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psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-community-home-health
December 04, 2016 - Study
Delineation of risk through the exploration of a culture of safety in community … Delineation of Risk Through the Exploration of a Culture of Safety in Community Home Health. … This study developed a chart review tool to better assess the risks facing community-based patients and … discovered that the most frequent risks identified were mobility, fall prevention , and medication … February 3, 2010
Insulin treatment as a tracer for identifying latent patient safety risks
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psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer-use
October 01, 2014 - Commentary
mHealth and mobile medical apps: a framework to assess risk and promote … Citation Text:
Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and … This commentary discusses the potential risks associated with mobile applications and describes a framework … to guide developers , clinicians, and patients who use the technologies to manage those risks. … View More
Related Resources
Digital health technology-specific risks
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
September 09, 2015 - Study
Failure mode and effects analysis: a comparison of two common risk prioritisation … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … human factors engineering method used to examine a process in health care to identify potential safety risks … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … Resources From the Same Author(s)
Operating room to intensive care unit handoffs and the risks
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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
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - SPOTLIGHT CASE
The Risks of a Malpositioned Gastrostomy Tube and Poor Communication … The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. … The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. … Best practices to mitigate patient care transition risks are to minimize the number of provider transitions … The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet].
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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/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients
June 26, 2019 - Emerging Classic
A systematic literature review and narrative synthesis on the risks … A systematic literature review and narrative synthesis on the risks of medical discharge letters for … A systematic literature review and narrative synthesis on the risks of medical discharge letters for … June 26, 2019
Risks in the analogue and digitally-supported medication process and potential
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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/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/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/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/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/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/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/node/39431/psn-pdf
April 07, 2010 - Identified safety risks with splitting and crushing oral
medications.
April 7, 2010
Paparella S. … Identified safety risks with splitting and crushing oral medications. … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
In the … context of emergency care nursing, this piece explains the risks associated with crushing or splitting … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
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