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Showing results for "risks".

8061. The $17.1 billion problem: the annual cost of measurable medical errors. | PSNet
      psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
      May 26, 2021 - readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … April 13, 2022 Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk

8062. Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System. | PSNet
      psnet.ahrq.gov/issue/racial-disparities-frequency-patient-safety-events-results-national-medicare-patient-safety
      December 18, 2014 - Prior studies have raised the concern that minorities may be at higher risk of adverse events while … analysis of more than 100,000 hospital discharges found that black patients appeared to be at higher risk

8063. Supporting involved health care professionals (second victims) following an adverse health event: a literature review. | PSNet
      psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
      April 10, 2019 - Clinicians who are involved in a medical error are at increased risk for psychological complications … September 22, 2021 Increased risk of burnout for physicians and nurses involved in a

8064. Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety
      May 25, 2022 - Working more than 60 hours in a week significantly increased the risk of a medical error resulting in … review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk

8065. Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. | PSNet
      psnet.ahrq.gov/issue/handling-polypharmacy-qualitative-study-using-focus-group-interviews-older-patients-their
      August 03, 2022 - 2022 Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk … transitional care visits and impact on medication discrepancies identified and hospital readmission risk

8066. In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital. | PSNet
      psnet.ahrq.gov/issue/eye-storm-role-pharmacist-medication-safety-during-covid-19-pandemic-urban-teaching-hospital
      June 02, 2021 - clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk … November 25, 2020 Expanding frontiers of risk management: care safety in nursing home

8067. Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. | PSNet
      psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery-multicenter
      September 13, 2023 - Related Resources From the Same Author(s) Inappropriate hospital admission as a risk … October 19, 2011 Risk-sensitive events during laparoscopic cholecystectomy: the influence

8068. Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report. | PSNet
      psnet.ahrq.gov/issue/response-practicing-chiropractors-during-early-phase-covid-19-pandemic-descriptive-report
      September 23, 2020 - March 12, 2025 Risk of wrong-patient orders among multiple vs singleton births in the … August 12, 2020 Planning for a pandemic: mitigating risk to radiation therapy service

8069. Diagnostic errors by medical students: results of a prospective qualitative study. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-medical-students-results-prospective-qualitative-study
      May 18, 2022 - June 26, 2019 Adverse drug events caused by three high-risk drug-drug interactions in … February 10, 2012 Initiative to deprescribe high-risk drugs for older adults presenting

8070. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. | PSNet
      psnet.ahrq.gov/issue/short-and-long-term-effects-electronic-medication-management-system-paediatric-prescribing
      August 28, 2024 - May 1, 2024 Risk factors associated with medication administration errors in children … March 13, 2024 Child age and risk of medication error: a multisite children's hospital

8071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42315/psn-pdf
      June 05, 2013 - leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team https://psnet.ahrq.gov/issue/situ-simulation-detection-safety-threats-and-teamwork-training-high-risk-emergency-department

8072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37884/psn-pdf
      November 03, 2008 - psnet.ahrq.gov/issue/epidemiology-malpractice-lawsuits-paediatrics This review identified potential high-risk

8073. Crossed Coverage | PSNet
      psnet.ahrq.gov/web-mm/crossed-coverage
      September 01, 2015 - For high-risk drugs like warfarin, another policy that potentially could reduce errors would mandate … Take-Home Points When a medication, especially a high-risk one, is not ordered, the chart should … High bleeding risk     7. … August 29, 2016 WebM&M Cases Miscalculated Risk August … See More About The Topic General Hospitals Physicians Nurses Pharmacists Risk

8074. Pocket Syringe Swap | PSNet
      psnet.ahrq.gov/web-mm/pocket-syringe-swap
      July 01, 2006 - A physician, choosing between only two syringes, both known to contain high-risk drugs, didn't bother … concerning measurement of anesthetic error rate, and published studies are difficult to compare, the risk … errors, the rate of injury, and more rarely, death, is probably also approximately 1%.( 2 ) Thus, the risk … anesthesia practitioners are administered by IV push or IV infusion, and many of them fall into high-risk … View More See More About The Topic Operating Room Health Care Providers Risk

8075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49568/psn-pdf
      September 01, 2008 - Under certain circumstances, though, hyperbilirubinemia can become severe and place newborns at risk … 2006, the AAP published revised guidelines for managing hyperbilirubinemia in newborns by calling for risk … impact of breastfeeding is overwhelming.(14) Breastfeeding enhances maternal-infant bonding, diminishes risk … Infants who are not breastfed also have a higher risk of developing obesity and diabetes. … The value is plotted on a nomogram by hour of life to determine the risk of severe hyperbilirubinemia

8076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72834/psn-pdf
      March 10, 2021 - During a year when society has been focused on limiting the number of in-person interactions due to the risk … psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk … psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk … communication practices can help to ensure consistent communication across providers and alleviate the risk … can decrease misconceptions and misunderstanding between nursing and medical teams and lessen the risk

8077. Environmental Safety in the OR | PSNet
      psnet.ahrq.gov/web-mm/environmental-safety-or
      May 19, 2015 - Interventions are then implemented to decrease the risk of infection in future patients. … investigates sentinel events—serious adverse events that may occur in only a single patient—to determine what risk … First, staff must believe that restraining loose hair and jewelry will decrease the risk of surgical … A risk index for sternal surgical wound infection after cardiovascular surgery. … March 2, 2022 Risk factors for hospital admissions associated with adverse drug events

8078. Are You Mrs. A? An Issue of Identification Over Telephone | PSNet
      psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
      January 01, 2016 - World Health Organization (WHO) and The Joint Commission have recommended strategies for reducing the risk … Safety: Building Safer Systems for Better Care, which expressed deep concerns about the public health risk … Although the report noted that there is little published evidence quantifying the magnitude of the risk … experts fear that EMRs that allow multiple patient records open at once are hazardous and increase the risk … Risk models to improve safety of dispensing high-alert medications in community pharmacies.

8079. Bowel Injury After Laparoscopic Surgery | PSNet
      psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
      January 19, 2016 - The risk factors for bowel injuries include surgeon-related factors such as inexperience and early learning … Delayed diagnosis is associated with a higher risk of septicemia (as seen in this case), the need for … a laparotomy, high risk of multiple operations, stoma formation, prolonged hospital stay, and, most … Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted … View More See More About The Topic Operating Room Physicians Risk

8080. Updates in the Role of Health IT in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
      January 31, 2020 - approach is the use of barcoding and scanning protocols in the medication delivery process to reduce the risk … Several articles recommended barcoding in perioperative care and the operating room settings as risk … addition to these examples, barcode scanning nursing protocols may have the potential to reduce the risk … transfusion errors, causing patients to receive incorrect blood types. [13] Barcoding can alleviate the risk … Requiring a clinician to navigate across multiple silos of information in the EHR increases the risk