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psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
January 06, 2017 - Commentary
The Johns Hopkins Hospital: identifying and addressing risks and safety … The Johns Hopkins Hospital: identifying and addressing risks and safety issues. … The Johns Hopkins Hospital: identifying and addressing risks and safety issues. … December 6, 2017
A framework for operationalizing risk: a practical approach to patient
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psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
December 18, 2019 - Study
Identifying risks areas related to medication administrations - text mining … Identifying risks areas related to medication administrations - text mining analysis using free-text … Reporting and Learning System in England and Wales to identify terms most frequently associated with risk … Identifying risks areas related to medication administrations - text mining analysis using free-text … Hospitals
Information Professionals
Medicine
Administration Errors
Specific to High-Risk
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psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis
September 02, 2020 - Study
Classic
Mortality risks associated with emergency … Mortality risks associated with emergency admissions during weekends and public holidays: an analysis … Mortality risks associated with emergency admissions during weekends and public holidays: an analysis … February 14, 2024
Evidence-based guidelines for fatigue risk management in emergency … April 14, 2021
Adverse drug events caused by three high-risk drug-drug interactions in
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psnet.ahrq.gov/node/44873/psn-pdf
March 21, 2016 - Malpractice Risks in Communication Failures: 2015
Annual Benchmarking Report. … https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report … https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - SPOTLIGHT CASE
The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient … The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. … The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. … The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy.
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psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record
June 15, 2022 - Prior research has found that electronic health record (EHR) implementation has introduced risks … support tools to help clinicians identify potential allergy discrepancies and avoid patient safety risks … June 7, 2016
WebM&M Cases
The Risks of Absent Interoperability
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psnet.ahrq.gov/node/44240/psn-pdf
June 23, 2015 - Risks are high at low-volume hospitals.
June 23, 2015
Sternberg S; Dougherty G. … https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
This news article reports an independent … analysis of patient risk at hospitals that provide surgeries they
infrequently perform, highlighting … https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
https://psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
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psnet.ahrq.gov/issue/high-alert-medication-modeling-and-error-reduction-scorecards-hammers-community-pharmacies
January 17, 2007 - This toolkit was developed to help community pharmacies identify risks associated with dispensing … high-alert medications, assess how these risks may affect patients, and implement strategies to prevent … Pharmacy
Physicians
Quality and Safety Professionals
Community Pharmacy
Specific to High-Risk
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psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
March 18, 2013 - Study
What are the safety risks for patients undergoing treatment by multiple specialties … What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective … This study found that the risk of errors increases with the number of specialties treating a patient. … What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective … February 8, 2012
Integration of prospective and retrospective methods for risk analysis
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psnet.ahrq.gov/training-catalog/niosh-training-nurses-shift-work-and-long-work-hours
April 20, 2025 - NIOSH)
Event Description: This course presents scientific information about the risks … of shift work and long work hours and strategies to reduce these risks.
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psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
March 18, 2011 - Study
Intravenous chemotherapy preparation errors: patient safety risks identified … 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 … June 13, 2018
Improving shared situation awareness for high-risk therapies in hospitalized … the reporting of adverse medical device events: qualitative interviews with physicians about higher risk
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psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication
February 17, 2021 - Study
Safety risks and workflow implications associated with nursing-related free-text … Safety risks and workflow implications associated with nursing-related free-text communication orders … Safety risks and workflow implications associated with nursing-related free-text communication orders
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psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - Accountability and Ethics (7)
Understanding liability risk … Commentary
Understanding liability risk from using health care artificial intelligence … The authors discuss risk management approaches that clinicians and organizations can use to manage AI-related … liability risk. … potential inherent in AI to enhance decision-making, diagnosis, and risk management.
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psnet.ahrq.gov/issue/dangerous-connections-health-care-community-tackles-tubing-risks-small-bore-connector
October 26, 2007 - Newspaper/Magazine Article
Dangerous connections: health care community tackles tubing risks … Citation Text:
Dangerous connections: health care community tackles tubing risks, small-bore connector … Citation
Citation Text:
Dangerous connections: health care community tackles tubing risks
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psnet.ahrq.gov/node/44608/psn-pdf
October 28, 2015 - Navigating risks in breast cancer diagnosis and
treatment. … https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
Patients diagnosed … https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/identifying-risks-and-opportunities-outpatient-surgical-patient-safety-qualitative-analysis
November 10, 2010 - Study
Identifying risks and opportunities in outpatient surgical patient safety: … Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qualitative Analysis of … This qualitative study asked surgical staff about risk factors for adverse events in outpatient surgery … Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qualitative Analysis of
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psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays
September 25, 2019 - Study
Unintended patient safety risks due to wireless smart infusion pump library … Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. … These delays resulted in failure to alert for two high-risk medication cases, but neither case led … Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. … June 9, 2011
Balancing safety, comfort, and fall risk: an intervention to limit opioid
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psnet.ahrq.gov/node/34759/psn-pdf
July 13, 2016 - His book Managing the Risks of
Organizational Accidents is less theoretical and may be more appropriate … https://psnet.ahrq.gov/issue/human-error
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
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psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
October 05, 2022 - Commentary
Analyzing and mitigating the risks of patient harm during operating room … Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient … This article describes the use of a risk management approach to improve handoffs from the operating … Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient
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psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
March 17, 2010 - Commentary
Utilizing information technology to mitigate the handoff risks caused … 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