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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - This article highlights five patient safety risks during pediatric perioperative blood management (failure … The authors discuss potential solutions to address these safety risks.
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - group of disciplines so that a continuum
of expertise is employed depending on severity of suicide risks … synthesizing it in a way that helps characterize acute risks, chronic risks, and factors that are amenable … ,
minimization of environmental (ligature) risks, provision of safe dining equipment, room sweeps, and … based on a synthesis of multiple risk
factors, Reduce suicide risks by treating modifiable risk factors … life threats (and ensure safety), Risk assessment for suicide, Reduce suicide risks, and Extend care
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psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
March 18, 2020 - Study
Post-hospital medication discrepancies at home: risk factor for 90-day return … Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department … This study found that the presence of medication discrepancies was associated with an increased risk … January 7, 2015
Infrequent physician use of implantable cardioverter-defibrillators risks … November 2, 2022
Patient and consumer safety risks when using conversational assistants
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psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
May 01, 2015 - Study
Classic
Physician spending and subsequent risk of … Physician spending and subsequent risk of malpractice claims: observational study. … Because procedures and tests carry risks of complications, defensive medicine also may lead to adverse … Physician spending and subsequent risk of malpractice claims: observational study. … September 1, 2018
Malpractice Risks in Communication Failures: 2015 Annual Benchmarking
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psnet.ahrq.gov/node/837640/psn-pdf
July 06, 2022 - record
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
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psnet.ahrq.gov/issue/reducing-patient-harm-opiates
April 29, 2018 - This article lists common risks associated with opiates, a high-alert medication , as well as recommended … safety improvements to reduce these risks. … June 4, 2014
Any new process poses a risk for errors: learning from 4 months of Coronavirus … November 18, 2020
Oral syringes: a crucial and economical risk-reduction strategy that
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - The Medical Director reviewed the risks of plasmapheresis with the physician and asked him to follow … The most effective way to reduce well-intentioned yet inappropriate care is to consider the risks of … Because of the risks of inappropriate and overly aggressive care, patient-centered decision-making with … That is why it is especially important to have an honest and informed discussion of risks and benefits … Failing the acid test: benefits of proton pump inhibitors may not justify the risks for many users.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - PowerPoint Presentation
Spotlight
Robotic Surgery: Risks vs. … the robotic technology would allow for smaller incisions, better control of the instruments, lower risk … for infection, bleeding, and the risks of anesthesia
Additional risks are unique to robotic surgery
Potential … (2)
Notably, the energy source can cause burn injuries from the cautery device
There is a small risk … institutions should also submit local reports to the FDA
21
Appropriate Risk Disclosure to Patients
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psnet.ahrq.gov/issue/toward-more-proactive-approaches-safety-electronic-health-record-era
December 06, 2023 - overview of the revisions to the SAFER Guides and discusses how to use the guides to manage the risks … August 4, 2021
Selected medication safety risks that can easily fall off the radar screen—part
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psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity
May 11, 2019 - throughout the medication use cycle, along with ways for the prescriber and system to mitigate the risks … June 10, 2018
Minimising treatment-associated risks in systemic cancer therapy.
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psnet.ahrq.gov/node/50912/psn-pdf
February 26, 2020 - Perceived patient safety risks were higher during
angry and mental health encounters; positive encounters … need for research to explore evidence-based interventions to mitigate
emotion-induced patient safety risks
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psnet.ahrq.gov/node/837424/psn-pdf
June 15, 2022 - psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
https://psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy … https://psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
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psnet.ahrq.gov/issue/hospitals-save-money-safety-questioned
January 18, 2006 - This article reports on the reuse of single-use medical instruments, discussing both the benefits and risks … January 9, 2024
Healthcare industry representatives: maximizing benefits and reducing risks
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psnet.ahrq.gov/node/36329/psn-pdf
September 12, 2016 - https://psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
The author discusses safety risks in the … MRI suite and how suite design can mitigate these risks.
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psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety
March 27, 2005 - Book/Report
Principles of Risk Management and Patient Safety. … Citation Text:
Principles of Risk Management and Patient Safety. Youngberg BJ, ed. … This textbook discusses claims management, risk financing, and proactive risk reduction within the context … December 14, 2010
2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic … July 18, 2018
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine
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psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
February 28, 2024 - patient and family experiences in healthcare can serve as an early warning to signal potential safety risks … November 29, 2023
Stakeholder safety communication: patient and family reports on safety risks
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psnet.ahrq.gov/issue/dispensing-errors
December 02, 2020 - two-part series discusses factors that contribute to dispensing errors and summarizes methods for managing risks … June 17, 2020
Don't underestimate the impact of change on risk potential. … May 5, 2018
Using failure mode and effects analysis to reduce patient safety risks related
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psnet.ahrq.gov/issue/nurse-practitioner-led-medication-reconciliation-critical-access-hospitals
March 18, 2020 - This finding adds to the evidence that risks associated with hospital discharge can be mitigated by … March 18, 2020
Post-hospital medication discrepancies at home: risk factor for 90-day … January 7, 2015
Infrequent physician use of implantable cardioverter-defibrillators risks
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psnet.ahrq.gov/issue/walking-tightrope-communicating-overdiagnosis-modern-healthcare
September 23, 2020 - This commentary explores challenges to communicating risks associated with overdiagnosis and overtreatment … optimal care
July 28, 2021
Time-ordered comorbidity correlations identify patients at risk … Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks
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psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
November 16, 2022 - development and testing of a toolkit designed to help prepare organizations for downtime to reduce risks … Administration Precertification pilot program for digital health software: weighing the benefits and risks … January 10, 2018
Towards a framework for managing risk associated with technology-induced