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psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
October 20, 2010 - trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk … See More About The Topic
Operating Room
Physicians
Facility and Group Administrators
Risk
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psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
February 17, 2011 - Through a case study, this article reviews evidence on risk factors for and interventions to reduce falls … August 15, 2018
Hospital-readmission risk--isolating hospital effects from patient effects
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psnet.ahrq.gov/issue/why-do-gdps-fail-recognise-oral-cancer-argument-oral-cancer-checklist
March 13, 2024 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … December 13, 2023
Adverse drug events caused by three high-risk drug-drug interactions
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psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
June 17, 2014 - The authors envision the tool to enhance team communication and preparation, which should reduce risk … January 13, 2010
Did duty hour reform lead to better outcomes among the highest risk
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psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
May 24, 2012 - November 6, 2024
What is an ethically informed approach to managing patient safety risk … July 22, 2010
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Physicians
Risk Managers
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psnet.ahrq.gov/issue/pros-and-cons-electronic-prescribing-children
October 30, 2024 - August 5, 2020
Risk-adjusted survival for adults following in-hospital cardiac arrest … March 3, 2011
Comparison of methods for identifying patients at risk of medication-related
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psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
February 01, 2023 - Discussing independent double checks as a strategy to reduce risk of high-alert medication errors … See More About The Topic
Hospitals
Nurses
Nurse Managers
Medicine
Specific to High-Risk
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psnet.ahrq.gov/issue/clinical-supervisors-are-they-key-making-care-safer
June 26, 2019 - March 28, 2011
Clinical risk management and patient safety education for nurses: a critique … View More
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Hospitals
Health Care Providers
Risk
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psnet.ahrq.gov/issue/model-medication-safety-event-detection
May 14, 2008 - the Same Author(s)
Reducing preventable medication safety events by recognizing renal risk … November 12, 2008
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General Hospitals
Risk
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psnet.ahrq.gov/node/41235/psn-pdf
March 21, 2012 - psnet.ahrq.gov/issue/ashrm-patient-safety-portal
This Web site provides access to educational resources for risk
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psnet.ahrq.gov/node/36247/psn-pdf
February 13, 2008 - counting-patient-safety
The author discusses recommended policies and practices for minimizing the risk
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psnet.ahrq.gov/node/40877/psn-pdf
February 05, 2018 - fire-safety
This initiative provides information on surgical fires and makes recommendations to address the risk
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - Colonization of the nares either before hospitalization or following admission puts patients at increased risk … and those with chronic skin conditions.( 11 ) In addition, prior antibiotic exposure is an important risk … One study indicated that the patients with MRSA in their blood had a risk of dying twice that of patients … there is considerable evidence to support the use of active surveillance cultures for identifying high-risk … Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - Although this decision was supported by the patient and her family, it involved significant risk for … In many EDs, a nurse or physician calls patients who are discharged with high-risk findings but without … positive predictive value of severe bandemia or elevated DNI for bacterial infection among patients at risk … be alerted to the need for further investigation, although this benefit must be balanced against the risk … A Fatal Twist in Pseudohyperkalemia
December 31, 2024
Reducing the risk
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - approach is the use of barcoding and scanning protocols in the medication delivery process
to reduce the risk … Several articles recommended barcoding in perioperative care and the
operating room settings as risk … addition
to these examples, barcode scanning nursing protocols may have the potential to reduce the risk … transfusion errors, causing patients to receive incorrect blood types.[13] Barcoding can alleviate the risk … Requiring a clinician to navigate across
multiple silos of information in the EHR increases the risk
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psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - toxicities and Clostridium
difficile colitis.(11) Penicillin allergy reporters also had a 26% increased risk … When penicillin skin testing is not possible (or not necessary because of
low risk), drug challenges … For patients with higher risk beta-
lactam allergy histories, decision support can still indicate that … Other harms of unverified penicillin allergy labels include increased risk of adverse events,
Clostridium … The impact of a reported penicillin
allergy on surgical site infection risk.
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - researchers determined that pharmacist participation on rounds improved processes for managing high-risk … Medications Medications that have a high risk of causing significant patient harm when misused are … Practices (ISMP) has classified 19 medications or medication classes (including eptifibatide) as high risk … .( 14 ) Many institutions have implemented universal protocols for managing high-alert or high-risk medications … Specific processes for high-alert, high-risk medications, such as process double-check protocols, can
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psnet.ahrq.gov/continuing-education
February 26, 2025 - the appropriate evaluation for acute abdominal pain, the importance of imaging in patients with high-risk … The commentary discusses risk factors for delayed acute subdural hematoma and the importance of repeat … brain imaging in patients with risk factors and persistent symptoms. … The commentary highlights the importance of evaluating patient risk of wound infection and poor wound … The commentary discusses the risk factors for intraoperative awareness, approaches to prevent awareness
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psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - contraindicated in cardiac resuscitation in the presence of ventricular fibrillation, or in patients at risk … Nurses should understand the most frequent risk factors9 associated with extravasation, which include … In addition,
hourly rounding and inspection of the IV site during high-risk infusions may be beneficial … Effective management and prevention of injury from extravasation of
vesicants requires knowledge of risk … and confirm the placement of vascular access devices, followed by
rounding frequently during high-risk
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - often a day or two) in diagnosis as one awaits the test results; second, the patient is exposed to the risk … These risks include both the obvious unwarranted financial expense to the patient and the healthcare … patients necessitated by the 80-hour work week imposed on physicians in training might compound the risk … August 21, 2024
The physiology of failure: identifying risk factors for mortality in … May 1, 2003
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Physicians
Risk