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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. 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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. 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.
  11. 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.
  12. 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
  13. 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.
  14. 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
  15. 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
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. 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.
  20. 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

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