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psnet.ahrq.gov/node/37753/psn-pdf
May 02, 2018 - a set of criteria for health care professionals to develop and implement red rules as an
effective risk
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psnet.ahrq.gov/node/42325/psn-pdf
March 02, 2023 - hospital-discharge-and-readmission
This review examines hospital discharge, details elements of the process that can increase risk
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psnet.ahrq.gov/node/36437/psn-pdf
June 06, 2018 - as a result of the misadministration of Promethazine and
provides recommendations to minimize the risk
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psnet.ahrq.gov/node/37579/psn-pdf
February 27, 2008 - stories of
patients harmed by such errors, and includes steps that consumers can take to minimize their risk
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psnet.ahrq.gov/node/39809/psn-pdf
September 01, 2010 - medical-errors-and-safety-systems
This special issue provides articles that discuss leadership roles, human factors, risk
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psnet.ahrq.gov/node/34851/psn-pdf
December 23, 2016 - preventing-and-managing-impact-anesthesia-awareness
This alert provides recommendations for minimizing the risk
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psnet.ahrq.gov/node/41882/psn-pdf
November 28, 2012 - Clin Risk. 2012;18(5):163-169.
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psnet.ahrq.gov/node/37716/psn-pdf
October 02, 2017 - impact-transparency-patient-safety-and-liability
This commentary describes how transparent disclosure of error affects litigation and how linking risk
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - Describe the complex dynamics of transitions in emergency care Provide suggestions to decrease risk … Managing the Risks of Organizational Accidents.
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 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
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - summary, this patient had five minutes of low oxygen saturations and lost two front incisors during a low-risk … However, the urgency of the procedure must be carefully balanced against the risks of not completing
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - case provides an opportunity to discuss the implications of sleep deprivation, especially in
high-risk … Under these regulations, truck drivers
get more sleep than before,3 which may decrease their high-risk … off,
users experience rebound fatigue with extreme somnolence, which has been shown to increase the risk … psychomotor
skills and cognitive performance, similar to the effect of alcohol, as well as increased risk … Occupational conditions and the risk of the use of
amphetamines by truck drivers.
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Under these regulations, truck drivers get more sleep than before, 3 which may decrease their high-risk … off, users experience rebound fatigue with extreme somnolence, which has been shown to increase the risk … psychomotor skills and cognitive performance, similar to the effect of alcohol, as well as increased risk … Occupational conditions and the risk of the use of amphetamines by truck drivers. … [Amphetamine use by truck drivers on highways of Sao Paulo State: a risk for the occurrence of traffic
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - The calls were for efforts to document that patients were at risk when nurse staffing is low. … Patients are at risk of falls. … The "solution" is an assessment form and an action plan related to the risk of falls. … They're at risk of delirium. … of mortality, and I suspect at increased risk of other problems as well.
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psnet.ahrq.gov/issue/computerized-clinical-decision-support-during-medication-ordering-long-term-care-residents
February 11, 2009 - clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk … November 15, 2011
Development and pilot testing of guidelines to monitor high-risk medications
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psnet.ahrq.gov/issue/effect-medication-reconciliation-hospital-admission-medication-discrepancies-during
August 26, 2020 - August 26, 2020
Medication errors at hospital admission and discharge: risk factors and … readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk
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psnet.ahrq.gov/issue/clinical-decision-support-improves-appropriateness-laboratory-test-ordering-primary-care
April 13, 2022 - A machine learning-based clinical decision support system to identify prescriptions with a high risk … April 15, 2020
Patient-related factors associated with an increased risk of being a reported
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psnet.ahrq.gov/issue/adverse-events-among-emergency-department-patients-cardiovascular-conditions-multicenter
December 01, 2021 - Prior research has found that some patients may be at risk for adverse events after discharge from … March 28, 2011
Implications of the failure to identify high-risk electrocardiogram findings
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psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool-methodology
January 25, 2023 - 12, 2020
How does the WHO Surgical Safety Checklist fit with existing perioperative risk … June 23, 2021
Health care workers' experiences of workplace incidents that posed a risk
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-use-older-adults-living-nursing-homes
May 04, 2022 - events in older patients are common, and those living in nursing homes may be at particularly high risk … A machine learning-based clinical decision support system to identify prescriptions with a high risk