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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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.
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. 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.
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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.
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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.
  10. 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.
  11. 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.
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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.
  14. Psn-Pdf (pdf file)

    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.
  15. 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
  16. Psn-Pdf (pdf file)

    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.
  17. 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.
  18. 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
  19. 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
  20. Psn-Pdf (pdf file)

    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

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