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Showing results for "risk".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44240/psn-pdf
     June 23, 2015 - Risks are high at low-volume hospitals. June 23, 2015 Sternberg S; Dougherty G. … https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals This news article reports an independent … analysis of patient risk at hospitals that provide surgeries they infrequently perform, highlighting … https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals https://psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume

442. Psn-Pdf (pdf file)
     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

443. Psn-Pdf (pdf file)
     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

444. Psn-Pdf (pdf file)
     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

445. Psn-Pdf (pdf file)
     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

446. The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. | PSNet
     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

447. Psn-Pdf (pdf file)
     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

448. Making Just Culture a Reality: One Organization's Approach | PSNet
     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

449. Psn-Pdf (pdf file)
     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.

450. PowerPoint Presentation (ppt file)
     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

451. Psn-Pdf (pdf file)
     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

452. Psn-Pdf (pdf file)
     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.

453. Psn-Pdf (pdf file)
     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

454. Psn-Pdf (pdf file)
     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

455. Psn-Pdf (pdf file)
     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

456. Psn-Pdf (pdf file)
     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:/

457. Psn-Pdf (pdf file)
     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

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49476/psn-pdf
     March 02, 2005 - The orthopedic surgeon, recognizing the risk of deep vein thrombosis (DVT), prescribed enoxaparin (Lovenox … Given the risk of spinal hematoma, why use epidural anesthesia? … April 2002.(11) The guidelines that came out of this conference encourage clinicians to weigh the risks … Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA Consensus Conference … Twice daily dosing: this may be associated with an increased risk of spinal hematoma.

459. Psn-Pdf (pdf file)
     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.

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34698/psn-pdf
     January 04, 2017 - Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk … health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk … safetys The authors describe their adaptation of failure mode and effects analysis, a prospective risk … The system includes tools to prospectively identify process risks in an organization, analyze the ways