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Showing results for "risk".

4941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49686/psn-pdf
      May 01, 2013 - 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.

4942. Insert Omission | PSNet
      psnet.ahrq.gov/web-mm/insert-omission
      May 09, 2014 - She was appropriately counseled on the risks and benefits of the IUC and at that visit had a normal Papanicolaou … 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.

4943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33705/psn-pdf
      January 01, 2011 - Risk Management and Patient Safety December 1, 2010 Manuel BM, McCarthy JL, Berry WR, et al. … Risk Management and Patient Safety. PSNet [internet]. 2010. … companies.(3) Professional liability insurers have long recognized the value of controlling systems risks … Since its creation in 1976, Risk Management Foundation (RMF) has created a robust program of risk management … Risk retention group offers incentive to reduce claims frequency. Risk Retention Reporter.

4944. Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. | PSNet
      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

4945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44873/psn-pdf
      March 21, 2016 - Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. … https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report … https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report

4946. Add-on Case and the Missing Checklist | PSNet
      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

4947. Psn-Pdf (pdf file)
      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

4948. Carpe Diem (Seize the Day) | PSNet
      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.

4949. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
      psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
      July 01, 2017 - Recognize the potential system areas of risk. … Still, in day-to-day counseling of patients regarding the risks of a red blood cell transfusion, most … Some even recognize the risks of transfusion reactions (allergic, febrile non-hemolytic, etc.) defined … Take-Home Points Risk of error in the blood delivery pathway is significantly higher than the risk of … Transfusion-related mortality: the ongoing risks of allogeneic blood transfusion and the available strategies

4950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49769/psn-pdf
      September 01, 2016 - , the PRONE score could one day help to inform individual clinicians about their future complaints risk … Once a doctor is identified as being at risk (for example, because of multiple complaints), remediation … Patients and families will often identify patient safety risks that are not detected by other mechanisms … Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints … The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely

4951. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet
      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

4952. Don't Use That Port: Insert a PICC | PSNet
      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.

4953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45831/psn-pdf
      January 25, 2017 - incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions- and-medications Opioid medications are associated with an increased risk … Certain populations may be at greater risk for adverse outcomes from opioids and may be more likely to … opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study https://psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national … https://psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national

4954. A mislabeling event with batched drugs: the unintended consequences of practice changes. | PSNet
      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

4955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34759/psn-pdf
      July 13, 2016 - His book Managing the Risks of Organizational Accidents is less theoretical and may be more appropriate … https://psnet.ahrq.gov/issue/human-error https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents

4956. Psn-Pdf (pdf file)
      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

4957. Weighing in on medication safety. | PSNet
      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

4958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49539/psn-pdf
      June 01, 2007 - not provide all the information a patient wants but recognizes that information concerning specific risk … Operator-specific risks could be quoted if they are available. … Consideration should be given to providing patient-specific risks, according to coexistent pathology … It is unusual to quote the risk of unilateral hearing loss after anesthesia during a consent discussion … Consent and anaesthetic risk. Anaesthesia. 2003;58:962-984. [go to PubMed] 6.

4959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44608/psn-pdf
      October 28, 2015 - Navigating risks in breast cancer diagnosis and treatment. … https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment Patients diagnosed … https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment https://psnet.ahrq.gov

4960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43811/psn-pdf
      July 18, 2018 - 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. … https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process This … https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process https