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psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information
December 21, 2022 - Study
Safety risks associated with the lack of integration and interfacing of hospital … Safety risks associated with the lack of integration and interfacing of hospital health information technologies … Safety risks associated with the lack of integration and interfacing of hospital health information technologies
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psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
December 23, 2016 - fatigue and patient safety has been established in seminal studies, which have demonstrated that the risk … This alert calls on hospitals to design work schedules to minimize fatigue risks, monitor the safety … incentive for teaching hospitals and residency programs to harmonize efforts around minimizing the risk … June 18, 2021
Radiation risks of diagnostic imaging and fluoroscopy. … May 23, 2018
Managing the risks of direct oral anticoagulants.
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psnet.ahrq.gov/issue/mistakes-even-good-doctors-make
October 12, 2022 - commonly misdiagnosed conditions, why diagnostic errors occur, and tips for patients to reduce risks … Same Author(s)
Stakeholder safety communication: patient and family reports on safety risks
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psnet.ahrq.gov/node/43811/psn-pdf
July 18, 2018 - 2014 Annual Benchmarking Report: Malpractice Risks in
the Diagnostic Process. … https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
This … https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
https
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psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
September 28, 2010 - Study
Insulin treatment as a tracer for identifying latent patient safety risks in … Citation Text:
Insulin treatment as a tracer for identifying latent patient safety risks in home-based … found that attitudes about patient safety among nurses with medical responsibility may heighten the risk … Citation
Citation Text:
Insulin treatment as a tracer for identifying latent patient safety risks … March 28, 2018
Risk perception on the labour ward: a mixed methods study.
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psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say
May 15, 2024 - Resident autonomy is an essential component to medical training, but it is not without patient safety risks … January 25, 2023
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Related Resources
Risk factors for wrong-site … May 4, 2010
Healthcare industry representatives: maximizing benefits and reducing risks
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psnet.ahrq.gov/node/39454/psn-pdf
October 04, 2017 - expands upon the ground covered in Reason’s two other classic texts, Human Error and Managing the
Risks … issue/failure-and-rescue
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/node/46183/psn-pdf
July 12, 2017 - Medication-related Malpractice Risks. 2016 CRICO
Strategies National CBS Report. … https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report … https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
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psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
February 13, 2019 - This piece reviews risks associated with the use of compounding pharmacies and recommends that legislative … Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk … 17, 2018
Inappropriate use of pharmacy bulk packages of IV contrast media increases risk … November 4, 2020
The coronavirus and the risks to the elderly in long-term care.
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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/node/72587/psn-pdf
December 23, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric
Patients at Risk of Physiologic Instability … Mitigating the Risk of Intrahospital Transport for Pediatric Patients at
Risk of Physiologic Instability … https://psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic … risks that can be mitigated prior to the transport of the patient. … Problems must be anticipated and
risks should be mitigated.
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - Managing the Risks of Organizational Accidents.
March 28, 2005
Reason JT. … ISBN: 9781840141047
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
Written 7 … this seminal book, readers are introduced to the now-famous "Swiss cheese model" of
errors in high-risk … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
https://psnet.ahrq.gov/issue/human-error
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psnet.ahrq.gov/node/44257/psn-pdf
November 06, 2015 - This commentary describes a comprehensive analysis that identified risks related to ionizing radiation … psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it
https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging … https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
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psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
June 21, 2016 - The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks … 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
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psnet.ahrq.gov/issue/implication-covid-19-pandemic-patient-safety-rapid-review
March 09, 2022 - The COVID-19 pandemic created new risks and exacerbated existing risks across all areas of health care
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psnet.ahrq.gov/issue/towards-safe-conversational-agents-healthcare
July 10, 2024 - This narrative review summarizes three facets of safety: system (data privacy/security), patient (risks … October 23, 2019
From identifying patient safety risks to reporting patient complaints
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psnet.ahrq.gov/node/35218/psn-pdf
August 07, 2018 - Building a Memory: Preventing Harm, Reducing Risks and
Improving Patient Safety. … https://psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety … https://psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
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psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - a way that helps characterize acute risks, chronic risks, and
factors that are amenable to treatment … environmental (ligature) risks
– Provision of safe dining equipment
– Room sweeps
– Securing of personal … assessment for suicide based on a synthesis of multiple risk factors
– Reduce suicide risks by treating … treatment should match the severity and acuity of the
psychiatric disorders that underlie the suicide risks … assessment for suicide based on a synthesis of multiple risk factors,
– Reduce suicide risks by treating
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psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
March 27, 2018 - Newspaper/Magazine Article
Perioperative medication errors: uncovering risk from … Citation Text:
Perioperative medication errors: uncovering risk from behind the drapes. … The authors provide recommendations to reduce risks of error, including using barcode medication administration … Cite
Citation
Citation Text:
Perioperative medication errors: uncovering risk … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks
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psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
March 14, 2023 - Medication warnings inform providers and patients about risks associated with medication use. … March 14, 2023
Selected medication safety risks to manage in 2016 that might otherwise … August 5, 2008
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Pharmacists
Risk