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Showing results for "risks".

4021. Medication Administration Errors | PSNet
      psnet.ahrq.gov/primer/medication-administration-errors
      December 15, 2024 - Outside of the hospital setting, patients and caregivers are also at high risk for making errors. … Areas of increased high-risk medications administrations, such as the intensive care unit or emergency … Focusing in on High-Risk Agents : Some classes of medications have a higher likelihood to result in … The ISMP recommends a multipronged approach to mitigating risk with use of these agents. … July 15, 2020 WebM&M Cases The Risks of a Malpositioned

4022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42466/psn-pdf
      March 04, 2015 - Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting … Adherence to drug-drug interaction alerts in high-risk patients: a trial of context- enhanced alerting … https://psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context- … data did not improve physicians' adherence to treatment recommendations, even for patients at high risk … https://psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context-enhanced-alerting

4023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47033/psn-pdf
      June 06, 2018 - Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department … Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department … https://psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return- … This study found that the presence of medication discrepancies was associated with an increased risk … https://psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department

4024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45388/psn-pdf
      December 07, 2016 - Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. … Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. … https://psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004 … authors suggest that further studies examine an association between receiving opioids after a low-risk … https://psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004

4025. Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3). | PSNet
      psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-1-3
      January 13, 2016 - Chicago, IL; American Society of Healthcare Risk Management: 2003. … Chicago, IL; American Society of Healthcare Risk Management: 2003. … 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.

4026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848088/psn-pdf
      April 26, 2023 - Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment … https://psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used- haemodialysis-treatment … Patients receiving hemodialysis are at risk of complications, including air embolus. … education on how to handle uncertainty in clinical settings and amending dialysis guidelines to include risk … https://psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-haemodialysis-treatment

4027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46914/psn-pdf
      January 01, 2021 - Risk factors for adverse events in patients with breast, colorectal, and lung cancer. … Risk Factors for Adverse Events in Patients With Breast, Colorectal, and Lung Cancer. … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-patients-breast-colorectal-and-lung-cancer … Advanced disease and chemotherapy conferred higher risk for adverse events, as did non-White race and … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-patients-breast-colorectal-and-lung-cancer https

4028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44371/psn-pdf
      September 09, 2015 - Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. … Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. … https://psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and … - outcomes This study found that patients with younger age and lower cerebrovascular risk were more … https://psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes

4029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851357/psn-pdf
      July 12, 2023 - The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care … The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care … https://psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal … - care Risk reduction in home health faces unique challenges. … https://psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care

4030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46773/psn-pdf
      January 24, 2018 - Patient safety in complementary medicine through the application of clinical risk management in the … Patient Safety in Complementary Medicine through the Application of Clinical Risk Management in the … https://psnet.ahrq.gov/issue/patient-safety-complementary-medicine-through-application-clinical-risk- … management-public Failure mode and effect analysis is a process used to prospectively identify error risk … https://psnet.ahrq.gov/issue/patient-safety-complementary-medicine-through-application-clinical-risk-management-public

4031. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47057/psn-pdf
      July 14, 2018 - A framework for operationalizing risk: a practical approach to patient safety.  … A framework for operationalizing risk: A practical approach to patient safety. … J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317. … https://psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety The patient … https://psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety https:

4032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42607/psn-pdf
      January 09, 2014 - Critical care transition programs and the risk of readmission or death after discharge from an ICU: … Critical care transition programs and the risk of readmission or death after discharge from an ICU: … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after- … generally involved proactive surveillance by a nurse or physician, were associated with a decreased risk … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu

4033. Rethinking Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
      August 21, 2016 - Initially developed for use in high-risk industries such as nuclear power and aviation, the technique … significant time and resources), most organizations are unable to measure the true impact on future risk … actions that vary in strength and success of implementation, and often has an unknown impact on the risk … Poor design and implementation of risk controls Tendency to focus on weak solutions such as reminders … , may be essential for addressing top patient safety risks and may lead to improved risk mitigation.

4034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49731/psn-pdf
      April 01, 2015 - incidence of 0.32 per 100,000 operations.(2) Many anesthesiologists and surgeons remain unaware of fire risks … the fires occurred during sedation for sedation procedures with use of supplemental oxygen in high-risk … As most OR fires are on-the-patient fires, OR personnel need to recognize that the risk of ignition and … Prevention is especially essential to reduce risk of patient injury in on-the- patient fires. … Preoperative checklists for high fire-risk procedures, team communication patterns, fire drills, and

4035. Spotlight Case [MONTH] 2003 (ppt file)
      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

4036. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
      January 01, 2021 - pulmonary embolism • Appreciate that asthma and orthopedic surgery are both associated with increased risk … contrast different diagnostic approaches to patients determined to be at low, intermediate, or high risk … clinicians must balance missing a diagnosis like PE against the likelihood of the favored diagnosis and risks … Patients with asthma and those with recent orthopedic procedures have increased risk of PE. … Catheter-directed Thrombolysis for Intermediate-Risk Pulmonary Embolism.

4037. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
      July 20, 2010 - patient safety often point to several other industries that, like health care, are highly complex, high risk … awareness and reporting and stresses the shared responsibility of all Duke employees and staff to reduce risks … These teams meet regularly to discuss safety issues, prioritize safety concerns, develop and implement risk-reduction … A closer look at associations between hospital leadership walkrounds and patient safety climate and risk

4038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40283/psn-pdf
      February 15, 2017 - Principles of Risk Management and Patient Safety. February 15, 2017 Youngberg BJ, ed. … https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety This textbook discusses claims … management, risk financing, and proactive risk reduction within the context of patient safety improvement … https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety

4039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42231/psn-pdf
      June 18, 2013 - Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints … Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints … https://psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare … These data, combined with prior research connecting medical school behavior to the risk of future disciplinary … https://psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints

4040. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
      psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
      October 30, 2024 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical … Implementation of this innovation resulted in improved patient safety and quality for patients at high risk … Safety Focus The innovation uses an early detection alert system to identify patients who are high risk … with the comparison cohort—remaining KPNC hospitals not participating in the pilot program (adjusted relative … Automated identification of adults at risk for in-hospital clinical deterioration.