-
psnet.ahrq.gov/node/45682/psn-pdf
November 01, 2017 - changing-smart-pump-vendors-lessons-learned
Changes in processes, devices, and technologies can increase risk … psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
https://psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review … https://psnet.ahrq.gov/issue/dont-underestimate-impact-change-risk-potential
https://psnet.ahrq.gov/ … issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
-
psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips
September 10, 2014 - Patients face risks when undergoing surgery. … From the Same Author(s)
Patient Safety in Private Hospitals: the Known and the Unknown Risk … January 3, 2018
Annual Benchmarking Report: Malpractice Risks in Surgery.
-
psnet.ahrq.gov/issue/medical-malpractice-liability-age-electronic-health-records
April 05, 2013 - This commentary examines the risks associated with electronic health record use and offers recommendations … to manage such risks.
-
psnet.ahrq.gov/node/43011/psn-pdf
May 20, 2014 - issue/early-warnings-weak-signals-and-learning-healthcare-disasters
This commentary examines how minor risks … early-warnings-weak-signals-and-learning-healthcare-disasters
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
December 01, 2011 - care uses
Describe the benefits of mobile technology to safety, quality, and efficiency
Describe the risks … At admission, his INR was 1.4; he was not adequately anticoagulated and was at risk for stroke from the … to lose the device (compared with hospital-supplied pagers,
for example)
*
*
Mobile Device Risks … Association of interruptions with an increased risk and severity of medication administration errors. … order entry system to highlight when orders have not been completed
*
*
Solutions to Reduce Risks
-
psnet.ahrq.gov/node/45503/psn-pdf
October 29, 2017 - development and testing of a
toolkit designed to help prepare organizations for downtime to reduce risks … psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
https://psnet.ahrq.gov/issue/patient-data-outage-exposes-risks-electronic-medical-records
-
psnet.ahrq.gov/node/45789/psn-pdf
January 11, 2017 - concurrent-and-overlapping-surgeries-additional-measures-warranted
The practice of scheduling concurrent surgeries has raised concerns about increased risks … concurrent-and-overlapping-surgeries-additional-measures-warranted
https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
-
psnet.ahrq.gov/node/44889/psn-pdf
April 13, 2017 - psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
https://psnet.ahrq.gov/issue/risks-related-patient-bed-safety … https://psnet.ahrq.gov/issue/risks-related-patient-bed-safety
https://psnet.ahrq.gov/primer/high-reliability
-
psnet.ahrq.gov/node/45160/psn-pdf
May 18, 2016 - primary-care-closed-claims-experience-massachusetts-malpractice-insurers
https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures … -2015-annual-benchmarking-report
https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures
-
psnet.ahrq.gov/node/44484/psn-pdf
May 04, 2016 - Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. … Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation … human factors engineering method used to examine a
process in health care to identify potential safety risks … resource-intensive FMEA
with a simplified version, this analysis found that the simplified method identified risks
-
psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
January 17, 2017 - This Web site provides information on an initiative to reduce radiation exposure and mitigate risks … June 2, 2021
Safety considerations to mitigate the risks of misconnections with small-bore
-
psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems
March 09, 2016 - Workarounds indicate process weaknesses that can increase risks in health care. … February 26, 2014
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens
-
psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life
November 14, 2012 - factors to enhance safety of surgical care in ambulatory settings, such as adequate screening of patient risks … December 16, 2015
The risks of the prescribing cascade.
-
psnet.ahrq.gov/issue/insulin-pens-devices
August 31, 2016 - Articles in this special issue discuss recommendations developed to address risks associated with pen … 2018
High-alert medications: the safeguards that you should put in place to reduce risks
-
psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols
March 26, 2014 - article provides examples of this issue in medication administration, discusses factors that increase risks … Some IV medications are diluted unnecessarily in patient care areas, creating undue risk … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks
-
psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - • Recognize the importance of performing an unbiased and individualized
assessment of risks and benefits … • At this time, the benefits of prophylactic anticoagulation seem to outweigh the risks
associated … of
VTE and the risks of general anesthesia.
3. … into consideration the
risk of VTE and the risks associated with anticoagulation use near the time … should take into consideration the risk of VTE and the risks associated
with anticoagulation use near
-
psnet.ahrq.gov/node/45082/psn-pdf
April 27, 2016 - This newspaper article reports on new standards issued by the American College of
Surgeons to reduce risks … surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say
https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
-
psnet.ahrq.gov/node/43938/psn-pdf
March 18, 2015 - health information technology presents opportunities to improve patient safety, it can also
introduce risks … https://psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
-
psnet.ahrq.gov/issue/francis-report-one-year
April 02, 2014 - December 3, 2014
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient … April 23, 2014
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … November 20, 2013
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens
-
psnet.ahrq.gov/node/845356/psn-pdf
March 29, 2023 - issue/healthcare-simulation-dictionary-second-edition
https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards … https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards