-
psnet.ahrq.gov/node/33880/psn-pdf
May 01, 2019 - The 2018
guideline for fatigue risk management in EMS offers a roadmap to address this threat (18), … Shorter versus longer shift duration to mitigate fatigue and
fatigue-related risks in Emergency Medical … Teammate familiarity and risk of injury in emergency
medical services. … Absence and need for fatigue risk management in emergency medical
services. … Evidence-based guidelines for fatigue risk
management in emergency medical services.
-
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/node/47931/psn-pdf
January 01, 2020 - Managing risk in hazardous conditions: improvisation is
not enough. … Managing risk in hazardous conditions: improvisation is not enough. … https://psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
Health care … The authors suggest that acceptance of the inability to eliminate all risk, focus on known
problems, … /issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
https
-
psnet.ahrq.gov/node/44578/psn-pdf
February 24, 2016 - A new frontier in healthcare risk management: working to
reduce avoidable patient suffering. … A new frontier in healthcare risk management: Working to reduce avoidable patient
suffering. … J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.21207. … https://psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient … This commentary discusses the
role of risk management in reducing avoidable patient harm and solutions
-
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/49514/psn-pdf
July 01, 2006 - commonsense principles and the implementation of integrated medical
records could dramatically lessen the risks … significant hyperkalemia (K greater
than 6.0 mEq/L) early in the course of treatment, depending on other risk … First, RCTs typically enroll healthier patients,
systematically excluding those with other risk factors … Diabetes may be independent risk factor for hyperkalaemia. BMJ.
2003;327:812. … Patients with compromised renal perfusion (eg, volume contraction,
congestive heart failure) at greatest risk
-
psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - These tools have been used in high-risk industries and occupations such as aviation , manufacturing, … systems are widely used by health care organizations to ascertain and document adverse events or high-risk … organizational level and can promote shared learning within and across organizations to prevent or reduce risks … A risk priority number, generated using these variables, provides a quantitative estimate of the level … Resources
Patient Safety Innovations
Combined Proactive Risk
-
psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - Identify factors that place a patient at higher risk for death after abdominal surgery for a bowel
perforation … Atrial
fibrillation (not described here) and heart failure would put her at risk for an embolus to a … Mortality Risks Associated with Surgery
A retrospective analysis of patients with intestinal perforations … or large anatomical reconstruction
performed in this clinical situation would place the patient at risk … psnet.ahrq.gov//#25
https://psnet.ahrq.gov//#18
https://psnet.ahrq.gov//#16
https://psnet.ahrq.gov//#25
risks
-
psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - 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/node/72524/psn-pdf
January 01, 2021 - Keeping patients at risk for self-harm safe in the
emergency department: a protocolized approach. … Keeping patients at risk for self-harm safe in the emergency
department: a protocolized approach. … https://psnet.ahrq.gov/issue/keeping-patients-risk-self-harm-safe-emergency-department-protocolized- … https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/web-mm/suicide-risk-hospital
https … ://psnet.ahrq.gov/web-mm/suicide-risk-hospital
-
psnet.ahrq.gov/node/60621/psn-pdf
June 24, 2020 - Design and implementation of the infection prevention
program into risk management: managing high level … Design and implementation of the infection prevention program into risk
management: Managing high level … J Healthc Risk
Manag. 2020;40(1):44-49. doi:10.1002/jhrm.21407. … https://psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management- … Over a two-year period post-implementation, the system
identified and corrected high-risk practices,
-
psnet.ahrq.gov/node/853059/psn-pdf
August 30, 2023 - Anesthesia Risk Alert program: a proactive safety
initiative. … Anesthesia Risk Alert program: a proactive safety initiative. … https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative
Perioperative … This article describes the
development and implementation of the Anesthesia Risk Alert (ARA) program … address specific high-
risk clinical scenarios.
-
psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - In reality, the risks, adaptations, and workarounds that are typically identified through retrospective
-
psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - Preeclampsia is associated with high maternal and fetal risks, often leads to prematurity, and in most
-
psnet.ahrq.gov/node/46879/psn-pdf
September 24, 2018 - Epidemiology of and risk factors for harmful anti-infective
medication errors in a pediatric hospital … Epidemiology of and Risk Factors for Harmful Anti-Infective Medication
Errors in a Pediatric Hospital … https://psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors- … pediatric-hospital
Pediatric patients are at particularly high risk for medication errors. … focused on the highest risk medications.
-
psnet.ahrq.gov/node/837846/psn-pdf
August 17, 2022 - Quality measures for patients at risk of adverse outcomes
in the Veterans Health Administration: expert … Quality Measures for Patients at Risk of Adverse Outcomes
in the Veterans Health Administration. … https://psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-
administration-expert-panel … Patients with chronic or complex healthcare needs are at increased risk of adverse events such as … measures to assess the safety and
quality of primary care for patients with complex care needs at high risk
-
psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - Upper-extremity trauma enhances the risk of upper-
extremity DVT.(10) The risk of symptomatic PE in … Although permanent IVC filters reduce the risk of PE, there is a tradeoff: the
risk of DVT at 1 year … Each risk factor was weighted according to
a point scale: the major risk factors of cancer, prior VTE … An increased risk of VTE was defined as a cumulative risk score of at least 4. … Take-Home Points
Know the common VTE risk factors.
-
psnet.ahrq.gov/node/36583/psn-pdf
January 14, 2011 - The effect of workload on infection risk in critically ill
patients. … The effect of workload on infection risk in critically ill patients. … https://psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
Lower nurse-to-patient … , after controlling for patient risk factors. … /issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
https
-
psnet.ahrq.gov/node/60610/psn-pdf
June 24, 2020 - findings combined with transvaginal ultrasound
imaging have greater or similar accuracy and lower risks … replace laparoscopy.21 Shared decision-making about surgery should include a clear
explanation of the risks
-
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