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Showing results for "risks".

361. Misidentification of alphanumeric symbols. | PSNet
     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

362. The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. | PSNet
     psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
     August 06, 2016 - expands upon the ground covered in Reason’s two other classic texts, Human Error and Managing the Risks … July 13, 2016 Managing the Risks of Organizational Accidents. … March 27, 2005 Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45548/psn-pdf
     March 01, 2017 - mHealth and mobile medical apps: a framework to assess risk and promote safer use. … March 1, 2017 Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and promote … https://psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer- … This commentary discusses the potential risks associated with mobile applications and describes a framework … to guide developers, clinicians, and patients who use the technologies to manage those risks.

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49643/psn-pdf
     December 01, 2011 - 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 … Take-Home Points Caregivers should share the risks and benefits of their recommended treatment with … Failing the acid test: benefits of proton pump inhibitors may not justify the risks for many users.

365. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet
     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.

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45609/psn-pdf
     November 16, 2016 - effect analysis (HFMEA) was developed by the Veterans Affairs health system to prospectively identify risks … This review discusses how HFMEA can be used in radiotherapy to uncover risks and suggests limitations

367. Distractions in the operating room. | PSNet
     psnet.ahrq.gov/issue/distractions-operating-room
     March 13, 2013 - Operating rooms are complex environments with particular risks regarding interruptions and distractions … February 20, 2013 When surgery goes wrong: weighing up the risks.

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45848/psn-pdf
     November 19, 2018 - new-horizons-patient-safety-understanding-communication-case-studies-physicians https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures … -2015-annual-benchmarking-report https://psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care

369. Human Factors and Medical Devices. | PSNet
     psnet.ahrq.gov/issue/human-factors-and-medical-devices
     July 31, 2012 - Human factors engineering (HFE) helps improve human performance and reduce the risks associated with … June 2, 2021 Safety considerations to mitigate the risks of misconnections with small-bore

370. Human Error. | PSNet
     psnet.ahrq.gov/issue/human-error
     March 06, 2005 - His book Managing the Risks of Organizational Accidents is less theoretical and may be more appropriate … March 3, 2025 Managing the Risks of Organizational Accidents.

371. The path to safe and reliable healthcare. | PSNet
     psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
     August 20, 2018 - This commentary describes a model that aims to improve health care quality by analyzing potential risks … View More Related Resources Targeting zero harm: a stretch goal that risks

372. Medical malpractice liability in the age of electronic health records. | PSNet
     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.

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33856/psn-pdf
     April 01, 2018 - first 3 weeks after discharge, with 61% of those events regarded as preventable or ameliorable.(2) Risks … There are a number of interventions that may reduce risk of harm after discharge. … Improvements in health care technology enhance our abilities to assess risks and deliver interventions … Conclusion Besides facing the risks of hospitalization, patients also face significant risks upon discharge … Post-hospital syndrome–an acquired, transient condition of generalized risk.

374. What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. | PSNet
     psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use
     September 14, 2016 - If cost-saving decisions are made without adequate consideration, they can increase risks . … September 14, 2016 Selected medication safety risks to manage in 2016 that might otherwise … May 7, 2018 Don't underestimate the impact of change on risk potential. … October 13, 2010 Clear liquids may place patients at risk.

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43040/psn-pdf
     March 05, 2014 - Framework for analysing risk and safety in clinical medicine. … Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. … https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0 This commentary … https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0 https://psnet.ahrq.gov … /primer/systems-approach https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents https:/

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49753/psn-pdf
     February 01, 2016 - Robotic Surgery: Risks vs. Rewards February 1, 2016 Kirkpatrick T, LaGrange C. … Robotic Surgery: Risks vs. Rewards. PSNet [internet]. 2016. … the robotic technology would allow for smaller incisions, better control of the instruments, lower risk … Risks of Robotic-assisted Surgery RAS shares the same risks of open and laparoscopic surgery, including … Appropriate Risk Disclosure to Patients The idea of robotic surgery is very enticing to patients and

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861881/psn-pdf
     January 31, 2024 - focus and investments on quality and safety were on developing strategies and methods to mitigate risks … And that lack leads to risks and quality and safety gaps. … There’s also risks associated with radiation. … Ric Ricciardi: The risk of medication error occurs at many points throughout the system. … what medications they are taking, and then you prescribe a medication that may put the patient at risk

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45276/psn-pdf
     September 29, 2017 - This systematic review found that providers' expectations surrounding the risks and benefits of tests … when-medical-care-leads-harm-difficulty-finding-words-teachable-moment https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45939/psn-pdf
     March 01, 2017 - examining-copy-and-paste-function-use-electronic-health-records Copying and pasting information in electronic health records can introduce risks … https://psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45649/psn-pdf
     November 30, 2016 - affect their decision to request diagnostic imaging and raise clinician awareness around radiation risks … ://psnet.ahrq.gov/perspective/overuse-patient-safety-problem https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging