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Showing results for "risks".

4001. Disclosure: what works now and what can work even better (part 3 of 3). | PSNet
      psnet.ahrq.gov/issue/disclosure-what-works-now-and-what-can-work-even-better-part-3-3
      January 13, 2016 - Chicago, IL: American Society of Healthcare Risk Management;  Copy Citation … Chicago, IL: American Society of Healthcare Risk Management;  Copy Citation … January 26, 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.

4002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - carrying an unmanageable workload, and working with a high proportion of inexperienced clinicians are all risk … Nevertheless, particular factors can influence the risk of patient harm from medication errors. … Although clinicians can do more to minimize their own risks for medication errors, it is important to … Take-Home Points Good communication between clinicians is a key factor to minimizing the risk of producing

4003. Psn-Pdf (pdf file)
      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

4004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37245/psn-pdf
      December 16, 2011 - Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence … Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence … https://psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted … https://psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate … https://psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate

4005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41973/psn-pdf
      January 30, 2013 - Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. … Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. … https://psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications- … medication reconciliation program to improve documentation at discharge, which included identifying high-risk … https://psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge

4006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40783/psn-pdf
      December 29, 2014 - What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse … What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse … https://psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk … demonstrated that the number of exposures to potentially iatrogenic actions put patients at greater risk … https://psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk-experiencing

4007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40844/psn-pdf
      January 04, 2012 - Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes … Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes … https://psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk … The risk of readmission was associated with several clinical factors, including overall severity and … https://psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and

4008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39332/psn-pdf
      July 24, 2010 - Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating … Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating … https://psnet.ahrq.gov/issue/risk-sensitive-events-during-laparoscopic-cholecystectomy-influence- integrated-operating-room … study found that use of an integrated operating room (OR) system and a digital checklist tool reduced risk-sensitive … https://psnet.ahrq.gov/issue/risk-sensitive-events-during-laparoscopic-cholecystectomy-influence-integrated-operating-room

4009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47188/psn-pdf
      August 08, 2018 - Disclosure and apology: nursing and risk management working together. August 8, 2018 Russell D. … Disclosure and apology: Nursing and risk management working together. … https://psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-management-working-together Disclosure … This article highlights the importance of collaboration with risk management to prepare nurses for discussing … https://psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-management-working-together https

4010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34770/psn-pdf
      April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. … https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated … his text on risk management, infusing it with concepts directly related to patient safety improvement … This section provides the baseline for subsequent discussions on risk management in safety on various … The book is anchored by tangible examples of the application of these ideas within the context of a risk

4011. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet
      psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
      September 01, 2012 - Risks of diagnostic cardiac catheterization Although it is a relatively safe procedure, cardiac catheterization … is not without risk. … Patient-related factors associated with increased risk of periprocedural bleeding include therapeutic … case) that have both an end hole and two or more side holes, which theoretically reduce perforation risk … Healthcare Risk Management (Relias Media).

4012. Late Anemia Following Rh Disease in a Newborn | PSNet
      psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
      June 17, 2010 - The first step is pre-discharge risk assessment. ( 2,5 ) By assessing risk factors (especially prematurity … that the treatment thresholds represent bilirubin levels at which the benefits of treatment exceed risks … Perinatal risk factors for childhood type 1 diabetes in Europe. … Indications that phototherapy is a risk factor for insulin-dependent diabetes. … Prenatal and neonatal risk factors for childhood myeloid leukemia.

4013. Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. | PSNet
      psnet.ahrq.gov/innovation/implementation-medication-reconciliation-risk-stratification-tool-integrated-within
      April 12, 2023 - EMERGING INNOVATIONS Implementation of a medication reconciliation risk stratification tool integrated … Implementation of a medication reconciliation risk stratification tool integrated within an electronic … based on risk factors associated with medication reconciliation based on a literature review (AMC 3) … and non-high-risk patients. … did not show improvements in high-risk patients.

4014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836780/psn-pdf
      March 23, 2022 - Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting … Prescribing errors in post - COVID-19 patients: prevalence, severity, and risk factors in patients visiting … https://psnet.ahrq.gov/issue/prescribing-errors-post-covid-19-patients-prevalence-severity-and-risk-factors … Intensive care unit admission and a history of chronic obstructive pulmonary disease (COPD) or asthma were risk … Acknowledging and understanding these risk factors allows hospital leadership to target interventions

4015. Intraoperative Awareness during Rhinoplasty | PSNet
      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

4016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38519/psn-pdf
      March 25, 2009 - Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated … Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated … https://psnet.ahrq.gov/issue/work-hours-work-stress-and-collaboration-among-ward-staff-relation-risk- … Finnish study found that both longer work hours and poor teamwork were associated with an increased risk … https://psnet.ahrq.gov/issue/work-hours-work-stress-and-collaboration-among-ward-staff-relation-risk-hospital-associated

4017. Psn-Pdf (pdf file)
      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

4018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838025/psn-pdf
      September 07, 2022 - Opportunities to mine EHRs for malpractice risk management and patient safety. … Opportunities to mine EHRs for malpractice risk management and patient safety. … J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/25160435221097422. … https://psnet.ahrq.gov/issue/opportunities-mine-ehrs-malpractice-risk-management-and-patient-safety … https://psnet.ahrq.gov/issue/opportunities-mine-ehrs-malpractice-risk-management-and-patient-safety https

4019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39740/psn-pdf
      August 11, 2010 - Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting … https://psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications- … ambulatory-setting This study reports on the development of standards for laboratory monitoring of high-risk … https://psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting

4020. Wrong Route for Nutrients | PSNet
      psnet.ahrq.gov/web-mm/wrong-route-nutrients
      September 04, 2010 - diverse workforce.( 3 ) The goal is to move from casting blame to carefully identifying and managing risk … of harm, she was exhibiting at-risk behavior where she likely "drifted away" from the correct procedure … Further, the incident highlighted potential risks for all staff and identified the need for training … Moreover, had the LPN become defensive, the opportunity for risk mitigation would have passed. … September 27, 2016 Detection of patient risk by nurses: a theoretical framework.