, evidence suggests … This case illustrates how easily failures to discuss risks ad hoc can
lead to catastrophic outcomes, … Take-Home Points
The risks of deep vein thrombosis and postoperative bleeding must be appropriately
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psnet.ahrq.gov/node/44078/psn-pdf
March 15, 2016 - Language barriers and patient safety risks in hospital
care. A mixed methods study. … Language barriers and patient safety risks in hospital care.
A mixed methods study. … https://psnet.ahrq.gov/issue/language-barriers-and-patient-safety-risks-hospital-care-mixed-methods-study … https://psnet.ahrq.gov/issue/language-barriers-and-patient-safety-risks-hospital-care-mixed-methods-study
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
November 01, 2012 - Anesthesia in cases of poor surgical risk: some suggestions for decreasing the risk. … Transfusion. 2011;51:1684-1694. http://www.ncbi.nlm.nih.gov/pubmed/21470238
Risks of Transfusion
Infectious … risks such as HIV and hepatitis C
Two common serious adverse effects of transfusion:
TACO: transfusion-associated … Transfusion related acute lung injury: incidence and risk factors. … Although the blood supply in the United States has been shown to be safe, transfusion is not without risks
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - PowerPoint Presentation
Spotlight
Robotic Surgery: Risks vs. … the robotic technology would allow for smaller incisions, better control of the instruments, lower risk … for infection, bleeding, and the risks of anesthesia
Additional risks are unique to robotic surgery
Potential … (2)
Notably, the energy source can cause burn injuries from the cautery device
There is a small risk … institutions should also submit local reports to the FDA
21
Appropriate Risk Disclosure to Patients
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psnet.ahrq.gov/node/49509/psn-pdf
April 01, 2006 - She was appropriately counseled on the risks and benefits of the IUC and at that visit
had a normal … IUCs reduce the risk of ectopic pregnancy because they usually prevent fertilization. … However, these lists usually
focus on past risks for pelvic infection and fail to acknowledge that IUCs … IUCs do not increase the risk of infertility even in young women who have never been pregnant. … Use of copper
intrauterine devices and the risk of tubal infertility among nulligravid women.
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psnet.ahrq.gov/node/33757/psn-pdf
October 01, 2013 - On the other hand, the risks of adverse consequences are often difficult to estimate (they
generally … Moreover, this information will help the
radiologist optimize the CT technique, reducing the risk of … In doing so, it is
crucial to educate referring providers about the potential risks related to CT. … Although
the risk to any individual patient from diagnostic radiology examinations might well be very … Radiation risks of medical imaging: separating fact from fantasy. Radiology.
2012;264:312-321.
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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - The Commentary
This infant's case highlights two of the major risks that hospitalized children face … In addition, this case also reveals the specific risks of dehydration in patients with congenital heart … Overall, the distinctive factors behind children's risks for patient safety events have been summarized … There are also specific risks related to medication. … The net effect
of these risks, however summarized, is that for some aspects of medical care, children
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psnet.ahrq.gov/node/47680/psn-pdf
January 16, 2019 - Perioperative medication errors: uncovering risk from
behind the drapes. … https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
The operating … The authors provide recommendations to reduce risks of error,
including using barcode medication administration … https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
https://psnet.ahrq.gov
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - At-risk behavior behavior that increases risk where risk is not recognized, or is mistakenly believed … 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
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - Managing the Risks of Organizational Accidents.
March 28, 2005
Reason JT. … ISBN: 9781840141047
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
Written 7 … this seminal book, readers are introduced to the now-famous "Swiss cheese model" of
errors in high-risk … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
https://psnet.ahrq.gov/issue/human-error
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psnet.ahrq.gov/node/41628/psn-pdf
January 03, 2017 - Is it possible to identify risks for injurious falls in
hospitalized patients? … Is it possible to identify risks for injurious falls in hospitalized
patients? … https://psnet.ahrq.gov/issue/it-possible-identify-risks-injurious-falls-hospitalized-patients
Despite … https://psnet.ahrq.gov/issue/it-possible-identify-risks-injurious-falls-hospitalized-patients
https:/
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psnet.ahrq.gov/node/46186/psn-pdf
August 02, 2017 - Pain Management and the Opioid Epidemic: Balancing
Societal and Individual Benefits and Risks of Prescription … psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-
benefits-and-risks … psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks … psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
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psnet.ahrq.gov/node/44238/psn-pdf
November 03, 2015 - Use of temporary names for newborns and associated
risks. … Use of Temporary Names for Newborns and Associated
Risks. … https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks
Wrong-patient errors … https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - clinicians by displaying a patient’s risk factors and associated
evidence-based risk mitigation interventions … The providers who initiate the risk review vary by site. … Innovation Patient Safety Focus
This innovation focuses on mitigating overdose and suicide risks associated … Effectiveness of policy and risk targeting for opioid-related
risk mitigation: a randomised programme … Opioid dose and risk of
suicide.
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - 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 … Take-Home Points
Caregivers should share the risks and benefits of their recommended treatment with … 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/33824/psn-pdf
January 01, 2016 - patient-safety-and-opioid-medications
Annual Perspective 2016
Opioid medications confer significant risks … new
prescriptions of long-acting opioids for chronic noncancer pain showed a significantly increased risk … be seen as
an unanticipated consequence of an improvement intervention—in that way parallel to the risks … Addressing these gaps could mitigate some of the risks associated with opioid use. … burgeoning literature
demonstrates the severe and growing harms associated with opioid misuse and the risks
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psnet.ahrq.gov/node/49471/psn-pdf
December 01, 2004 - states have laws and rules prohibiting licensing drivers with medical conditions that
may pose safety risks … I separate my discussion with the patient into two broad categories: legal rules
and driving risks for … This wide range reflects limited
scientific data on the risks for driving with epilepsy. … of a crash, may actually reduce the cumulative risks by promoting better compliance with
existing legal … Risk factors for seizure-related motor vehicle
crashes in patients with epilepsy.