-
psnet.ahrq.gov/node/46781/psn-pdf
August 20, 2018 - Learning from high risk industries may not be
straightforward: a qualitative study of the hierarchy … of
risk controls approach in healthcare. … of risk controls approach in healthcare. … https://psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk … https://psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
-
psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - High-risk medications in hospitalized elderly adults: are
we making it easy to do the wrong thing? … High-Risk Medications in Hospitalized Elderly Adults: Are
We Making It Easy to Do the Wrong Thing? … https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do … Although limited
evidence supports fall prevention strategies, the use of certain high-risk medications … in older adults is
known to increase fall risk.
-
psnet.ahrq.gov/node/41885/psn-pdf
April 17, 2013 - Deviation from a preoperative surgical and anaesthetic
care plan is associated with increased risk of … Deviation from a preoperative surgical and anaesthetic care plan is
associated with increased risk of … Deviations from the previously agreed upon perioperative care plan were associated with an increased risk … Unplanned changes in surgical procedures have been previously
associated with higher risk for retained … /issue/risk-factors-retained-instruments-and-sponges-after-surgery
-
psnet.ahrq.gov/node/44678/psn-pdf
July 05, 2017 - Patient Safety Risk Management Playbook. … July 5, 2017
Chicago, IL: American Society for Healthcare Risk Management; 2015. … https://psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
Proactive risk management is an … Exploring principles
of high reliability and enterprise risk management, this publication discusses … https://psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety
-
psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
January 13, 2016 - Chicago, IL: American Society of Healthcare Risk Management; 2002. … The implementation and application of proactive risk assessment is reviewed. … Chicago, IL: American Society of Healthcare Risk Management; 2002. … February 17, 2009
Patient Safety Risk Management Playbook. … February 19, 2014
Risk Management Pearls on Disclosure of Adverse Events.
-
psnet.ahrq.gov/node/34679/psn-pdf
February 09, 2011 - Patient complaints and malpractice risk. … Patient complaints and malpractice risk. JAMA.
2002;287(22):2951-7. … Both patient complaints and risk management events were higher for
surgeons than nonsurgeons. … Both complaint and risk management data were positively correlated with
clinical volume. … https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
-
psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - Discuss patient safety risks of anticoagulation. … he was found to have an INR of 4.0
(an abnormally high level that is associated with an increased risk … of thromboembolism, including
the risk of stroke in patients with atrial fibrillation (the indication … INRs raise the bleeding risk.(4) Patients face
particular risk for both subtherapeutic and supratherapeutic … Risk of thromboembolism with short-term interruption of warfarin
therapy.
-
psnet.ahrq.gov/node/45835/psn-pdf
February 01, 2017 - Deploying and measuring a risk and patient safety
program. … Deploying and measuring a risk and patient safety program. … J
Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266. … https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-program
Risk management … https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-program
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - risks over- and under-triage. … Triage tools should be improved to better identify high-risk presentations, given anatomic and physiologic … previous PSNet Cases and Commentaries have described, ED and hospital crowding are major public
health risks … Patients with
high-risk complaints (e.g., stroke symptoms) are prioritized for triage. … Emergency department crowding and risk of preventable
medical errors.
-
psnet.ahrq.gov/issue/growing-role-patient-safety-officer-implications-risk-managers
February 17, 2009 - Book/Report
The growing role of the Patient Safety Officer: implications for risk … Citation Text:
The growing role of the Patient Safety Officer: implications for risk managers. … Chicago, IL: American Society of Healthcare Risk Management; 2004. … Chicago, IL: American Society of Healthcare Risk Management; 2004. … February 17, 2009
Patient Safety Risk Management Playbook.
-
psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
May 14, 2018 - May 14, 2018
Radiation risks of diagnostic imaging and fluoroscopy. … May 23, 2018
Managing the risks of direct oral anticoagulants.
-
psnet.ahrq.gov/node/866909/psn-pdf
October 09, 2024 - General practitioners' risk literacy and real-world
prescribing of potentially hazardous drugs: a cross … https://psnet.ahrq.gov/issue/general-practitioners-risk-literacy-and-real-world-prescribing-potentially … included 304 general practice physicians in the United Kingdom and explored the
association between risk … physician’s ability to understand numerical statistical information, such
as relative vs absolute risk … hazardous drugs (e.g., opioids, gabapentin, benzodiazepines) compared with physicians with low risk
-
psnet.ahrq.gov/node/862600/psn-pdf
February 14, 2024 - of computerised decision support alerts
tailored to intensive care on the administration of high-
risk … effect of computerised decision support alerts
tailored to intensive care on the administration of high-risk … support systems (CDSS) produce numerous low-relevance
alerts, leading to high override rates and the risk … In this study, alerts for high-risk
drug-drug interactions (DDI) were tailored to the intensive care … The tailored alerts led to a 12%
decrease in high-risk DDI administrations.
-
psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - concentrations to maximize efficacy and minimize toxicity, particularly those who have concomitant risk … The risk of
nephrotoxicity is strongly associated with dose and duration of therapy, compounded by the … presence of
other risk factors such as concomitant receipt of nephrotoxins or vasopressor therapy and … factors and 2%-8% in the absence of concomitant
risks.(8-10,12)
Medication records of patients transferring … Vancomycin-associated nephrotoxicity: a critical appraisal
of risk with high-dose therapy.
-
psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
June 18, 2014 - January 5, 2017
Safety risks associated with physical interactions between patients and … February 3, 2010
Insulin treatment as a tracer for identifying latent patient safety risks
-
psnet.ahrq.gov/node/49401/psn-pdf
May 01, 2003 - On screening for suicide risk
factors, the patient admitted to possessing a handgun. … assessment be conducted.(10) Systematic suicide risk
assessment allows the clinician to weigh risk … The No Harm Contract in the emergency assessment of suicidal risk. … The suicide prevention contract: clinical, legal, and risk management issues. … Assessing and managing suicide risk: guidelines for clinically-based risk management.
-
psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - An infectious diseases consult subsequently counseled the family regarding potential risks from using … This "perso n" approach results in a reactive risk management solution. … Shift the paradigm from reactive risk management to proactive management. … The risk of high parental anxiety is much greater than the risk of disease transmission from a breast-milk … error; however, the risk is not zero.
-
psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident
August 10, 2011 - Related Resources From the Same Author(s)
Accountability, organisational learning and risks … April 8, 2020
Patient safety risks associated with telecare: a systematic review and
-
psnet.ahrq.gov/issue/insulin-pump-associated-adverse-events-qualitative-descriptive-study-clinical-consequences
May 19, 2018 - November 30, 2011
View More
Related Resources
Risks to Medication … June 16, 2019
Unintended patient safety risks due to wireless smart infusion pump library
-
psnet.ahrq.gov/node/40386/psn-pdf
April 13, 2011 - psnet.ahrq.gov/issue/medication-errors-common-hospital-diabetes
This news article discusses medication safety risks