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psnet.ahrq.gov/node/36492/psn-pdf
June 09, 2011 - When surgery goes wrong: weighing up the risks.
June 9, 2011
Feinmann J. The Independent. … https://psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks
This article reports on a husband's … https://psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks
https://psnet.ahrq.gov/primer/human-factors-engineering
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - The authors found that the largest aneurysms located in the posterior circulation had the greatest risk … These techniques significantly reduce the risk of operative complications. 17
Key to minimizing the … Risk factors for rebleeding of aneurysmal subarachnoid hemorrhage: a meta-analysis. … Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - not to provide venous access for other purposes; he felt strongly that such use would increase the risk … prevention of intravascular catheter-related infections are relatively silent regarding ICVP access or risks … factors, it appears that the patient described in this case had substantial risk for DVT. … nurse did not have the necessary tools to engage the surgeon in a genuine discussion regarding the risks … Risk of symptomatic DVT associated with peripherally inserted central catheters.
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psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
May 06, 2015 - Copy Citation
Related Resources From the Same Author(s)
Reducing the Risks … May 24, 2015
Patient Safety Risk Management Playbook. … February 17, 2016
Risk Management Pearls for Medication Safety: Part I and Part II. … February 19, 2014
Risk Management Pearls on Disclosure of Adverse Events. … Improving Diagnostic Safety and Quality
April 26, 2023
Safety Risk
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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - There has been substantial focus on the risks associated with central venous catheters including catheter … peripheral intravenous (IV) catheters are much more common in
modern hospitals and also have associated risks … We do know that longer (greater than 48 hours) catheter dwelling time is a risk factor for phlebitis. … An epidemiologic study of the risks associated with peripheral
intravenous catheters. … Risk factors for infusion-related phlebitis with small peripheral venous catheters.
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - 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/42576/psn-pdf
September 04, 2013 - Exploring Patient Engagement in Reducing Health-Care-
Related Safety Risks. … nbsp;
https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks … https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
https
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - Discuss risk factors that predispose to the development of thiazide-induced hyponatremia. … Describe precautionary measures that may reduce the risks associated with thiazide diuretics. … Specifically, the case highlights some of the risks associated with diuretics. … factors.( 2,4,5,8 ) The most common nonmodifiable risk factors include advanced age (due to declining … Electrolyte disorders in community subjects: prevalence and risk factors.
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psnet.ahrq.gov/node/42715/psn-pdf
November 06, 2013 - Identifying Risks and Monitoring Safety: the Role of
Patients and Citizens. … https://psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
This … https://psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
https
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - The Commentary
This infant's case highlights two of the major risks that hospitalized children … In addition, this case also reveals the specific risks of dehydration in patients with congenital heart … 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 … A simple example can best illustrate this risk.
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - There has been substantial focus on the risks associated with central venous catheters including catheter-related … peripheral intravenous (IV) catheters are much more common in modern hospitals and also have associated risks … An epidemiologic study of the risks associated with peripheral intravenous catheters. … July 22, 2020
Potentially inappropriate medications according to STOPP-J criteria and risks … Risks of Intraosseous Vascular Access
August 21, 2014
WebM&M Cases
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psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - In fact, such testing
has dramatically reduced the risk of viral transmission. … Until
recently, bacterial contamination has been underemphasized, in part because the risks of HIV and … are at lower risk for bacterial contamination than pooled units. … Current risks of transfusion-transmitted agents: a review. Arch Pathol Lab Med.
2007;131:702-707. … Current and emerging infectious risks of blood transfusions. JAMA.
2003;289:959-962.
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - 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.
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psnet.ahrq.gov/node/43452/psn-pdf
August 20, 2014 - J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. … records (EHRs) have led to many improvements in care, they have also created
novel patient safety risks … This Web-based survey assessed the perceptions of lawyers and health care risk
management specialists … The perspective of risk managers and lawyers provides valuable insights into potential EHR-related
safety
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - Appreciate the risks of using mobile devices in health care settings. … Since the goal
INR was 2.0–3.0, he was not adequately anticoagulated and was at risk for stroke from … ) as well as patient devices (e.g.,
pacemakers).(17) Although such reports are rare, the potential risk … these risks poses technology and policy challenges. … Association of interruptions with an increased
risk and severity of medication administration errors
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - participants should be able to:
Appreciate that because of multiple factors, children are at high risk … Describe how the inability to communicate clearly can place pediatric patients at risk for medical errors … Child-specific risk factors and patient safety. … an=01209203-200503000-00006
*
Risks in Hospitalized Children
Two major hazards place hospitalized … Congenital Heart Disease
This child also had congenital heart disease which is associated with specific risks
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - diagnostic and prognostic information, and thus is often helpful to make management decisions, its risks … In terms of the risk of complications, multiple factors play a role ( Table 3 ). … The risk of bleeding and death are likely higher in certain groups of patients, though available data … always critical to consider the yield and value of pursuing a liver biopsy, which includes weighing the risks … Risks of Intraosseous Vascular Access
August 21, 2014
WebM&M Cases
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psnet.ahrq.gov/node/49672/psn-pdf
January 01, 2013 - emerging that follow-up longer than 2 years is required to exclude slowly growing cancers,
but the risks … Provide information about the likelihood of cancer, the risks of procedures, and the potential
benefits … Tailor the
information about risk to the specific patient, when possible. … Variations in lung cancer risk among smokers. J Natl Cancer
Inst. 2003;95:470-478. … Projected cancer risks from computed
tomographic scans performed in the United States in 2007.
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psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
May 07, 2014 - preparation processes can introduce opportunities for errors and suggests strategies to reduce such risks … Some IV medications are diluted unnecessarily in patient care areas, creating undue risk … 10, 2018
Inappropriate use of pharmacy bulk packages of IV contrast media increases risk … May 7, 2018
Epidural-IV route mix-ups: reducing the risk of deadly errors. … Some IV medications are diluted unnecessarily in patient care areas, creating undue risk
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psnet.ahrq.gov/issue/weighing-medication-safety
September 24, 2010 - July 2, 2008
Failure mode and effects analysis: a useful tool for risk identification … October 3, 2011
High-alert medications: shared accountability for risk identification … July 28, 2010
Identified safety risks with splitting and crushing oral medications. … June 16, 2019
Redesigning surgical decision making for high-risk patients. … August 4, 2015
Tragic error with neuromuscular blocker should prompt risk assessment