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psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
August 05, 2020 - December 2, 2020
Situation awareness and the mitigation of risk associated with patient … December 1, 2021
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The challenge of risk
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psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
May 17, 2023 - March 9, 2022
Inappropriate hospital admission as a risk factor for the subsequent development … 26, 2020
Use of unsolicited patient observations to identify surgeons with increased risk
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psnet.ahrq.gov/issue/assessment-potentially-inappropriate-prescribing-opioid-analgesics-requiring-prior-opioid
October 19, 2022 - are prescribed medications that are intended only for opioid-tolerant patients may be at increased risk … March 4, 2020
Evaluation of the extended-release/long-acting opioid prescribing Risk
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psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations
November 26, 2008 - Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted … April 21, 2010
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Hospitals
Risk Managers
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psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
July 19, 2019 - usefulness of a structured clinical note, especially regarding pending tests and the status of high-risk … Tube Complications
June 1, 2017
Implications of the failure to identify high-risk
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medical-errors-antineoplastic-drugs-5-years
November 17, 2021 - results argue for continued development of decision support to enhance prescribing, particularly in high-risk … August 23, 2023
Inappropriate hospital admission as a risk factor for the subsequent
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psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - consecutive hours) remain common for interns, and working extended shifts is associated with an increased risk … Related Resources From the Same Author(s)
Extended work duration and the risk
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psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality
October 19, 2022 - November 16, 2022
A method to identify pediatric high-risk diagnoses missed in the emergency … View More
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Operating Room
Health Care Providers
Risk
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psnet.ahrq.gov/issue/analysis-readmissions-mobile-integrated-health-transitional-care-program-using-root-cause
June 08, 2022 - root cause analysis and action: integrating human factors to create strong interventions and reduce risk … transitional care visits and impact on medication discrepancies identified and hospital readmission risk
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psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
April 04, 2011 - inconsistencies had high potential for causing adverse drug events, as many occurred in orders for high-risk … Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk
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psnet.ahrq.gov/issue/evaluation-laboratory-monitoring-alerts-within-computerized-physician-order-entry-system
October 06, 2011 - March 10, 2011
Implications of the failure to identify high-risk electrocardiogram findings … March 29, 2010
Development and pilot testing of guidelines to monitor high-risk medications
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psnet.ahrq.gov/issue/analysis-variations-display-drug-names-computerized-prescriber-order-entry-systems
October 13, 2018 - across 6 health care institutions to determine how variation in drug name display may increase the risk … Providers could theoretically prescribe both the brand and generic drug, increasing the risk for patient
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psnet.ahrq.gov/issue/how-nurses-and-physicians-judge-their-own-quality-care-deteriorating-patients-medical-wards
November 20, 2015 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … February 14, 2024
Adverse drug events caused by three high-risk drug-drug interactions
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psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
July 31, 2013 - Interhospital transfers pose a serious risk to patients. … Nursing complexity as an independent predictor of adverse events risk after ICU discharge.
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psnet.ahrq.gov/issue/mental-health-staff-working-intensive-care-during-covid-19
June 02, 2021 - The burden of the COVID-19 pandemic has placed healthcare workers at higher risk for poor mental … July 20, 2022
COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort
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psnet.ahrq.gov/issue/computerized-provider-order-entry-implementation-no-association-increased-mortality-rates
November 16, 2022 - May 11, 2014
Perceptions of risk to patient safety in the pediatric ICU, a study of American … 2011
Patient misidentification in the neonatal intensive care unit: quantification of risk
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psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
December 21, 2014 - Although past research led to controversy over their widespread adoption, the ability to identify at-risk … Journal Article
Study
Implementation of a medication reconciliation risk
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psnet.ahrq.gov/issue/team-debriefing-covid-19-pandemic-qualitative-study-hospital-wide-clinical-event-debriefing
June 08, 2022 - December 2, 2020
Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk … August 19, 2020
Incidence, duration and risk factors associated with delayed and missed
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psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
August 09, 2017 - with serious psychiatric disorders, such as schizophrenia and bipolar disorder, often require high-risk … View More
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Hospitals
Health Care Providers
Risk
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psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other
January 12, 2022 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … February 22, 2023
Risk factors for clinically relevant deviations in patients' medication