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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837913/psn-pdf
    August 31, 2022 - among providers, patients, and families is imperative to reducing preventable harm during this high-risk … Hospital-to-Hospital Transfers for Children are Relatively Common and Present a Risk to Patient Safety … interfacility transfers, the transfer process continues to involve significant burdens and safety risks … Previously demonstrated safety risks https://psnet.ahrq.gov//#1 https://psnet.ahrq.gov//#2 https://psnet.ahrq.gov … Brief report: the impact of maternal posttraumatic stress disorder symptoms and child gender on risk
  2. psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
    May 18, 2022 - Study High-risk medications in hospitalized elderly adults: are we making it easy … High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? … in older adults is known to increase fall risk. … examined 328 falls and found that more than 60% of the older patients who fell had received a high-risk … High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing?
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40158/psn-pdf
    January 17, 2012 - Patient safety in dentistry: dental care risk management plan. … Patient safety in dentistry: dental care risk management plan. … https://psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-risk-management-plan This commentary … describes a risk management plan to help prevent errors and patient harm in dental care. … https://psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-risk-management-plan https://psnet.ahrq.gov
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41372/psn-pdf
    May 16, 2012 - Emergency department crowding and risk of preventable medical errors. … Emergency department crowding and risk of preventable medical errors. … https://psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors Emergency … department (ED) crowding was strongly associated with an increased risk of preventable medical error … https://psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors https:
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34996/psn-pdf
    June 22, 2009 - Reducing pediatric medication errors: children are especially at risk for medication errors. … Reducing pediatric medication errors: children are especially at risk for medication errors. … https://psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication … https://psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors … https://psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60165/psn-pdf
    March 25, 2020 - The threat within: mitigating the risk of medical error. March 25, 2020 Bennett S. … The Threat Within: Mitigating The Risk Of Medical Error. … https://psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error Despite efforts to protect … This book chapter highlights how proactive risk mitigation can reduce opportunities for preventable … https://psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865610/psn-pdf
    April 24, 2024 - pathways and mitigation procedures based on the patient’s risk level. … The screeners also include other risk factors, like psychiatric hospitalization. … For example, there must be a suicide risk screener administered with the innovation. … The Patient Safety Screener: A Brief Tool to Detect Suicide Risk. … Focusing suicide prevention on periods of high risk.
  8. psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after
    August 18, 2021 - Study Initiative to deprescribe high-risk drugs for older adults presenting to the … Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after … Inappropriate medications can increase the risk of falls among older adults. … Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after … August 18, 2021 Adverse drug events caused by three high-risk drug-drug interactions
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837785/psn-pdf
    August 05, 2022 - diagnosis of a disease or help clinicians tailor appropriate preventive care (e.g., calculating stroke risk … provided by healthcare apps must be assessed from many angles to ensure safe use.14 In addition to the risks … This risk is further compounded by issues with limited access to WiFi or a platform device (e.g., smartphone
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37848/psn-pdf
    June 18, 2008 - Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk … Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk … psnet.ahrq.gov/issue/diagnostic-errors-pediatric-echocardiography-development-taxonomy-and- identification-risk … psnet.ahrq.gov/issue/diagnostic-errors-pediatric-echocardiography-development-taxonomy-and-identification-risk … psnet.ahrq.gov/issue/diagnostic-errors-pediatric-echocardiography-development-taxonomy-and-identification-risk
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47214/psn-pdf
    June 20, 2018 - Journal of Patient Safety and Risk Management. June 20, 2018 Wu AW, ed. … https://psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management Risk management and legal issues … https://psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management https://psnet.ahrq.gov/issue/ … patient-safety-risk-management-playbook https://psnet.ahrq.gov/issue/legal-and-policy-interventions-improve-patient-safety
  12. psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
    March 01, 2004 - patient was admitted for orthopedic surgery, and a formal preoperative assessment placed her at "low risk … " (based on the Revised Cardiac Risk Index scale). … The death was unexpected, particularly given the patient's low preoperative risk, and the family and … " surgical candidate based on the Revised Cardiac Risk Index instrument, implying a risk for all major … group have the same condition or underwent the same procedure]) are also associated with low expected risks
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39564/psn-pdf
    September 24, 2016 - Interruptions during the delivery of high-risk medications. … Interruptions during the delivery of high-risk medications. … https://psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-medications This direct observation … https://psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-medications https://psnet.ahrq.gov … interruptions-and-distractions-healthcare-review-and-reappraisal https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36074/psn-pdf
    September 28, 2010 - Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. … Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. … https://psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management … https://psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management-mandate … https://psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management-mandate
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37163/psn-pdf
    May 04, 2015 - A medication safety education program to reduce the risk of harm caused by medication errors. … A medication safety education program to reduce the risk of harm caused by medication errors. … https://psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication- … https://psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors … https://psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36387/psn-pdf
    July 14, 2010 - Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written … Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written … https://psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations … https://psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written … https://psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36759/psn-pdf
    August 10, 2011 - Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based … Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based … https://psnet.ahrq.gov/issue/rates-new-or-missed-colorectal-cancers-after-colonoscopy-and-their-risk- … https://psnet.ahrq.gov/issue/rates-new-or-missed-colorectal-cancers-after-colonoscopy-and-their-risk-factors-population … https://psnet.ahrq.gov/issue/rates-new-or-missed-colorectal-cancers-after-colonoscopy-and-their-risk-factors-population
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39936/psn-pdf
    December 06, 2010 - Potential risk of medication discrepancies and reconciliation errors at admission and discharge from … Potential risk of medication discrepancies and reconciliation errors at admission and discharge from … https://psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission … https://psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge … https://psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38785/psn-pdf
    September 02, 2009 - An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. … An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. … https://psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards … Kingdom highlights the importance of understanding how staff members identify, evaluate, and address risk … https://psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45937/psn-pdf
    September 29, 2017 - Opioid-prescribing patterns of emergency physicians and risk of long-term use. … Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long- Term Use. … https://psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use … High-risk prescribing practices by clinicians is one contributing factor in the surge in opioid use … Prior research has shown that patients often receive opioids following low-risk procedures, and they

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