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psnet.ahrq.gov/issue/smartphones-let-surgeons-know-whatsapp-analysis-communication-emergency-surgical-teams
April 06, 2015 - Related Resources From the Same Author(s)
Escalation of care in surgery: a systematic risk … Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted
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psnet.ahrq.gov/issue/explainable-artificial-intelligence-safe-intraoperative-decision-support
October 13, 2015 - March 22, 2023
System factors affecting intraoperative risk and resilience: applying … values coupled with computerized provider order entry: a tool for quality improvement and hospital risk
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psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use
September 01, 2016 - Patient reported receipt of medication instructions for warfarin is associated with reduced risk … February 1, 2017
Operating room traffic as a modifiable risk factor for surgical site
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psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them
September 13, 2023 - Related Resources From the Same Author(s)
Inappropriate hospital admission as a risk … June 15, 2016
Surgery is in itself a risk factor for the patient.
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psnet.ahrq.gov/issue/obstetriciangynecologist-hospitalists-can-we-improve-safety-and-outcomes-patients-and
August 04, 2021 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … January 22, 2014
Adverse drug events caused by three high-risk drug-drug interactions
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psnet.ahrq.gov/issue/opioid-crisis-origins-trends-policies-and-roles-pharmacists
December 14, 2022 - clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk … April 27, 2016
Impact of pharmacist involvement in the transitional care of high-risk
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psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception
February 15, 2011 - December 18, 2013
Enhance patient safety by identifying and minimizing risk exposures … July 10, 2008
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See More About The Topic
Risk Managers
Quality
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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).
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - support, professional review, and collegial feedback, as well as access to patient safety
experts and risk … The second tier involves trained peer support persons embedded in
high-risk clinical units to monitor … support, trigger debriefings, and access to other organizational resources
such as patient safety or risk
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - of the patient to be included in the medical record, explaining that the photograph will reduce the risk … best practices, and encouraging the reporting of errors and near misses so as to identify systemic risks … to near misses or instances of patient misidentification to enable shared learning and alleviate the risk … Misidentifying the Unidentified – John Doe and the EHR
October 30, 2019
Risk
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - delayed diagnoses, outright diagnostic errors, and medical errors in general, thereby increasing the risks … diagnosis of urological cancer to identify how many of these individuals would have been considered high risk … WebM&M Cases
The Lost Start Date: an Unknown Risk … Resources
Patient Safety Innovations
Combined Proactive Risk
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - Ironically for this case, the greatest risk of bleeding from ALIF is usually from injury to a major vein … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks … April 27, 2022
WebM&M Cases
Miscalculated Risk … Intervention
March 1, 2017
Perspective
Where Does Risk-Adjusted
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psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
November 13, 2024 - necessary, they should not be withheld in the pregnant patient even with the concerns for an increased risk … fetal anomalies, fetal growth restriction, intellectual disability, and future childhood cancer), the risk … radiologist and obstetrician is often helpful to achieve this goal.( 9 ) A full discussion of the fetal risks … A Laceration that Needed a Proper Exam, Not an X-Ray
January 31, 2024
Risk
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - For pathology groups to avoid the problem of cross-coverage between specialties and the associated risk … One pathology residency program published a standardized, structured handoff tool to decrease the risk … “double-reading” protocol for all cases with significant clinical implications can help to decrease risks … Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - Diagnosing “Vulnerable System Syndrome”: An Essential Prerequisite to Effective Risk Management. … December 18, 2019
A dynamic risk management approach for reducing harm from invasive … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks … April 27, 2022
WebM&M Cases
Multiple High-Risk
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - Another answer is that when there are risk factors for "atypical" causes, such as the patient being an … daily dose were to be continued for more than a month, this postmenopausal woman would be at a high risk … Postmenopausal women, especially those with other risk factors for osteoporosis. … frequently, intravenously, will often suppress the disease flare and spare the patient the long-term risks
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psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery
September 14, 2022 - September 14, 2022
Risk reduction strategy to decrease incidence of retained surgical … Safety and Quality
April 26, 2023
Psychosocial factors and safety in high-risk
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psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid
August 03, 2022 - Related Resources From the Same Author(s)
New graduate registered nurses: Risk … May 23, 2012
Intrahospital transport to the radiology department: risk for adverse events
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psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortality-hospitals
July 09, 2008 - Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted … View More
See More About The Topic
Hospitals
Nurses
Nurse Managers
Risk
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psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
September 24, 2018 - September 24, 2014
Patient Safety in Private Hospitals: the Known and the Unknown Risk … February 10, 2012
Safety and risk management interventions in hospitals: a systematic