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Showing results for "risks".

461. Systems Analysis of Critical Incidents: the London Protocol. | PSNet
     psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
     April 06, 2016 - This revised report documents a process for adverse event analysis that risk managers and others may … June 28, 2017 Improving the Measurement of Surgical Site Infection Risk Stratification … December 23, 2012 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine … June 13, 2012 Managing the Risks of Organizational Accidents. … March 27, 2005 View More See More About The Topic Risk Managers Error

462. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
     September 01, 2011 - adverse events Multidisciplinary team meetings can help identify and aggressively manage individuals’ risks … patients (e.g., pressure ulcer risk, fall risk, etc.) or high-risk processes (e.g., anticoagulant use … resident safety through ongoing communicating and feedback about resident- or organization-specific risks … : Nursing home leaders and staff must be willing to access and respond to information about safety risks … physicians, nurses, and frontline caregivers access and respond to information alerting them to safety risks

463. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
     December 01, 2009 - the conclusion of this educational activity, participants should be able to: Understand the safety risks … associated with patients being discharged against medical advice (AMA) Recognize safety risks associated … groups Abusive patients can erode the provider–patient relationship and pose specific patient safety risks … who sign out AMA are at risk for worse outcomes Patients whom staff find difficult to like, or care … for, are vulnerable to safety risks created by reduced empathy and rapport Ethics consultation, psychiatric

464. Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). | PSNet
     psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
     May 07, 2018 - March 10, 2021 Selected medication safety risks to manage in 2016 that might otherwise … June 10, 2018 Don't underestimate the impact of change on risk potential. … May 5, 2018 ADC survey shows some improvements, but unnecessary risks still exist.

465. Hazards tied to medical records rush. | PSNet
     psnet.ahrq.gov/issue/hazards-tied-medical-records-rush
     July 26, 2011 - February 1, 2023 Digital health technology-specific risks for medical malpractice liability … June 25, 2014 Patient data outage exposes risks of electronic medical records.

466. Assessing system failures in operating rooms and intensive care units. | PSNet
     psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
     June 15, 2011 - unit (ICU) and operating room to help organizations gain insight into system failures in those high-risk … Citation Related Resources From the Same Author(s) Patient safety: latent risk … September 18, 2013 Evidence-based guidelines for fatigue risk management in emergency … 2012 View More Related Resources Analyzing and mitigating the risks … January 3, 2017 Risks in the implementation and use of smart pumps in a pediatric intensive

467. First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). | PSNet
     psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp
     June 10, 2018 - June 10, 2018 Your high-alert medication list—relatively useless without associated risk-reduction … July 18, 2018 Selected medication safety risks to manage in 2016 that might otherwise … Laboratory test ordering and results management systems: a qualitative study of safety risks … June 29, 2011 Frequency of and risk factors for preventable medication-related hospital

468. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
     June 01, 2011 - participants should be able to: State how frequently physicians care for family or relatives Describe the risks … Available at: http://www.ncbi.nlm.nih.gov/pubmed/2919137 * Risks Associated with Caring for Family … There are multiple potential risks Unlikely to perform a full, intimate physical exam May not take … at: http://www.ncbi.nlm.nih.gov/pubmed/20445181 * When You Love Too Much This case highlights risks

469. Do not put medication safety "on hold" with boarded patients. | PSNet
     psnet.ahrq.gov/issue/do-not-put-medication-safety-hold-boarded-patients
     September 24, 2010 - July 2, 2008 Failure mode and effects analysis: a useful tool for risk identification … October 3, 2011 High-alert medications: shared accountability for risk identification … September 29, 2010 Identified safety risks with splitting and crushing oral medications … July 28, 2010 Identified safety risks with splitting and crushing oral medications.

470. ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet
     psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
     November 10, 2010 - This article describes the adaptation of the Commercial Aviation Safety Team (CAST) risk prioritization … February 21, 2012 The harm susceptibility model: a method to prioritise risks identified … root cause analysis and action: integrating human factors to create strong interventions and reduce risk … A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic

471. How one health system overcame resistance to a surgical checklist. | PSNet
     psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist
     May 23, 2018 - A guide to managing the risks. … June 16, 2011 When surgery goes wrong: weighing up the risks.

472. Freedom to Speak Up: A Review of Whistleblowing in the NHS. | PSNet
     psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
     April 24, 2013 - February 26, 2014 Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … November 6, 2013 Building a Memory: Preventing Harm, Reducing Risks and Improving Patient

473. Joshua’s Story. | PSNet
     psnet.ahrq.gov/issue/joshuas-story
     February 26, 2014 - February 26, 2014 Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … November 30, 2016 Building a Memory: Preventing Harm, Reducing Risks and Improving Patient

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49770/psn-pdf
     September 01, 2016 - Neither the surgical resident nor the nurse responsible for administering the drug was aware of the risks … subsequent timing based on that last dose's timing.(6) Prior to surgery, prescribers must weigh the risks … Considering the risks associated with https://psnet.ahrq.gov//#references https://www.ismp.org/tools … Although there may no longer be FDA requirements for prescribing and dispensing of the medication, the risks … The risks associated with the medication and the safeguards to mitigate them should be known to patients

475. Enteral feeding misconnections: a consortium position statement. | PSNet
     psnet.ahrq.gov/issue/enteral-feeding-misconnections-consortium-position-statement
     June 17, 2009 - May 17, 2023 Unintended patient safety risks due to wireless smart infusion pump library … July 3, 2014 Risks related to patient bed safety.

476. The evolving story of overlapping surgery. | PSNet
     psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
     April 19, 2016 - Download Citation Related Resources From the Same Author(s) Managing the risks … May 24, 2017 Managing the risks of concurrent surgeries.

477. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet
     psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
     May 02, 2018 - Copy Citation Related Resources From the Same Author(s) Benefits and risks … June 10, 2018 Selected medication safety risks to manage in 2016 that might otherwise

478. Shortcuts to Acetaminophen-induced Liver Failure | PSNet
     psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
     July 01, 2017 - need to be balanced against not just the risk of the treatment to the fetus, but also against the risks … A great example of this risk is imaging. … delayed due to concerns about radiation exposure.( 13,14 ) This bias fails to take into account the risks … Incorporating strategies to increase the recognition and minimize the risks associated with cognitive … of the medications and procedures, but also the risk of failure to treat or diagnose.

479. With Safety in Mind: Mental Health Services and Patient Safety. | PSNet
     psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
     August 07, 2018 - Related Resources From the Same Author(s) Building a Memory: Preventing Harm, Reducing Risks … Resources Patient Safety Innovations Combined Proactive Risk … November 13, 2019 Building a Memory: Preventing Harm, Reducing Risks and Improving Patient … See More About The Topic Health Care Providers Facility and Group Administrators Risk

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49594/psn-pdf
     December 01, 2009 - https://psnet.ahrq.gov/web-mm/standard-deviations Case Objectives Understand the safety risks associated … Recognize safety risks associated with being part of a stigmatized group. … many as 45,000 deaths per year may be associated with lack of insurance.(1) This patient is at high risk … Hospitals should plan in advance how to deal with that risk. … Patients who sign out AMA are at risk for worse outcomes.   James E.