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psnet.ahrq.gov/node/48181/psn-pdf
August 07, 2019 - Managing the risks of direct oral anticoagulants.
August 7, 2019
Sentinel Event Alert. … https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
Anticoagulant medications are … known to be high-risk for adverse drug events. … anticoagulants (DOACs) require less monitoring than warfarin, they are still associated with an increased
risk … The Joint Commission has issued a new
sentinel event alert to raise awareness of the risks related to
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psnet.ahrq.gov/node/45259/psn-pdf
July 13, 2016 - Communicating Radiation Risks in Paediatric Imaging:
Information to Support Healthcare Discussions About … Benefit and Risk. … https://psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-
healthcare-discussions … This report reviews
techniques clinicians can use to discuss risks associated with using radiologic … https://psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-healthcare-discussions
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psnet.ahrq.gov/node/44722/psn-pdf
March 15, 2016 - Patient safety's missing link: using clinical expertise to
recognize, respond to and reduce risks at … Patient safety's missing link: using clinical expertise to recognize,
respond to and reduce risks at … psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-
reduce-risks … This commentary provides a framework to use incident
reporting to identify, analyze, and address risks … psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
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psnet.ahrq.gov/node/44668/psn-pdf
January 22, 2016 - Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental … Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental … https://psnet.ahrq.gov/issue/medication-safety-interface-evaluating-risks-associated-discharge-
prescriptions-mental-health … These findings underscore the risks of
adverse events in the postdischarge period and the need for more … https://psnet.ahrq.gov/issue/medication-safety-interface-evaluating-risks-associated-discharge-prescriptions-mental-health
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psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software
September 25, 2008 - Administration Precertification pilot program for digital health software: weighing the benefits and risks … Administration Precertification Pilot Program for Digital Health Software: Weighing the Benefits and Risks … Administration Precertification Pilot Program for Digital Health Software: Weighing the Benefits and Risks … Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk … January 27, 2019
Selected medication safety risks that can easily fall off the radar
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psnet.ahrq.gov/node/43792/psn-pdf
January 07, 2015 - Patient safety risks associated with telecare: a systematic
review and narrative synthesis of the literature … Patient safety risks associated with telecare: a systematic review and
narrative synthesis of the literature … https://psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative … Many risks were identified, but the authors conclude more study is needed to understand
telecare-related … https://psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
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psnet.ahrq.gov/node/45201/psn-pdf
June 08, 2016 - Safety risks associated with physical interactions
between patients and caregivers during treatment … Safety risks associated with physical interactions between patients and
caregivers during treatment … https://psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers … This systematic review
defined home care safety risks for both patients and caregivers, including awkward … https://psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
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psnet.ahrq.gov/node/40743/psn-pdf
February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy.
December 23, 2016
Sentinel Event Alert. … https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
The Joint Commission issues Sentinel … overuse of diagnostic imaging,
particularly computed tomographic (CT) scans, poses patient safety risks … This alert reviews specific strategies
organizations should take to minimize radiation risks, including … that may contribute to overutilization of diagnostic imaging, with
consequent short- and long-term risks
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psnet.ahrq.gov/node/43169/psn-pdf
May 07, 2014 - Copy, paste, and cloned notes in electronic health
records: prevalence, benefits, risks, and best practice … Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks,
and best practice … ://psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-
risks-and-best … medical
documentation, this commentary relates how this might facilitate communication and introduce risks … https://psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
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psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
July 15, 2020 - Article
Artificial intelligence is rushing into patient care - and could raise risks … Citation Text:
Artificial intelligence is rushing into patient care - and could raise risks. … Citation
Citation Text:
Artificial intelligence is rushing into patient care - and could raise risks … May 5, 2021
How chaos at chain pharmacies is putting patients at risk.
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psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
December 01, 2021 - Commentary
Targeting zero harm: a stretch goal that risks breaking the spring. … Targeting zero harm: a stretch goal that risks breaking the spring. … Targeting zero harm: a stretch goal that risks breaking the spring.
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psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information
December 15, 2021 - Study
Patient and consumer safety risks when using conversational assistants for … Patient and consumer safety risks when using conversational assistants for medical information: an observational … Patient and consumer safety risks when using conversational assistants for medical information: an observational … Related Resources From the Same Author(s)
Mitigating patient and consumer safety risks
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psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
February 14, 2018 - Study
Classic
Risks of complications by attending physicians … Risks of Complications by Attending Physicians After Performing Nighttime Procedures. … Risks of Complications by Attending Physicians After Performing Nighttime Procedures.
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psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
March 16, 2022 - Government Resource
Assessment of DoD Wounded Warrior Matters: Managing Risks of … Citation Text:
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. … Cite
Citation
Citation Text:
Assessment of DoD Wounded Warrior Matters: Managing Risks
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psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
January 23, 2019 - Newspaper/Magazine Article
ADC survey shows some improvements, but unnecessary risks … Citation Text:
ADC survey shows some improvements, but unnecessary risks still exist. … Cite
Citation
Citation Text:
ADC survey shows some improvements, but unnecessary risks … June 5, 2018
Don't underestimate the impact of change on risk potential. … May 5, 2018
Risk factors for i.v. compounding errors when using an automated workflow
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psnet.ahrq.gov/node/40684/psn-pdf
August 10, 2011 - Accountability, organisational learning and risks to
patient safety in England: conflict or compromise … 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. … https://psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict … -
or
This commentary explores risk regulation in the English National Health Service and describes
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psnet.ahrq.gov/node/43193/psn-pdf
June 17, 2014 - Risks in the implementation and use of smart pumps in a
pediatric intensive care unit: application of … Risks in the implementation and use of
smart pumps in a pediatric intensive care unit: application of … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit- … application-failure
This study applied failure mode and effect analysis (FMEA) to identify possible risks … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
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psnet.ahrq.gov/node/47480/psn-pdf
December 19, 2018 - Selected medication safety risks that can easily fall off the
radar screen—part 1, part 2, and part … Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part … This three-part series discusses medication safety risks and highlights topics
such as wrong-patient … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - Accountability and Ethics
Understanding liability risk from using health care artificial intelligence … artificial-intelligence-and-healthcare-journey-through-history-present-innovations-and-future
https://psnet.ahrq.gov/issue/understanding-liability-risk-using-health-care-artificial-intelligence-tools … Digital health technology-specific risks for medical malpractice liability. … Understanding liability risk from using health care artificial intelligence tools. … Digital health technology-specific risks for medical malpractice liability.
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psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
June 24, 2015 - Book/Report
Exploring Patient Engagement in Reducing Health-Care-Related Safety Risks … Citation Text:
Exploring Patient Engagement in Reducing Health-Care-Related Safety Risks. … Citation
Citation Text:
Exploring Patient Engagement in Reducing Health-Care-Related Safety Risks … Resources
Effects of a multimodal transitional care intervention in patients at high risk