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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
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psnet.ahrq.gov/issue/root-cause-analysis-playbook
July 05, 2017 - Chicago, IL: American Society for Healthcare Risk Management; 2015. … Risk management has recently focused on organization-wide improvement in patient safety. … Chicago, IL: American Society for Healthcare Risk Management; 2015. … November 30, 2016
Risk Management Pearls for Medication Safety: Part I and Part II. … February 19, 2014
Risk Management Pearls on Disclosure of Adverse Events.
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - Objectives At the conclusion of this educational activity, participants should be able to: Describe the risk … Patients with a previous history of awareness during general anesthesia are also at increased risk. … Intravenous anesthesia comes with the inherent risks of disconnection at a Luer lock, tissue infiltration … The risk of awareness is reduced with benzodiazepines. … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks
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psnet.ahrq.gov/node/838012/psn-pdf
September 07, 2022 - The physiology of failure: identifying risk factors for
mortality in emergency general surgery patients … The physiology of failure: identifying risk factors for
mortality in emergency general surgery patients … -
patients
Emergency surgery carries an increased risk of death compared to elective surgery. … This study used a
regional electronic health record (EHR) to examine clinical risk factors associated … Risk factors for both inpatient and 1-year mortality included older age,
underweight, neutropenia, and
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psnet.ahrq.gov/node/46603/psn-pdf
April 12, 2019 - Comparison of internal medicine and general surgery
residents' assessments of risk of postsurgical … Comparison of Internal Medicine and General Surgery Residents'
Assessments of Risk of Postsurgical Complications … Perioperative complication risk assessment is a critical skill for physician trainees as it shapes … cross-sectional
survey compared internal medicine and surgery residents' gestalt assessment of perioperative risk … While surgical residents
were more confident in their estimates than internists, both overestimated risk
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psnet.ahrq.gov/node/46290/psn-pdf
January 01, 2021 - Using prospective risk analysis tools to improve safety in
pharmacy settings: a systematic review and … Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy
Settings: A Systematic Review and … https://psnet.ahrq.gov/issue/using-prospective-risk-analysis-tools-improve-safety-pharmacy-settings- … This narrative review found that failure mode and effect analysis and sociotechnical probabilistic risk … https://psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies
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psnet.ahrq.gov/node/49477/psn-pdf
April 01, 2005 - narrow window of time, the potential benefits of thrombolysis are thought to be
outweighed by the real risk … administration of tPA to a patient whose INR was supratherapeutic (above 3)
undoubtedly placed her at increased risk … Because weighing the risks and benefits of tPA administration in acute ischemic stroke is complex,
institution-specific … Medication Practices (ISMP) considers tPA a “high-alert” medication (7
)—one that bears a heightened risk
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psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
May 20, 2019 - Book/Report
Classic
Clinical Risk Management. … Citation Text:
Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Vincent CA, ed. … Vincent has updated his text on risk management, infusing it with concepts directly related to patient … May 20, 2019
Journal of Patient Safety and Risk Management. … September 30, 2020
Patient Safety Risk Management Playbook.
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psnet.ahrq.gov/node/40164/psn-pdf
February 15, 2011 - Patient risk factors for medical injury: a case–control
study. … Patient risk factors for medical injury: a case-control study. … https://psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
This study observed … an increased risk for medical injuries in patients with higher severity of illness, higher
risk of … /issue/identifying-risk-factors-medical-injury
https://psnet.ahrq.gov/issue/preventing-medical-injury
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psnet.ahrq.gov/node/36841/psn-pdf
December 31, 2014 - Using medical malpractice closed claims data to reduce
surgical risk and improve patient safety. … Using medical malpractice closed claims data to reduce surgical risk and
improve patient safety. … https://psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and- … improve-patient-safety
The authors describe a risk management strategy using closed claims data to identify … risk exposures
and inform patient safety educational efforts.
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - pharmacist's role in medication safety, the medication-use process is highly
complex with many steps and risk … Outside of the hospital setting, patients and caregivers are also at high risk for making errors. … Patient education is a core component of medication management, particularly with high-risk medications … The ISMP recommends a multipronged
approach to mitigating risk with use of these agents. … ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017
https://psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
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psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - predictable rate, despite competent, well-meaning personnel.( 4 ) Given the inherent complexity and risk … Other risk factors for specimen loss or misprocessing include reliance on individuals to do the right … Ideally, an integrated EHR and LIS reduces risk by allowing pathology personnel to electronically track … Given that specimens are still transported, barcoded, processed, and accessioned manually, risks associated … Specimen reconciliation alerts laboratory staff to pending specimens and diminishes the risk of loss
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psnet.ahrq.gov/node/836959/psn-pdf
April 20, 2022 - Safety of elderly fallers: identifying associated risk
factors for 30-day unplanned readmissions using … Safety of elderly fallers: identifying associated risk factors for 30-
day unplanned readmissions using … -
readmissions
Older adults are at high risk for 30-day unplanned hospital readmission. … This study identified patient-level
risk factors among patients 75 years or older who were initially … Risk
factors included being a male, abnormal concentration of C-reactive protein, and anemia.
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psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related … Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related … https://psnet.ahrq.gov/issue/patient-race-and-opioid-misuse-history-influence-provider-risk-perceptions … -
future-opioid
Potentially inappropriate opioid prescribing increases risk of patient harm and misuse … written vignettes to explore how patient race and previous opioid misuse behaviors impact
providers’ risk
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
April 01, 2008 - reactions
Clostridium difficile colitis
Anaphylaxis
Autoimmune hemolysis
Antibiotics Confer Risks
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psnet.ahrq.gov/node/60520/psn-pdf
May 27, 2020 - Epidemiology of and risk factors for coronavirus infection
in health care workers: a living rapid review … Epidemiology of and risk factors for coronavirus infection in health care
workers: a living rapid review … https://psnet.ahrq.gov/issue/epidemiology-and-risk-factors-coronavirus-infection-health-care-workers-living … -
rapid-review
Viral outbreaks such as the COVID-19 pandemic place healthcare workers at risk for both … Respiratory Syndrome (SARS), and Middle East Respiratory Syndrome (MERS)
on healthcare workers and risk
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psnet.ahrq.gov/node/41797/psn-pdf
August 20, 2018 - Risk models to improve safety of dispensing high-alert
medications in community pharmacies. … Risk models to improve safety of dispensing high-alert
medications in community pharmacies. … https://psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community- … pharmacies
Sociotechnical probabilistic risk assessment—a prospective method of identifying potential … patient safety
hazards—was used to assess the risk for medication errors in community pharmacies.
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psnet.ahrq.gov/node/41303/psn-pdf
March 11, 2013 - Clinical risk management in hospitals: strategy, central
coordination and dialogue as key enablers. … Clinical risk management in hospitals: strategy, central coordination and
dialogue as key enablers. … https://psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue … survey identifies key organizational factors that help hospitals establish a comprehensive
clinical risk … https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
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psnet.ahrq.gov/node/43218/psn-pdf
July 28, 2014 - Risk management—learning from the mistakes of others.
July 28, 2014
Meydan C. … Risk management--learning from the mistakes of others. J Eval Clin Pract. 2014;20(4):505-7. … https://psnet.ahrq.gov/issue/risk-management-learning-mistakes-others
This commentary introduces a structured … https://psnet.ahrq.gov/issue/risk-management-learning-mistakes-others
https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety … https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety
https://psnet.ahrq.gov/issue
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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