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Showing results for "risks".

3941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40172/psn-pdf
      January 26, 2011 - Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication … Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code-assisted medication … https://psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code- … This study observed that neonates receiving opioids in the intensive care setting were at increased risk … Implementation of a bar-code–assisted medication administration system reduced the risk of harm from

3942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865677/psn-pdf
      April 24, 2024 - The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. … The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. … https://psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk- … This study evaluated the impact of video monitoring (VM) plus in-person sitters on falls among high-risk … The researchers found that patients admitted after VM implementation had a lower risk of falls.

3943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44844/psn-pdf
      March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. … From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. … J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205. … https://psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective This … management to provide guidance in how risk managers can help reduce diagnostic errors.

3944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47846/psn-pdf
      March 06, 2019 - Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl … Assessment of the FDA Risk Evaluation and Mitigation Strategy for Transmucosal Immediate-Release Fentanyl … https://psnet.ahrq.gov/issue/assessment-fda-risk-evaluation-and-mitigation-strategy-transmucosal- immediate-release … Researchers assessed the effectiveness of the Food and Drug Administration (FDA) Risk Evaluation and … Strategy in preventing inappropriate prescribing of transmucosal immediate-release fentanyl, high-risk

3945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46849/psn-pdf
      May 23, 2018 - 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). … May 23, 2018 Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach … https://psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign- … Needs assessments, multidisciplinary engagement, risk classification, and modeling approaches were employed … https://psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos

3946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47409/psn-pdf
      April 16, 2019 - Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff … Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff … J Healthc Risk Manag. 2019;38(4):32-42. doi:10.1002/jhrm.21349. … https://psnet.ahrq.gov/issue/health-care-risk-managers-consensus-management-inappropriate-behaviors- … In this study, hospital risk managers developed a set of consensus recommendations for how to manage

3947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837699/psn-pdf
      July 20, 2022 - Influence of a general practice pharmacist on medication management for patients at risk of medicine-related … Influence of a general practice pharmacist on medication management for patients at risk of medicine-related … https://psnet.ahrq.gov/issue/influence-general-practice-pharmacist-medication-management-patients-risk … pharmacist involvement, and medication reconciliation are used to reduce polypharmacy and use of high-risk … this study, a pharmacist was embedded in general practice to support medication management of high-risk

3948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863753/psn-pdf
      March 06, 2024 - Towards a common framework to support decision- making in high-risk, low-time environments. … risk, low?time environments. … https://psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time- environments … Medical emergencies are high-risk situations requiring rapid decision making. … Act Review (SPAR-CD) framework developed in urban fire services which can be applied in other high-risk

3949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849328/psn-pdf
      May 24, 2023 - Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments … Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments … J Healthc Risk Manag. 2023;43(1):26-31. doi:10.1002/jhrm.21537. … /psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive- risk-assessments … This commentary describes how a third-party proactive risk assessment, ideally prior to the merger,

3950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35497/psn-pdf
      June 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … https://psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy- … Findings suggested major improvements and risk reduction resulting from the reengineering process, with … https://psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process

3951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49692/psn-pdf
      September 01, 2013 - The adverse event was not due to a resident's failure to recognize certain pathology or the risk that … resulted in a better solution (one wonders, for example, whether the hospital's chair of radiology, risk … manager, and privacy officer knew about the situation and its potential risks to patient care). … Hemphill, MD, MPH Chief Safety and Risk Awareness Officer, Veterans Health Administration Director, … Weekend admission to hospital has a higher risk of death in the elective setting than in the emergency

3952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37557/psn-pdf
      February 27, 2008 - Learning from patient safety incidents: creating participative risk regulation in healthcare. … Learning from patient safety incidents: Creating participative risk regulation in healthcare. … Health Risk Soc. 2008;10(1). doi:10.1080/13698570701782452. … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare

3953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843051/psn-pdf
      February 01, 2023 - Up to 14% of post-ACSS complications are airway-related.13 Understanding these risks, many spine surgeons … Post-thyroidectomy bleeding: analysis of risk factors from a national registry. … A multi-institutional international study of risk factors for hematoma after thyroidectomy. … Reoperation for bleeding after thyroid and parathyroid surgery: incidence, risk factors, prevention, … Risk factors for postoperative retropharyngeal hematoma after anterior cervical spine surgery.

3954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40024/psn-pdf
      December 21, 2014 - Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after … Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after … https://psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413 … Although these errors are rare, prior studies in adults have defined risk factors for retained instruments … https://psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413

3955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45911/psn-pdf
      June 27, 2018 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative … Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications … https://psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk- … surgeons who had received unsolicited patient concerns via the reporting system were at increased risk … surgeons, surgeons in the highest quartile of unsolicited observations had an approximately 14% higher risk

3956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34932/psn-pdf
      April 06, 2011 - Do split-side rails present an increased risk to patient safety? … Do split-side rails present an increased risk to patient safety? … https://psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety Although this … The authors remind health care practitioners to follow guidelines for risk assessment and bed rail use … https://psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety

3957. A Painful Medication Reconciliation Mishap | PSNet
      psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
      May 01, 2008 - The provider overrode the drug–drug interaction alert regarding the risk of simultaneously prescribing … Its use is associated with a reduction in the risk of heavy drinking (relative risk 0.83 compared with … include nausea, headache, and dizziness (all of which often resolve with ongoing use), as well as a risk … November 16, 2022 The effectiveness and risks of long-term opioid therapy for chronic … June 14, 2019 Epidemiology of and risk factors for coronavirus infection in health care

3958. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
      psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
      January 29, 2021 - 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 … negative prognostic factor for both small bowel 20 and colonic perforations. 21 Other identified risk … or large anatomical reconstruction performed in this clinical situation would place the patient at risk … severe abdominal sepsis may be fatal, as in this case, but overuse of surgery exposes patients to the risks

3959. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
      December 31, 2024 - The risk of missing the diagnosis of PE must be balanced against the risk of overtesting, which can lead … When patients have more than negligible risk and cannot be ruled out for PE with PERC, additional risk … clinicians must balance missing a diagnosis like PE against the likelihood of the favored diagnosis and risks … Catheter-directed Thrombolysis for Intermediate-Risk Pulmonary Embolism. … Risk of deep vein thrombosis and pulmonary embolism in asthma.

3960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838184/psn-pdf
      September 28, 2022 - The hidden risk of wheelchair use. September 28, 2022 Quesenberry M. … The hidden risk of wheelchair use. Patient Safety. 2022;4(3):6-9. doi:10.33940/alert/2022.9.1. … https://psnet.ahrq.gov/issue/hidden-risk-wheelchair-use Medical devices intended to improve patient … This patient safety alert draws attention to the risk of injury when hospital wheelchairs are used by … https://psnet.ahrq.gov/issue/hidden-risk-wheelchair-use https://psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety