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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Case & Commentary: Part 2
The patient was identified as being a fall risk. … Every time a weak or frail patient walks, he or she may be at risk of falling. … Thus, we must acknowledge this risk while actively
trying to reduce it. … Risk factors for falls among elderly persons living in the community. … Risk factors for recurrent nonsyncopal falls. A prospective study.
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psnet.ahrq.gov/node/46918/psn-pdf
May 30, 2018 - Workplace bullying in risk and safety professionals.
May 30, 2018
Brewer G, Holt B, Malik S. … Workplace bullying in risk and safety professionals. … https://psnet.ahrq.gov/issue/workplace-bullying-risk-and-safety-professionals
Disruptive and unprofessional … In this survey study,
researchers found that safety and risk professionals may be particularly vulnerable … https://psnet.ahrq.gov/issue/workplace-bullying-risk-and-safety-professionals
https://psnet.ahrq.gov/
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psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - After hearing the risks and benefits of surgery from the
physicians, the patient refused. … Patient Outcomes in Discharges AMA
It seems likely that discharge AMA puts patients at increased risk … It is uncertain whether patients leaving the hospital AMA face an increased risk of death, as no study … and Adverse Outcomes Associated with Discharges AMA
How can health care professionals minimize the risk … If the patient is at very high
risk of serious health consequences, the physician can seek the patient
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - support blood pressure, cardiac output, and
end-organ perfusion.1-3 These agents are associated with risk … support the use of either strategy; however, the benefits of non-weight-based dosing may
outweigh the risks … Finally, dosing in mcg/min (e.g. 0.5 - 30 mcg/min)
mitigates the risk of decimal point errors associated … However, cognitive biases associated with this practice can contribute to increased risk for
error, … Reduce distractions and utilize closed-loop communications to reduce risk of errors.
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psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events
May 11, 2016 - Study
Risk managers' descriptions of programs to support second victims after adverse … Risk managers' descriptions of programs to support second victims after adverse events. … J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002/jhrm.21169. … Risk managers' descriptions of programs to support second victims after adverse events. … J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002/jhrm.21169.
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psnet.ahrq.gov/node/41282/psn-pdf
April 11, 2012 - Analysis of risk factors for adverse drug events in
critically ill patients. … Analysis of risk factors for adverse drug events in critically ill
patients*. … https://psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
This … cohort study identified patient- and drug-specific factors that increased the risk of adverse drug events … https://psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
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psnet.ahrq.gov/issue/improving-measurement-surgical-site-infection-risk-stratificationoutcome-detection-final
August 01, 2012 - Book/Report
Improving the Measurement of Surgical Site Infection Risk Stratification … Citation Text:
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection … for SSIs, and makes recommendations to investigate surgery-specific risk factors. … Citation
Citation Text:
Improving the Measurement of Surgical Site Infection Risk … Related Resources From the Same Author(s)
Improving Medication Safety in High Risk
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psnet.ahrq.gov/node/40165/psn-pdf
December 29, 2014 - Self-reported medical, medication and laboratory error in
eight countries: risk factors for chronically … Self-reported medical, medication and laboratory error in eight countries: risk factors for
chronically … https://psnet.ahrq.gov/issue/self-reported-medical-medication-and-laboratory-error-eight-countries-risk … reports, this study surveyed patients with self-reported chronic disease in
eight countries to identify risk … The three risk factors with the greatest relationship to errors were experiencing a care coordination
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psnet.ahrq.gov/web-mm/xl-or-smaller
September 13, 2017 - reduce health costs.( 4 ) Yet, as this case demonstrates, using different dosage forms bears its own risks … The lack of knowledge and the application of knowledge regarding a specific drug therapy is another risk … Verbal commands, transcribed by nursing staff, are a risk factor for medication errors.( 11 ) Whether … Some risk factors cannot be avoided. … Using trade names: a risk factor for accidental drug overdose.
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psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - Hess, MD, PhD
Evolution of Wet Reads
The case outlined above highlights the inherent risks of communication … The threshold for follow-up or future
management for subcritical findings is determined by their risk … CT surveillance is recommended for nodules with indeterminate CT
appearance and low risk of malignancy … Fleischner
Society guidelines, stratified the surveillance protocol based on the nodule size and patient risk … CT
surveillance is recommended for nodules with indeterminate CT appearance and low risk of
malignancy
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - Recognizing human limitations allows us to design safety measures to mitigate the risk of human error … Unless an organization recognizes the risk, it may continue to purchase tubes with universal connections … must increase awareness of human factors and create a health care culture that responds to errors and risks … Until then, the seemingly simple act of connecting tubing should be considered a high-risk activity, … do this for high-risk drugs and surgery site marking in defense of slips).
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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
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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:
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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
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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
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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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psnet.ahrq.gov/node/60642/psn-pdf
July 01, 2020 - Opioid prescribing after childbirth and risk for serious
opioid-related events: a cohort study. … Opioid Prescribing After Childbirth and Risk for Serious Opioid-
Related Events: A Cohort Study. … https://psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events … 161,318 women who were discharged after childbirth between January
2007 and August 2014 to assess the risk … https://psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events-cohort-study
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psnet.ahrq.gov/node/866349/psn-pdf
July 24, 2024 - A multifaceted risk management program to improve the
reporting rate of patient safety incidents in … A multifaceted risk management program to
improve the reporting rate of patient safety incidents in … https://psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety … The intervention included e-learning training modules, identification of a risk
management advisor, … https://psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
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psnet.ahrq.gov/node/47073/psn-pdf
July 02, 2019 - Physician prescribing of opioids to patients at increased
risk of overdose from benzodiazepine use in … Physician Prescribing of Opioids to Patients at Increased Risk of
Overdose From Benzodiazepine Use in … https://psnet.ahrq.gov/issue/physician-prescribing-opioids-patients-increased-risk-overdose-
benzodiazepine-use-united … Patients prescribed opioids and benzodiazepines concurrently may be at increased risk for adverse drug … https://psnet.ahrq.gov/issue/physician-prescribing-opioids-patients-increased-risk-overdose-benzodiazepine-use-united
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psnet.ahrq.gov/node/33760/psn-pdf
February 01, 2014 - RW: Which areas have the highest risk? … Psychology tells us certain variables predict higher risk of memory disruption. … RW: Let's talk about risk mitigation strategies that have been tried in health care. … I often say that there is no universal
answer because the risks for interruption vary with task, so … each clinical setting has its own risk profile.