-
psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events
June 10, 2018 - newsletter highlights learnings from ISMP's QuarterWatch report, a pilot program used to identify new drug risks … June 10, 2018
Epidural-IV route mix-ups: reducing the risk of deadly errors. … May 2, 2018
Benefits and risks of including patients on RCA teams. … May 2, 2018
Don't underestimate the impact of change on risk potential.
-
psnet.ahrq.gov/node/36713/psn-pdf
April 29, 2018 - https://psnet.ahrq.gov/issue/reducing-patient-harm-opiates
This article lists common risks associated … with opiates, a high-alert medication, as well as recommended
safety improvements to reduce these risks
-
psnet.ahrq.gov/node/33940/psn-pdf
May 13, 2011 - Managing the Risks of Organizational Accidents. Aldershot, Hants, England:
Ashgate: 1997. … https://psnet.ahrq.gov/issue/swiss-cheese-model
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
-
psnet.ahrq.gov/issue/interference-between-ct-and-electronic-medical-devices
May 04, 2015 - This website alerts clinicians and patients to risks for patient harm associated with implanted electronic … June 2, 2021
Safety considerations to mitigate the risks of misconnections with small-bore … devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk
-
psnet.ahrq.gov/node/34616/psn-pdf
March 28, 2005 - The tool is drawn from his thinking in Managing the Risks of Organizational Accidents. … psnet.ahrq.gov//#safetyculture
https://psnet.ahrq.gov//#safetyculture
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
-
psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Moreover, this information will help the radiologist optimize the CT technique, reducing the risk of … Although the risk to any individual patient from diagnostic radiology examinations might well be very … RW : Do you think the inattention to the issue of radiation risk was because people didn't think through … Those risks in my mind are much more important because of the number of people affected. … The number of patients to get routine doses of CT that are higher than needed, which puts them at risk
-
psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker
March 30, 2016 - September 27, 2016
Hospitals target risks of color wristbands. … September 11, 2013
Scariest hospital risks. … July 28, 2013
Shifting the risks at night.
-
psnet.ahrq.gov/node/40053/psn-pdf
December 01, 2010 - psnet.ahrq.gov/issue/medical-malpractice-liability-age-electronic-health-records
This commentary examines the risks … associated with electronic health record use and offers
recommendations to manage such risks.
-
psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000-patients-and-families
March 20, 2017 - Study
Tackling ambulatory safety risks through patient engagement: what 10,000 patients … Tackling Ambulatory Safety Risks Through Patient Engagement: What 10,000 Patients and Families Say About … Tackling Ambulatory Safety Risks Through Patient Engagement: What 10,000 Patients and Families Say About
-
psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - to minimize and mitigate these risks. … systems to ensure seamless transitions with minimal associated risks. … patient-centered experience as well as to optimize accurate information exchange, thereby decreasing the risk … to participate in their care, thereby enhancing patient safety, improving outcomes, and reducing the risk … October 30, 2024
Failure mode and effects analysis: a comparison of two common risk
-
psnet.ahrq.gov/issue/hazard-impatient-medicine
June 26, 2013 - November 21, 2018
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … March 2, 2016
All can be lost: the risk of putting our knowledge in the hands of machines … October 9, 2013
Scariest hospital risks. … October 24, 2012
Shifting the risks at night.
-
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.
-
psnet.ahrq.gov/print/pdf/node/867658
January 26, 2022 - the epidemic can be
ascribed to inappropriate prescribing of opioids, despite knowledge of the safety risks … Adolescent patients transitioning from pediatric to adult medicine may experience patient safety risks … a large commercial insurance claims database, the authors compared opioid prescribing patterns
and risk … the epidemic can be
ascribed to inappropriate prescribing of opioids, despite knowledge of the safety risks
-
psnet.ahrq.gov/issue/your-new-medical-team-algorithms-and-physicians
July 20, 2016 - February 8, 2011
The risks of the prescribing cascade. … September 16, 2020
View More
Related Resources
The risks of the … August 10, 2016
Selected medication safety risks to manage in 2016 that might otherwise
-
psnet.ahrq.gov/node/41784/psn-pdf
November 30, 2012 - procedural-safety-emergency-care-conceptual-model-and-recommendations
This commentary describes a conceptual model to address risks … procedural-safety-emergency-care-conceptual-model-and-recommendations
https://psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
-
psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - A transvaginal ultrasound is a relatively reliable and low-risk procedure at this stage of pregnancy; … nevertheless, the risk for misdiagnosis exists ( 13,14 ) and appropriate senior resident or attending … supervision would reduce this risk. … Managing the risks of organizational accidents. … The risk of treating friends and family. Med Econ. 2003;80:72.[ go to PubMed ]
Table
Table.
-
psnet.ahrq.gov/node/37312/psn-pdf
January 05, 2012 - Delineation of risk through the exploration of a culture of
safety in community home health. … Delineation of Risk Through the Exploration of a Culture of Safety in
Community Home Health. … https://psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-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
-
psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - achieve long-term benefits from
treatment by accepting and managing the higher short-term procedural risks … of bleeding.(2) Thus, absent the
complicating factor of ongoing anticoagulant use, the short-term risks … To balance the immediate procedural bleeding risks with the longer term DVT risks, evidence suggests … This case illustrates how easily failures to discuss risks ad hoc can
lead to catastrophic outcomes, … Take-Home Points
The risks of deep vein thrombosis and postoperative bleeding must be appropriately
-
psnet.ahrq.gov/issue/how-safe-your-hospital-our-new-ratings-find-some-are-riskier-others
May 22, 2023 - Our new ratings find that too many pose risks. Consumer reports. 2012;77(8):20-8. … Our new ratings find that too many pose risks. Consumer reports. 2012;77(8):20-8.
-
psnet.ahrq.gov/node/49444/psn-pdf
May 01, 2004 - A transvaginal ultrasound is a relatively reliable and low-risk procedure at this
stage of pregnancy … ; nevertheless, the risk for misdiagnosis exists (13,14) and appropriate senior resident
or attending … supervision would reduce this risk. … Managing the risks of organizational accidents. … The risk of treating friends and family. Med Econ. 2003;80:72.[ go to PubMed ]
Table
Table.