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psnet.ahrq.gov/node/836942/psn-pdf
April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake
Patient: Risks of Improper Medication Labeling in … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication
Labeling in … err-human-building-safer-health-system
strategy for perioperative medication administration.3
Recommendations
The risk … each type of medication, can also
facilitate prevention of medication administration errors in high-risk … checking by multiple
physicians or nurses or use of bar code technology before administering high-risk
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - Appreciate the risks of using mobile devices in health care settings. … Since the goal INR was 2.0–3.0, he was not adequately anticoagulated and was at risk for stroke from … as well as patient devices (e.g., pacemakers).( 17 ) Although such reports are rare, the potential risk … these risks poses technology and policy challenges. … Association of interruptions with an increased risk and severity of medication administration errors.
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psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of
Patient Wandering
June 1, 2014
Smith TA. … Relate common risks associated with patient wandering. … Identify measures for reducing risks related to patient wandering. … Reducing the risk
There are a range of options for reducing the risk of patient wandering including … measures, the risk for wandering is
elevated.
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psnet.ahrq.gov/node/866992/psn-pdf
May 29, 2024 - increase
since the data was first collected in 2020.3 People who use substances (PWUS) may be at acute risk … large part due to the rise of
synthetic opioids such as fentanyl.4 People who inject drugs can be at risk … Those who share injection equipment are also at
risk of HIV and hepatitis C virus (HCV) transmission … To reduce the risk of developing infections such as HIV
and HCV from shared equipment, these programs … reducing or abstaining from non-prescribed opioid use, MOUD is an extremely
helpful tool to reduce the risk
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - Because of the drug's risks for adverse effects, clozapine must be prescribed and dispensed in accordance … certain medications that need special attention to ensure that the benefits of therapy outweigh the risks … The purpose of REMS is to reduce the occurrence or severity of serious known risks. … serious, known medication safety risks. … Approved Risk Evaluation and Mitigation Strategies (REMS).
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psnet.ahrq.gov/node/42653/psn-pdf
January 07, 2015 - exploring-sociotechnical-intersection-patient-safety-and-electronic-health-
record
Electronic health record (EHR) implementation can be associated with both risks … implementation phases, and inappropriate use of technology as
implementation progresses can also result in risks
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psnet.ahrq.gov/node/46515/psn-pdf
December 22, 2018 - identify trends in patient hazards and have been previously employed to better
elucidate the opioid risks … The authors recommend adhering to opioid prescribing guidelines, communicating opioid prescribing risks
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - states have laws and rules prohibiting licensing drivers with medical conditions that may pose safety risks … I separate my discussion with the patient into two broad categories: legal rules and driving risks for … This wide range reflects limited scientific data on the risks for driving with epilepsy. … of a crash, may actually reduce the cumulative risks by promoting better compliance with existing legal … Risk factors for seizure-related motor vehicle crashes in patients with epilepsy.
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psnet.ahrq.gov/node/45905/psn-pdf
December 22, 2017 - This
practice is nearly universal, despite the attendant safety risks that may result if incorrect or … hindered by the fact that most clinicians do not perceive that copy-forward practices pose
patient safety risks
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psnet.ahrq.gov/node/40221/psn-pdf
July 21, 2011 - the nature of unintended events, the
role of teamwork training, and provider perception of safety risks … error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork
https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-risks
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - One of the primary roles of the
surgical team is to mitigate risk once the risks and benefits of the … For central line insertions, the risks include initial
catheter malposition and bleeding. … A
preoperative discussion between the attending surgeon and the trainee regarding anticipated risks … At such a pre-procedure pause,
the surgeon has an opportunity to communicate anticipated risks of the … procedure, risks that are specific to
that procedure and for that patient, to the team.
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psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
April 08, 2020 - Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks … May 17, 2017
The effectiveness and risks of long-term opioid therapy for chronic pain
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psnet.ahrq.gov/issue/medication-reconciliation-developing-and-implementing-program
August 21, 2024 - November 23, 2014
A systematic literature review and narrative synthesis on the risks … April 24, 2019
Risks in the analogue and digitally-supported medication process and potential
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psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
September 27, 2023 - J Patient Saf Risk Manag. 2024;29(3):128-130. doi:10.1177/25160435241234422. … J Patient Saf Risk Manag . 2024; 29 (3) :128-130 . … J Patient Saf Risk Manag. 2024;29(3):128-130. doi:10.1177/25160435241234422. … January 22, 2025
Patient safety of virtual primary care: a qualitative study examining risks … February 22, 2017
Look-alike and sound-alike medicines: risks and 'solutions.'
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psnet.ahrq.gov/issue/using-prospective-risk-analysis-tools-improve-safety-pharmacy-settings-systematic-review-and
January 24, 2018 - Review
Using prospective risk analysis tools to improve safety in pharmacy settings … Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and … Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and … From the Same Author(s)
Using failure mode and effects analysis to reduce patient safety risks … May 29, 2019
Using failure mode and effects analysis to reduce patient safety risks related
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - PowerPoint Presentation
Spotlight
The Risks of Absent Interoperability:
Medication-Induced Hemolysis … and had received antibiotics and IV fluids for presumed infection prior to leaving.
4
Case: The Risks … , spontaneous circulation returned, and he was intubated and transferred to the ICU.
5
Case: The Risks … cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state.
6
Case: The Risks … severe life-threatening allergic reaction was not known to any providers at Hospital Y.
7
Case: The Risks
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psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
March 27, 2019 - October 13, 2018
Artificial intelligence is rushing into patient care - and could raise risks … Long Term Care
September 1, 2011
When surgery goes wrong: weighing up the risks
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psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department
October 19, 2022 - September 30, 2020
Algorithm based smartphone apps to assess risk of skin cancer in adults … the reporting of adverse medical device events: qualitative interviews with physicians about higher risk … July 28, 2010
Identified safety risks with splitting and crushing oral medications. … April 7, 2010
Pediatric safety in the emergency department: identifying risks and preparing
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - RW : Do you think the inattention to the issue of radiation risk was because people didn't think through … Those risks in my mind are much more important because of the number of people affected. … The number of patients to get routine doses of CT that are higher than needed, which puts them at risk … Moreover, this information will help the radiologist optimize the CT technique, reducing the risk of … Although the risk to any individual patient from diagnostic radiology examinations might well be very
-
psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards
August 05, 2020 - August 21, 2019
Safety risks associated with physical interactions between patients and … December 5, 2012
Delineation of risk through the exploration of a culture of safety in … August 26, 2011
Insulin treatment as a tracer for identifying latent patient safety risks