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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40027/psn-pdf
    November 24, 2010 - Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm. … Reducing iatrogenic risks: ICU-acquired delirium and weakness-- crossing the quality chasm. … https://psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality … https://psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality-chasm … https://psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality-chasm
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37470/psn-pdf
    January 16, 2008 - Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management … Iatrogenic Disease Management: Moderating Medication Errors and Risks in a Pharmacy Benefit Management … https://psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks- pharmacy-benefit … https://psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit … https://psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45026/psn-pdf
    April 19, 2016 - Managing the risks of concurrent surgeries. April 19, 2016 Mello MM, Livingston EH. … Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. … https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries Scheduling overlapping surgeries may … This perspective describes strategies to decrease risks associated with concurrent operations, including … https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries https://psnet.ahrq.gov/issue/clash-name-care
  4. 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
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38496/psn-pdf
    January 31, 2011 - The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits … The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits … psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty- weighing-risks-and … psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and … psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39554/psn-pdf
    October 13, 2010 - Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions … Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions … https://psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work … https://psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour … https://psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40897/psn-pdf
    November 02, 2011 - Infrequent physician use of implantable cardioverter- defibrillators risks patient safety. … Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. … https://psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient … Physicians who performed only one or fewer ICD implantations per year had a significantly higher risk … https://psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
  8. psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
    July 20, 2022 - Talking about falls: a qualitative exploration of spoken communication of patients' fall risks … Talking about falls: a qualitative exploration of spoken communication of patients’ fall risks in hospitals … Risk assessments and categorization (e.g., high- or low-risk) were discussed in conjunction with strategies … to focus on modifiable risk factors. … Talking about falls: a qualitative exploration of spoken communication of patients’ fall risks in hospitals
  9. psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
    December 23, 2016 - Citation Text: Managing risk during transition to new ISO tubing connector standards. … The Joint Commission issues sentinel event alerts in response to significant emerging safety risks … for events which carry high risk and require immediate action. … December 23, 2016 Radiation risks of diagnostic imaging and fluoroscopy. … June 18, 2021 Managing the risks of direct oral anticoagulants.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37934/psn-pdf
    July 23, 2008 - Pediatric safety in the emergency department: identifying risks and preparing to care for child and … Pediatric safety in the emergency department: identifying risks and preparing to care for child and … https://psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care … https://psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family … https://psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47142/psn-pdf
    June 13, 2018 - Managing health IT risks: reflections and recommendations. June 13, 2018 Sujan M. … Managing health IT risks: reflections and recommendations. … To manage problems associated with health IT systems, this commentary recommends applying risk assessment … and organizational learning strategies to identify and address predictable risks. … issue/introducing-new-technology-safely https://psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44284/psn-pdf
    September 09, 2015 - Operating room to intensive care unit handoffs and the risks of patient harm. … Operating room to intensive care unit handoffs and the risks of patient harm. … https://psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm This … The authors identified 81 process failures and outlined recommendations to mitigate many of these risks … https://psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm https
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43095/psn-pdf
    April 09, 2014 - Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory … Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory … https://psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified … https://psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian … https://psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44725/psn-pdf
    February 24, 2016 - Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar- … This two-part newsletter article reviews risks associated with medication use and strategies to enhance … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part … -1-and https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part
  15. 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
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36086/psn-pdf
    June 14, 2011 - Sensemaking of patient safety risks and hazards. … Sensemaking of patient safety risks and hazards. Health Serv Res. 2006;41(4 Pt 2):1555-1575. … https://psnet.ahrq.gov/issue/sensemaking-patient-safety-risks-and-hazards This commentary discusses … After discussing probabilistic risk assessment, a case example is provided to illustrate the use of … The authors conclude that identifying risks to patient safety represents a critical step in prevention
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42837/psn-pdf
    January 08, 2014 - What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective … What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective … https://psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties … This study found that the risk of errors increases with the number of specialties treating a patient. … https://psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
  18. psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
    August 21, 2007 - SPOTLIGHT CASE Wandering Off the Floors: Safety and Security Risks of Patient Wandering … Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. … Relate common risks associated with patient wandering. … Identify measures for reducing risks related to patient wandering. … Reducing the risk There are a range of options for reducing the risk of patient wandering including
  19. psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
    May 08, 2013 - Book/Report Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … Citation Text: Identifying Risks and Monitoring Safety: the Role of Patients and Citizens. … Copy URL Cite Citation Citation Text: Identifying Risks
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45827/psn-pdf
    January 24, 2018 - Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process … Using Failure mode and Effects Analysis to reduce patient safety risks related to the dispensing process … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing

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