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psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue-key-enablers
November 27, 2013 - Study
Clinical risk management in hospitals: strategy, central coordination and dialogue … Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. … survey identifies key organizational factors that help hospitals establish a comprehensive clinical risk … Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. … September 7, 2022
Using failure mode and effects analysis to reduce patient safety risks
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
September 24, 2010 - Commentary
Failure mode and effects analysis: a useful tool for risk identification … Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … The author discusses the importance of proactive risk assessment and provides insights on the successful … Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … July 28, 2010
Identified safety risks with splitting and crushing oral medications.
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psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety
December 29, 2014 - Study
Use of colour-coded labels for intravenous high-risk medications and lines … Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. … Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. … January 23, 2017
Unintended patient safety risks due to wireless smart infusion pump … June 16, 2019
Unintended patient safety risks due to wireless smart infusion pump library
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psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety
November 02, 2010 - Study
Do split-side rails present an increased risk to patient safety? … Do split-side rails present an increased risk to patient safety? … The authors remind health care practitioners to follow guidelines for risk assessment and bed rail use … Do split-side rails present an increased risk to patient safety? … January 9, 2018
Safety risks associated with physical interactions between patients and
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psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
December 07, 2022 - Study
Time-ordered comorbidity correlations identify patients at risk of mis- and … Citation Text:
Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis … The authors present a generalizable approach for identifying patients at risk of being mis- or overdiagnosed … Citation
Citation Text:
Time-ordered comorbidity correlations identify patients at risk … Related Resources From the Same Author(s)
Digital health technology-specific risks
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psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
December 29, 2014 - Commentary
Accountability, organisational learning and risks to patient safety in … Accountability, organisational learning and risks to patient safety in England: Conflict or compromise … Health Risk Soc. 2011;13(4):327-346. doi:10.1080/13698575.2011.575454. … Accountability, organisational learning and risks to patient safety in England: Conflict or compromise … Health Risk Soc. 2011;13(4):327-346. doi:10.1080/13698575.2011.575454.
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psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
October 23, 2018 - Commentary
Are apologies a way to reduce malpractice risks?. … Are apologies a way to reduce malpractice risks? … Are apologies a way to reduce malpractice risks? … February 22, 2017
Balancing safety, comfort, and fall risk: an intervention to limit … View More
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Hospitals
Ambulatory Clinic or Office
Risk
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - The Lost Start Date: an Unknown Risk of E-prescribing. PSNet [internet]. … The Lost Start Date: an Unknown Risk of E-prescribing. PSNet [internet]. … This overdose had placed him at very high risk for bleeding complications. … Direct oral anticoagulants (such as rivaroxaban) were developed to overcome the myriad of known risks … situations calling for extra attention and safeguards to avoid known risks and ensure patient education
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psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
September 24, 2017 - Commentary
Clinical decision support and malpractice risk. … Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1). doi:10.1001/jama.2011.929. … Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1). doi:10.1001/jama.2011.929. … May 3, 2023
Digital health technology-specific risks for medical malpractice liability … 21, 2005
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Health Care Providers
Risk
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psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk
July 24, 2013 - Newspaper/Magazine Article
Medication assessment: one determinant of falls risk. … Citation Text:
Medication assessment: one determinant of falls risk. PA-PSRS Patient Saf Advis. … describes which medication classes were most frequently associated with patient falls and discusses risk … April 17, 2017
Latex: a lingering and lurking safety risk. … March 18, 2010
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Risk Managers
Quality
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - Study
Risks in the analogue and digitally-supported medication process and potential … Risks in the analogue and digitally-supported medication process and potential solutions to increase … This study sought to identify critical risks and solutions in analog (pathway including at least one … In both processes, experts identified that the most critical risk of errors and harm occurs at admission … Risks in the analogue and digitally-supported medication process and potential solutions to increase
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psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
March 25, 2015 - Study
Hospital discharge documentation and risk of rehospitalisation. … Hospital discharge documentation and risk of rehospitalisation. … reconciliation , discharge summary completion and quality, and patient education—did not decrease the risk … Hospital discharge documentation and risk of rehospitalisation. … March 25, 2015
Impact of pharmacist involvement in the transitional care of high-risk
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psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management
November 18, 2015 - Newsletter/Journal
Journal of Patient Safety and Risk Management. … Citation Text:
Journal of Patient Safety and Risk Management. Wu AW, ed. … Risk management and legal issues can affect safety responses throughout a health care system. … Cite
Citation
Citation Text:
Journal of Patient Safety and Risk … November 18, 2015
Clinical Risk Management. Enhancing Patient Safety. 2nd ed.
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psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
October 03, 2018 - Newspaper/Magazine Article
Latex: a lingering and lurking safety risk. … Citation Text:
Latex: a lingering and lurking safety risk. Liberatore K. … purchasing latex-safe alternatives, and improving handoff documentation of patient allergies are possible risk … Cite
Citation
Citation Text:
Latex: a lingering and lurking safety risk … July 24, 2013
Medication assessment: one determinant of falls risk.
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psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
January 17, 2012 - 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 … The authors describe their adaptation of failure mode and effects analysis , a prospective risk assessment … The system includes tools to prospectively identify process risks in an organization, analyze the ways … October 18, 2023
Using proactive risk assessment (HFMEA) to improve patient safety and
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psnet.ahrq.gov/issue/international-journal-risk-safety-medicine
October 03, 2018 - Newsletter/Journal
The International Journal of Risk & Safety in Medicine. … Citation Text:
The International Journal of Risk & Safety in Medicine. … Cite
Citation
Citation Text:
The International Journal of Risk … November 23, 2014
Patient safety in dentistry: dental care risk management plan. … September 8, 2010
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Risk Managers
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psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
March 04, 2011 - Review
The effectiveness and risks of long-term opioid therapy for chronic pain: … The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National … Opioid medications are associated with increased risk of adverse drug events , including overdoses. … The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National … March 14, 2022
Epidemiology of and risk factors for coronavirus infection in health care
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psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
December 06, 2013 - Study
Development and pilot testing of guidelines to monitor high-risk medications … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting … This study reports on the development of standards for laboratory monitoring of high-risk medications … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting … August 16, 2023
Managing the risks of direct oral anticoagulants.
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - impairment (e.g., dementia, stroke, brain injury, delirium). 5,6 Extrinsic factors include environmental risks … While different falls risk assessment tools can identify patients’ individualized risks, ongoing assessments … , mobility limitations or environmental risks such as lines/tubes. … identify high risk patients. … factors and what interventions are in place to reduce those risks, along with the contributing environmental
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psnet.ahrq.gov/issue/current-and-emerging-infectious-risks-blood-transfusions
June 09, 2021 - Study
Current and emerging infectious risks of blood transfusions. … Current and emerging infectious risks of blood transfusions. JAMA. 2003;289(8):959-62. … Current and emerging infectious risks of blood transfusions. JAMA. 2003;289(8):959-62.