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Showing results for "risks".

3961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37086/psn-pdf
      October 03, 2011 - Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury … - prevention The author discusses the importance of proactive risk assessment and provides insights … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention

3962. Psn-Pdf (pdf file)
      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

3963. Strategies and Approaches for Investigating Patient Safety Events | PSNet
      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

3964. Work overload is related to increased risk of error during chemotherapy preparation. | PSNet
      psnet.ahrq.gov/issue/work-overload-related-increased-risk-error-during-chemotherapy-preparation
      June 30, 2011 - Study Work overload is related to increased risk of error during chemotherapy preparation … Work overload is related to increased risk of error during chemotherapy preparation. … Investigators found that as the volume of work increased, so did the risk of errors. … Work overload is related to increased risk of error during chemotherapy preparation. … May 27, 2011 Risk and pharmacoeconomic analyses of the injectable medication process

3965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/858164/psn-pdf
      December 13, 2023 - Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. … Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. … https://psnet.ahrq.gov/issue/risk-adjusted-cumulative-sum-early-detection-hospitals-excess-perioperative … data from the Veterans Affairs Surgical Quality Improvement Program to identify hospitals with excess risk-adjusted … https://psnet.ahrq.gov/issue/risk-adjusted-cumulative-sum-early-detection-hospitals-excess-perioperative-mortality

3966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867519/psn-pdf
      January 15, 2025 - High-risk medication errors: insight from the UK National Reporting and Learning System. … High-risk medication errors: Insight from the UK National Reporting and learning system. … https://psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system … Errors involving high-risk medications have the potential to cause serious harm or death. … study, incident reports from the UK's National Reporting and Learning System involving three high-risk

3967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867589/psn-pdf
      January 22, 2025 - A machine learning-based clinical predictive tool to identify patients at high risk of medication errors … A machine learning-based clinical predictive tool to identify patients at high risk of medication errors … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk … medication-errors Pharmacist-led medication reconciliation is resource intensive; targeting patients most at risk … In this study, a machine learning (ML) tool was developed to identify hospitalized patients at risk

3968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74832/psn-pdf
      February 16, 2022 - Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors … Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors … psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence- and-linked-risk … Labor and delivery units are high-risk care environments. … position; organizational errors; inadequate fetal monitoring; medication error) and 19 associated risk

3969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46009/psn-pdf
      September 13, 2017 - Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals … Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals … https://psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older- people-australian … Standardized screening tools are frequently used to assess risk among hospitalized older patients to … methods study of 11 health services across Victoria, Australia, found that skin integrity and fall risk

3970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73348/psn-pdf
      June 02, 2021 - Association of opioid consumption profiles after hospitalization with risk of adverse health care events … Association of opioid consumption profiles after hospitalization with risk of adverse health care events … https://psnet.ahrq.gov/issue/association-opioid-consumption-profiles-after-hospitalization-risk-adverse … Longer duration of use and higher daily dose were associated with increased risk of adverse events. … https://psnet.ahrq.gov/issue/association-opioid-consumption-profiles-after-hospitalization-risk-adverse-health-care-events

3971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837341/psn-pdf
      June 08, 2022 - Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions … Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions … https://psnet.ahrq.gov/issue/risk-delayed-or-missed-care-and-non-covid-19-outcomes-older-patients- chronic-conditions … Medicare patients, this study explored the impact of the COVID-19 pandemic on patients who may be at risk … Researchers found that patients with four or more indicators for risk of missed or delayed care (e.g

3972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35907/psn-pdf
      October 03, 2017 - Transparent and open discussion of errors does not increase malpractice risk in trauma patients. … Transparent and open discussion of errors does not increase malpractice risk in trauma patients. … https://psnet.ahrq.gov/issue/transparent-and-open-discussion-errors-does-not-increase-malpractice-risk … discussion of cases at traditional morbidity and mortality (M&M) conferences did not lead to increased risk … Investigators at a single academic institution used a trauma registry (risk-management database) along

3973. New Oral Anticoagulants | PSNet
      psnet.ahrq.gov/web-mm/new-oral-anticoagulants
      July 01, 2011 - Anticoagulants are contraindicated at the time of insertion or removal due to bleeding risk.) … her surgery and then restarted on the second hospital day, presumably when the surgeon believed the risk … above or in patients with recent large hemorrhage at risk for recurrent hemorrhage. … Bleeding risk with dabigatran in the frail elderly. N Engl J Med. 2012;366:864-866. … Risks of Intraosseous Vascular Access August 21, 2014 WebM&M Cases

3974. Spotlight Nstemi (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
      January 01, 2020 - Score may inaccurately predict CVD risk in women affected earlier in life by stroke, angina, or heart … of MACE - Women hospitalized for ACS also have increased risk of complications (i.e. re- infarction … Association of History of Gestational Diabetes With Long-term Cardiovascular Disease Risk in a Large … Predictors of cardiovascular risk in women. Womens Health (Lond). 2013;9(5):491-8. 13. Finks S. … Legal risks of "curbside" consults. Am J Cardiol. 2010;106(1):135-8. 36.

3975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49829/psn-pdf
      May 01, 2018 - , if such a solution does emerge, it needs to be implemented across the health system to avoid the risks … Successful risk assessment may not always lead to successful risk control: a systematic literature review … of risk control after root cause analysis. … J Healthc Risk Manag. 2012;31:6-12. [go to PubMed] 18. … of risk controls approach in healthcare.

3976. Psn-Pdf (pdf file)
      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

3977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37862/psn-pdf
      April 22, 2011 - Impact of patient communication problems on the risk of preventable adverse events in acute care settings … Impact of patient communication problems on the risk of preventable adverse events in acute care settings … https://psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events- … Patients with communication difficulties, including deafness or language barriers, had an increased risk … https://psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings

3978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42743/psn-pdf
      November 20, 2013 - Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice … Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice … J Healthc Risk Manag. 2013;33(2):27-35. doi:10.1002/jhrm.21124. … https://psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting … https://psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner

3979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41827/psn-pdf
      November 21, 2012 - Dementia and risk of adverse warfarin-related events in the nursing home setting. … Dementia and risk of adverse warfarin-related events in the nursing home setting. … https://psnet.ahrq.gov/issue/dementia-and-risk-adverse-warfarin-related-events-nursing-home-setting … Dementia appeared to be an independent risk factor for medication errors among a cohort of geriatric … Increased nursing staff time seemed to mitigate this risk.

3980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37286/psn-pdf
      December 23, 2011 - Different roles, same goal: risk and quality management partnering for patient safety. … Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. … https://psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient … - safety-ashrm This monograph describes how a coordinated effort between hospital risk management and … https://psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm