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psnet.ahrq.gov/node/41448/psn-pdf
December 21, 2014 - Surgeon fatigue: a prospective analysis of the incidence,
risk, and intervals of predicted fatigue-related … Surgeon fatigue: a prospective analysis of the incidence,
risk, and intervals of predicted fatigue-related … https://psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted … https://psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted-fatigue-related … https://psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
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hcup-us.ahrq.gov/datainnovations/clinicaldata/5MHAProjBenefits011508.pdf
January 15, 2008 - codes are reported as
POA
Comparison of rates of reported hospital-
acquired complications in high-risk … without validation
using POA code and associated laboratory data
Evaluation of hospital’s comparative risks … of
death and post-operative complications and its
risk-adjusted outcome rates with and without
enhancement … of its analytic database
7
Risk-Adjusted Mortality - CABG Surgery
Hospital 4
Hospital 2
Hospital … Mortality - CABG Surgery
Risk-Adjusted Mortality Rates
Risk-Adjusted Post-Op Complications
Enhanced
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psnet.ahrq.gov/node/44869/psn-pdf
November 18, 2016 - Fake and expired medications in simulation-based
education: an underappreciated risk to patient safety … Fake and expired medications in simulation-based education: an
underappreciated risk to patient safety … https://psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-
risk-patient-safety … This commentary describes how these fake medications
can introduce risks when they are accidentally … https://psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety
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psnet.ahrq.gov/node/39849/psn-pdf
September 15, 2010 - The need for risk profiling in patient safety.
September 15, 2010
Donaldson LJ, Noble DJ. … The need for risk profiling in patient safety. J Patient Saf. 2010;6(3):125-7. … https://psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
This commentary describes the need for … health care professionals and organizations to proactively
consider and manage risks of medical errors … https://psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations … Repeat prescribing of medications: A system-centred risk management
model for primary care organisations … https://psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-
primary-care … Investigators employed a
systems approach to reduce risks associated with repeated medication prescribing … https://psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
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www.uspreventiveservicestaskforce.org/uspstf/reconsidering-approach-prevention-recommendations-older-adults-figure-2
December 01, 2010 - The patient population undergoing risk evaluation is adults aged 65 years and older; the subpopulation … for key question 4 (How are high-risk older adults identified for primary care fall interventions?) … is adults who are considered at high risk for falling. … KQ4: How are high-risk older adults identified for primary care fall interventions? … mobility, strength, medication review, cognitive impairment, orthostatic hypotension, and environmental risks
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psnet.ahrq.gov/node/42430/psn-pdf
February 19, 2014 - Framework for analysing risk and safety in clinical
medicine. … Framework for analysing risk and safety in clinical medicine.
BMJ. 1998;316(7138):1154-7. … https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
This commentary outlines … https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
https://psnet.ahrq.gov … /issue/managing-risks-organizational-accidents
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Risks and Benefits of Major Surgery
Risk-benefit analysis critical prior to any major surgery
Mean … Recommend strategies to reduce these risks to the extent that they are modifiable
Preoperative … factor
Determining that risks of surgery may potentially exceed the benefits
Recommendation for intraoperative … Risk Assessment in this Case
Higher cardiac risk given age and comorbidities
Revised Cardiac Risk Index … yields risk of 6.6%
Lower risk for pulmonary problems
Spinal surgery is an intrinsically low risk
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psnet.ahrq.gov/node/43932/psn-pdf
March 04, 2015 - Safety considerations to mitigate the risks of
misconnections with small-bore connectors intended for … https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors … prevent misconnections,
including recommendations regarding improvements for labeling, user testing, and risk … https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
https … operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
https://psnet.ahrq.gov/issue/risk-and-event-assessment
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psnet.ahrq.gov/node/44683/psn-pdf
June 21, 2016 - Physician spending and subsequent risk of malpractice
claims: observational study. … Physician spending and subsequent risk of malpractice
claims: observational study. … https://psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational- … Because procedures and tests carry risks of complications, defensive medicine also may lead to
adverse … https://psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
-
psnet.ahrq.gov/node/37509/psn-pdf
January 30, 2008 - Hidden danger, obvious opportunity: error and risk in the
management of cancer. … Hidden danger, obvious opportunity: error and risk in the management of cancer. … https://psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
This … commentary provides context on risks, errors, and safety in cancer treatment in light of a recent
analysis … https://psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
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psnet.ahrq.gov/node/42960/psn-pdf
February 19, 2014 - Risk Management Pearls for Medication Safety: Part I and
Part II. … February 19, 2014
Chicago, IL: American Society for Healthcare Risk Management; 2014. … https://psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
These guides … cover medication safety principles, common causes for errors, and strategies to manage
risks, such … https://psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/39306/psn-pdf
February 17, 2010 - Detection of patient risk by nurses: a theoretical
framework. … Detection of patient risk by nurses: a theoretical framework. … https://psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
This article outlines … a framework for nurses to promptly identify risks and prevent delays when a patient's
condition deteriorates … https://psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/38285/psn-pdf
December 10, 2008 - AHRQ Risk-informed Intervention Development and
Implementation of Safe Practices in Ambulatory Care. … https://psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-
practices-ambulatory-care … announcement lists 13 projects funded to demonstrate effective strategies in
identifying and addressing risks … https://psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care … https://psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary14/chlamydial-infection-screening-2007
June 15, 2007 - The investigators found a slight decrease in the adjusted relative risk for hospitalization overall ( … The investigators noted a lower adjusted relative risk for hospitalization for PID, but this difference … The relative risk for hospitalizations for chlamydia-related sequelae (PID, infertility, or ectopic pregnancy … risk for chlamydial infection that reported health outcomes. … Not at Risk
At Risk
Not at Risk
Direct evidence that screening reduces adverse health
-
psnet.ahrq.gov/node/39643/psn-pdf
December 21, 2014 - A systematic quantitative assessment of risks associated
with poor communication in surgical care. … A systematic quantitative assessment of risks associated with poor
communication in surgical care. … https://psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication- … surgical-care
This study used failure mode and effect analysis to identify safety risks in perioperative … https://psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/carotid-artery-stenosis-screening-july-2014
July 08, 2014 - nonperioperative strokes were disabling or fatal, and the proportional reduction in disabling or fatal stroke (relative … risk, 0.61 [CI, 0.41 to 0.92]) was similar to that for any stroke (relative risk, 0.54 [CI, 0.43 to … Subgroup analyses of the ACAS showed a statistically significant reduction for men (relative risk reduction … , 66% [CI, 36% to 82%]) but not for women (relative risk reduction, 17% [−96% to 65%]) for estimated … = diabetes mellitus; MI = myocardial infarction; MM = medical management; NR = not reported; RRR = relative
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/by8VJVre6h6BmadrGxaFMM
April 01, 2016 - trials of low-dose aspirin
(≤100 mg daily) showed a 17% reduction in nonfatal MI
and coronary events (relative … is sufficiently high for the benefits
to outweigh the risks associated with treatment; they
suggest … (>10% 10-year CVD risk) and are not at increased
risk for bleeding. … In a consumer bulletin, it noted the risks for
GI and intracranial bleeding and suggested that the
benefits … Bleeding risks with aspirin use for primary prevention in adults: a
systematic evidence review for the
-
cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
January 01, 2017 - risk calculation and/or presentation of the risk assessment tool:
· Application as a population health … Kaiser has both an on-demand risk calculator that can produce real-time risk scores but no recommendations … For this reason, the USPTF recommendation to calculate ASCVD risk only when 1 or more risk factor is … The WG also debated the merits of using multiple risk tools for cardiovascular risk, and whether there … of cardiovascular disease, but the potential impact of statin therapy, and in turn, the risks associated
-
www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/falls-prevention-older-adults-draft-rec-bulletin.pdf
January 08, 2024 - recommends exercise interventions to prevent falls in adults 65 years or older who are at increased risk … with their older patients about whether additional interventions
might be helpful to reduce their risk … Other risk factors include sensory problems, medications that may increase fall risk,
hazards at home … Multifactorial interventions are a way to assess and address the risks of falling that are tailored to … , developed to help address the individual’s specific risks.