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psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
June 25, 2018 - April 20, 2022
WebM&M Cases
Mitigating the Risk of Intrahospital … Transport for Pediatric Patients at Risk of Physiologic Instability
December 23, 2020
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psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals
November 13, 2009 - hospitalized patients experiences an adverse event, and recent research has also quantified the daily risk … October 8, 2008
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Hospitals
Risk Managers
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psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians
September 20, 2011 - January 25, 2017
Quality measures for patients at risk of adverse outcomes in the Veterans … September 2, 2009
AHRQ Risk-informed Intervention Development and Implementation of Safe
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psnet.ahrq.gov/issue/identifying-errors-and-safety-considerations-patients-undergoing-thrombolysis-acute-ischemic
February 09, 2022 - The study recommend to put safeguards in place to decrease the risk of alteplase medication administration … View More
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Hospitals
Neurology
Specific to High-Risk
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psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
May 26, 2021 - Results indicate that missed documentation of one of the comorbid conditions increased risk of length … WebM&M Cases
Multiple Missed Opportunities for Suicide Risk
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psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-priorities-implementation
January 09, 2018 - October 4, 2023
Evidence-based guidelines for fatigue risk management in EMS: formulating … September 19, 2018
Design for patient safety: a systems-based risk identification framework
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psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety
October 06, 2021 - research and informal data, the authors discuss the importance of “soft signals” in patient safety risk … December 29, 2014
Risk factors for patient-reported medical errors in eleven countries
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psnet.ahrq.gov/issue/how-prevent-or-reduce-prescribing-errors-evidence-brief-policy-authors
July 27, 2022 - readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … September 8, 2021
An e-Delphi study to obtain expert consensus on the level of risk associated
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psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization
September 23, 2020 - Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk … 2011
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Hospitals
Pharmacists
Risk
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psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
October 19, 2022 - Residents in all years reported this change negatively impacted their sleep and education and posed a risk … July 6, 2011
Did duty hour reform lead to better outcomes among the highest risk patients
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psnet.ahrq.gov/issue/patient-safety-incidents-during-covid-19-health-crisis-france-exploratory-sequential-multi
February 05, 2020 - March 24, 2021
Child-specific risk factors and patient safety. … September 30, 2020
Expanding frontiers of risk management: care safety in nursing home
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - root cause analysis and action: integrating human factors to create strong interventions and reduce risk … View More
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Hospitals
Nurses
Nurse Managers
Risk
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psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan
February 18, 2011 - July 31, 2017
High-risk medications in hospitalized elderly adults: are we making it … March 22, 2017
Receipt of antibiotics in hospitalized patients and risk for Clostridium
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psnet.ahrq.gov/issue/inpatient-ehr-user-experience-and-hospital-ehr-safety-performance
April 24, 2018 - August 4, 2021
Opportunities to mine EHRs for malpractice risk management and patient … A machine learning-based clinical decision support system to identify prescriptions with a high risk
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psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
August 20, 2018 - January 25, 2023
Situation awareness and the mitigation of risk associated with patient … June 30, 2021
Validation of a secondary screener for suicide risk: results from the Emergency
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psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices
October 21, 2020 - December 9, 2020
Registered nurses' judgments of the classification and risk level of … July 1, 2016
Differences in medication knowledge and risk of errors between graduating
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psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
December 18, 2017 - included studies demonstrated that rude behavior is perceived to diminish care quality, increase risk … December 1, 2010
Risk, Safety and Reliability Special Issue.
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psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
September 29, 2017 - which one system achieves "ultrasafe" status while the other does not at a calculated and accepted risk … March 3, 2021
Managing risk in hazardous conditions: improvisation is not enough.
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psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety
May 05, 2021 - June 8, 2022
Defensive medicine among high-risk specialist physicians in a volatile malpractice … April 13, 2011
Patient complaints and malpractice risk.
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psnet.ahrq.gov/issue/investigating-us-medical-students-motivation-respond-lapses-professionalism
January 12, 2022 - 2016
Prevalence of medication transfer errors in nephrology patients and potential risk … effect of computerised decision support alerts tailored to intensive care on the administration of high-risk