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psnet.ahrq.gov/node/48060/psn-pdf
June 19, 2019 - Strategies to identify patient risks of prescription opioid
addiction when initiating opioids for pain … Strategies to Identify Patient Risks of Prescription Opioid Addiction
When Initiating Opioids for Pain … https://psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating … -
opioids-pain
High-risk opioid prescribing by providers contributes to opioid misuse. … This systematic review sought to
identify factors that confer risk for opioid addiction and thereby
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psnet.ahrq.gov/node/47807/psn-pdf
March 13, 2019 - Unintended patient safety risks due to wireless smart
infusion pump library update delays. … Unintended Patient Safety Risks Due to Wireless Smart Infusion
Pump Library Update Delays. … https://psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library … These delays
resulted in failure to alert for two high-risk medication cases, but neither case led to … controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
August 28, 2019 - Study
Infrequent physician use of implantable cardioverter-defibrillators risks patient … Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. … Physicians who performed only one or fewer ICD implantations per year had a significantly higher risk … Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. … March 18, 2020
Post-hospital medication discrepancies at home: risk factor for 90-day
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psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
January 23, 2019 - Newspaper/Magazine Article
ADC survey shows some improvements, but unnecessary risks … Citation Text:
ADC survey shows some improvements, but unnecessary risks still exist. … Cite
Citation
Citation Text:
ADC survey shows some improvements, but unnecessary risks … June 5, 2018
Don't underestimate the impact of change on risk potential. … May 5, 2018
Risk factors for i.v. compounding errors when using an automated workflow
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psnet.ahrq.gov/node/47912/psn-pdf
April 24, 2019 - A systematic literature review and narrative synthesis on
the risks of medical discharge letters for … A systematic literature review and narrative synthesis on the
risks of medical discharge letters for … https://psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge … https://psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients … https://psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients
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psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx
Spotlight … The Risks of a Malpositioned Gastrostomy Tube and
Poor Communication
Source and Credits
• This … Suggest possible solutions to improve interprofessional and interfacility
communication.
3
THE RISKS … COMMUNICATION
A case highlighting the importance of clear documentation of
complications, mitigating risks … Best practices to mitigate patient care transition risks are to minimize the number of provider
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psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
February 14, 2018 - Study
Classic
Risks of complications by attending physicians … Risks of Complications by Attending Physicians After Performing Nighttime Procedures. … Risks of Complications by Attending Physicians After Performing Nighttime Procedures.
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psnet.ahrq.gov/node/858171/psn-pdf
December 13, 2023 - Uncovering the risks of anticancer therapy through
incident report analysis using a newly developed … Uncovering the risks of anticancer therapy through incident report
analysis using a newly developed … https://psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using … -
newly-developed
Oncology is a high-risk care environment involving complex medication administration … The researchers identified nine intermediate- and high-risk scenarios carrying the
greatest risk to
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psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
July 15, 2020 - Article
Artificial intelligence is rushing into patient care - and could raise risks … Citation Text:
Artificial intelligence is rushing into patient care - and could raise risks. … Citation
Citation Text:
Artificial intelligence is rushing into patient care - and could raise risks … May 5, 2021
How chaos at chain pharmacies is putting patients at risk.
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psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
October 19, 2016 - Book/Report
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint … Citation Text:
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission … This report discusses risks related to wrong-site surgery, along with their root causes, and describes … Copy URL
Cite
Citation
Citation Text:
Reducing the Risks
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psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
March 16, 2022 - Government Resource
Assessment of DoD Wounded Warrior Matters: Managing Risks of … Citation Text:
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. … Cite
Citation
Citation Text:
Assessment of DoD Wounded Warrior Matters: Managing Risks
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psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
June 23, 2021 - Study
Reducing risks in complex care transitions in rural areas: a grounded theory … Reducing risks in complex care transitions in rural areas: a grounded theory. … Reducing risks in complex care transitions in rural areas: a grounded theory.
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psnet.ahrq.gov/node/50886/psn-pdf
February 12, 2020 - Identifying risks areas related to medication
administrations - text mining analysis using free-text … Identifying risks areas related to medication administrations -
text mining analysis using free-text … https://psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis … Reporting and Learning System in England and Wales to
identify terms most frequently associated with risk … https://psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
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psnet.ahrq.gov/node/50741/psn-pdf
December 18, 2019 - Potentially inappropriate medications according to
STOPP-J criteria and risks of hospitalization and … Potentially inappropriate medications according to STOPP-J
criteria and risks of hospitalization and … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization … potentially-inappropriate-medication-use-hospitalized-elders
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
January 09, 2018 - Review
Safety risks associated with physical interactions between patients and caregivers … Safety risks associated with physical interactions between patients and caregivers during treatment and … This systematic review defined home care safety risks for both patients and caregivers, including … Safety risks associated with physical interactions between patients and caregivers during treatment and
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psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
May 08, 2017 - Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks … Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at … This commentary provides a framework to use incident reporting to identify , analyze, and address risks … Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at
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psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3
March 01, 2008 - Commentary
Selected medication safety risks that can easily fall off the radar screen—part … Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. … This three-part series discusses medication safety risks and highlights topics such as wrong-patient … Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen.
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psnet.ahrq.gov/node/846158/psn-pdf
March 15, 2023 - Safety risks and workflow implications associated with
nursing-related free-text communication orders … Safety risks and workflow implications associated with nursing-related
free-text communication orders … https://psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text … https://psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication … https://psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication
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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic … A Quality
Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic … //psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-
risks-inadvertent … Recent guidelines from the Institute for Safe Medication Practices have warned of the risk of blood-borne … https://psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
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psnet.ahrq.gov/node/42147/psn-pdf
March 27, 2013 - The clinical safety of disabled patients: proposal for a
methodology for analysis of health care risks … The clinical safety of disabled patients:
proposal for a methodology for analysis of health care risks … /psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-
risks-and … to address such risks in dental practice. … ://psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-risks-and