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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41762/psn-pdf
    May 03, 2017 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract … https://psnet.ahrq.gov/issue/improving-measurement-surgical-site-infection-risk-stratificationoutcome … surgical site infections (SSIs), evaluates a computer- assisted algorithm to identify patients at risk … for SSIs, and makes recommendations to investigate surgery- specific risk factors. … https://psnet.ahrq.gov/issue/improving-measurement-surgical-site-infection-risk-stratificationoutcome-detection-final
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39865/psn-pdf
    May 28, 2014 - Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third … utilize the Failure Mode and Effects Analysis in response to Joint Commission standards for proactive risk … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35628/psn-pdf
    June 23, 2010 - Medical professional liability insurance and its relation to medical error and healthcare risk management … Medical professional liability insurance and its relation to medical error and healthcare risk management … psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and- healthcare-risk … history of medical liability insurance, its relationship to the patient safety movement, and the role risk … psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk
  4. psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
    August 14, 2024 - 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.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33882/psn-pdf
    June 01, 2019 - In reality, the risks, adaptations, and workarounds that are typically identified through retrospective
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39185/psn-pdf
    January 06, 2010 - Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety … Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety … https://psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve … - patient-safety Specific labels for high-risk intravenous medications successfully reduced medication … https://psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46638/psn-pdf
    July 23, 2018 - Operating at night does not increase the risk of intraoperative adverse events. … Operating at night does not increase the risk of intraoperative adverse events. … https://psnet.ahrq.gov/issue/operating-night-does-not-increase-risk-intraoperative-adverse-events Decreased … hospital staffing on nights and weekends has been associated with a greater risk of adverse outcomes … https://psnet.ahrq.gov/issue/operating-night-does-not-increase-risk-intraoperative-adverse-events https
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839817/psn-pdf
    January 01, 2023 - Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity … Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity … Risk Anal. 2023;43(9):1902-1916. doi:10.1111/risa.14053. … https://psnet.ahrq.gov/issue/ethical-leadership-supports-safety-voice-increasing-risk-perception-and- … voice (comfort speaking up about COVID-19), ethical ambiguity regarding work responsibilities, and risk
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44095/psn-pdf
    May 13, 2015 - Retained foreign bodies: risk and outcomes at the national level. … Retained foreign bodies: risk and outcomes at the national level. … https://psnet.ahrq.gov/issue/retained-foreign-bodies-risk-and-outcomes-national-level Leaving a surgical … This retrospective cross-sectional study sought to identify risk factors and outcomes of retained foreign … Risk of retained surgical items was highest in teaching hospitals.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36691/psn-pdf
    January 18, 2011 - The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional … The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional … https://psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross … patients presenting to a South African emergency department and identified factors associated with risk … https://psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46329/psn-pdf
    September 06, 2017 - Risk factors of missed colorectal lesions after colonoscopy. … Risk factors of missed colorectal lesions after colonoscopy. … https://psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy Failure to detect … The authors caution that there is significant risk of missing abnormal findings on colonoscopy. … https://psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy https://psnet.ahrq.gov
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60057/psn-pdf
    March 18, 2020 - How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies … How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies … https://psnet.ahrq.gov/issue/how-does-who-surgical-safety-checklist-fit-existing-perioperative-risk- … perioperative teams integrate surgical safety checklists into daily surgical practice and existing risk … communication, and the tool is most effective when it is an integrated part of the multidisciplinary risk
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60023/psn-pdf
    March 11, 2020 - Patient-related factors associated with an increased risk of being a reported case of preventable harm … Patient-related factors associated with an increased risk of being a reported case of preventable harm … https://psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case- … This case-control study explores patient-related factors that place patients at an increased risk for … some association with preventable harm, researchers found that psychiatric illness nearly doubled the risk
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72843/psn-pdf
    March 17, 2021 - COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric … COVID-19 increased the risk of ICU-acquired bloodstream infections: a case–cohort study from the multicentric … https://psnet.ahrq.gov/issue/covid-19-increased-risk-icu-acquired-bloodstream-infections-case-cohort- … COVID-19 pandemic has led to changes in infection prevention and control practices and increased the risk … matched case-cohort study, researchers found that after 7 days in the intensive care unit (ICU), the risk
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45328/psn-pdf
    July 27, 2018 - Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes … Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes … https://psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse … - outcomes Identifying patients at high risk of readmission following hospital discharge is a patient … Patients with multiple abnormal vital signs were at highest risk for readmission.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60987/psn-pdf
    October 07, 2020 - Process failures that increase the risk of infection through respiratory droplets: a study of patient … Process failures that increase the risk of infection through respiratory droplets: a study of patient … https://psnet.ahrq.gov/issue/process-failures-increase-risk-infection-through-respiratory-droplets-study … The authors also discuss risk- reduction strategies to reduce the process failures contributing to the … These findings can assist organizations to develop strategies to reduce infection disease risk, which
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39315/psn-pdf
    March 21, 2017 - Risk managers, physicians, and disclosure of harmful medical errors. … Risk managers, physicians, and disclosure of harmful medical errors. … https://psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-medical-errors Patients … The researchers found that while risk managers were more likely to recommend full disclosure of both … This fact may have influenced the risk managers' advice against apologizing.
  19. psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
    July 05, 2017 - Chicago, IL: American Society for Healthcare Risk Management; 2015. … Chicago, IL: American Society for Healthcare Risk Management; 2015. … Copy Citation Related Resources From the Same Author(s) Patient Safety Risk … February 17, 2016 Risk Management Pearls for Medication Safety: Part I and Part II. … February 19, 2014 Risk Management Pearls on Disclosure of Adverse Events.
  20. psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication-policy-part-2-3
    January 13, 2016 - American Society of Healthcare Risk Management; ASHRM Copy Citation Save Save … Linkedin Copy URL September 29, 2017 American Society of Healthcare Risk … February 17, 2009 Patient Safety Risk Management Playbook. … February 19, 2014 Risk Management Pearls on Disclosure of Adverse Events. … February 17, 2009 Risk Management Pearls on Disclosure of Adverse Events.

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