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Showing results for "risks".

7481. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. | PSNet
      psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-2009-and-2010
      December 02, 2009 - 13, 2024 Use of unsolicited patient observations to identify surgeons with increased risk … 16, 2008 View More See More About The Topic Intensive Care Units Risk

7482. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. | PSNet
      psnet.ahrq.gov/issue/conflict-interest-dr-charles-denham-and-journal-patient-safety
      July 07, 2021 - unreported conflict of interest that might have affected recommendations for chlorhexidine use to reduce risk … authors emphasize the need to identify and address conflicts of interest and outline strategies to reduce risk

7483. How are medication errors defined? A systematic literature review of definitions and characteristics. | PSNet
      psnet.ahrq.gov/issue/how-are-medication-errors-defined-systematic-literature-review-definitions-and
      May 30, 2012 - June 27, 2011 Identifying high-risk medication: a systematic literature review. … December 4, 2016 Interorganizational complexity and organizational accident risk: a literature

7484. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. | PSNet
      psnet.ahrq.gov/issue/qualitative-exploration-patients-attitudes-towards-participate-inform-notice-know-pink
      July 06, 2012 - Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted … March 11, 2013 Hospital discharge documentation and risk of rehospitalisation.

7485. Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. | PSNet
      psnet.ahrq.gov/issue/mislabeled-units-umbilical-cord-blood-detected-quality-assurance-program-transplantation
      October 19, 2022 - View More Related Resources Emergency departments are higher-risk … 15, 2010 View More See More About The Topic Health Care Providers Risk

7486. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. | PSNet
      psnet.ahrq.gov/issue/formal-medicine-reconciliation-within-emergency-department-reduces-medication-error-rates
      May 01, 2019 - 2019 View More Related Resources Initiative to deprescribe high-risk … Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk

7487. Barriers and facilitators to injection safety in ambulatory care settings. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-injection-safety-ambulatory-care-settings
      November 18, 2016 - Download Citation Related Resources From the Same Author(s) Prevalence, risk … July 18, 2016 Patient safety and quality improvement: reducing risk of harm.

7488. Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice. | PSNet
      psnet.ahrq.gov/issue/pediatric-medication-safety-adult-community-hospital-settings-glimpse-nationwide-practice
      March 14, 2022 - June 15, 2016 Identifying risk in the use of tumor markers to improve patient safety. … March 27, 2024 Enhancing safety in high-risk operations: a multilevel analysis of the

7489. Adverse events detected by clinical surveillance on an obstetric service. | PSNet
      psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service
      September 11, 2009 - The reproducibility of assessments by hospital risk management groups. … General Hospitals Operating Room Labor and Delivery Facility and Group Administrators Risk

7490. Understanding safety culture in long-term care: a case study. | PSNet
      psnet.ahrq.gov/issue/understanding-safety-culture-long-term-care-case-study
      April 19, 2011 - June 3, 2020 Potentially inappropriate medication use is associated with increased risk … November 30, 2016 Dementia and risk of adverse warfarin-related events in the nursing

7491. Analysis and prioritization of near-miss adverse events in a radiology department. | PSNet
      psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
      June 15, 2016 - July 19, 2017 Risk factors for adverse events in patients with breast, colorectal, and … May 23, 2018 Preventable and mitigable adverse events in cancer care: measuring risk

7492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851555/psn-pdf
      July 31, 2023 - Although this decision was supported by the patient and her family, it involved significant risk for … better with intravenous hydration, even without fecal evacuation, is not a meaningful finding in a high-risk … In many EDs, a nurse or physician calls patients who are discharged with high-risk https://psnet.ahrq.gov … positive predictive value of severe bandemia or elevated DNI for bacterial infection among patients at risk … alerted to the need for further investigation, although this benefit must be balanced against the risk

7493. Amphotericin Toxicity | PSNet
      psnet.ahrq.gov/web-mm/amphotericin-toxicity
      April 01, 2014 - Aspergillus infections.( 1 ) While these associations are well known, several measures can decrease the risk … important to note that adherence to evidence-based treatment recommendations might have reduced the risk … frequency and severity of amphotericin B–related adverse events, safeguards should exist to decrease the risk … medications are a common cause of medication errors, and creation of systems or algorithms can decrease the risk … pre-medication with normal saline, acetaminophen, and diphenhydramine would have also decreased the risk

7494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846127/psn-pdf
      March 15, 2023 - demonstrates markedly compromised integrity and impaired wound healing, which dramatically increases the risk … The elevated risk increased the importance of adherence to his follow up care. … clinic referral and contact information for follow-up in the discharge packet is poorly suited for high-risk … teams.8 Traditional consultation models have limitations when patient complexity rises, increasing the risk … Take Home Points Pelvic radiation therapy increases the risk for adjacent tissue injury and can be associated

7495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836978/psn-pdf
      May 16, 2022 - nation face high volumes, overcrowding, and rapid turnover of acutely ill patients who require high-risk … constitutes an adverse event and transport of critically ill adult and pediatric patients, who are at higher risk … adverse-event-during-intrahospital-transport https://psnet.ahrq.gov//#5 https://psnet.ahrq.gov//#6 https://psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability … Ticket to ride: reducing handoff risk during hospital patient transport. 

7496. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. | PSNet
      psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
      October 27, 2021 - likely due to the ability to limit anesthetic doses through better anatomic targeting and the reduced risk … Communication between the OR team members must occur to minimize the risk of overdose. … Local Anesthetic Systemic Toxicity in Total Joint Arthroplasty: Incidence and Risk Factors in the United … Ultrasound guidance reduces the risk of local anesthetic systemic toxicity following peripheral nerve … September 9, 2020 Analysis of patient safety risk management call data during the COVID

7497. Think Like a Surgeon | PSNet
      psnet.ahrq.gov/web-mm/think-surgeon
      December 04, 2024 - peritonitis (rigidity, guarding, rebound). 5  Clinicians who are not mindful of the prevalence and risk … cholecystectomy, and surgery should occur during the index hospitalization unless the patient is a prohibitive risk … Moreover, delay in surgery for greater than 48 hours is associated with longer length of stay, higher risk … of conversion to an open procedure, greater complication risk, and increased cost. 11-13  Therefore, … Patients at high risk for surgery may be offered percutaneous gallbladder drainage instead.

7498. Rapid Response Systems | PSNet
      psnet.ahrq.gov/curated-library/rapid-response-systems
      September 15, 2024 - INNOVATION Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk … Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical … The team considered her to be low-risk and initiated therapy with a direct oral anticoagulant (DOAC).

7499. Disclosure of Medical Error | PSNet
      psnet.ahrq.gov/perspective/disclosure-medical-error
      January 01, 2009 - weigh in favor of disclosure even if it is contrary to the physician's interests (e.g., malpractice risk … In many regards, this has been a time-revered risk management belief. … Risk management: Extreme honesty may be the best policy. Ann Intern Med. 1999;131:963-967. … Disclosure of medical injury to patients: an improbable risk management strategy. … Disclosure of medical error: is it worth the risk? Pediatr Crit Care Med. 2007;8(2 Suppl):S38-43.

7500. In Conversation with…Thomas H. Gallagher, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
      January 01, 2009 - It's a delicate conversation that takes place between the health care workers and the risk managers and … In many regards, this has been a time-revered risk management belief. … Risk management: Extreme honesty may be the best policy. Ann Intern Med. 1999;131:963-967. … Disclosure of medical injury to patients: an improbable risk management strategy. … Disclosure of medical error: is it worth the risk? Pediatr Crit Care Med. 2007;8(2 Suppl):S38-43.