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psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
September 08, 2021 - readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … August 10, 2022
Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk
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psnet.ahrq.gov/issue/intervention-increase-situational-awareness-and-culture-mutual-care-foco-and-its-effects
November 21, 2021 - October 11, 2023
Inappropriate hospital admission as a risk factor for the subsequent … September 11, 2019
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COVID-19 increased the risk
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psnet.ahrq.gov/issue/prolonged-diagnostic-intervals-marker-missed-diagnostic-opportunities-bladder-and-kidney
August 10, 2022 - These findings suggest inadequate adherence to guidelines intended to help identify patients with high risk … April 13, 2022
Incidence, duration and risk factors associated with delayed and missed
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - root cause analysis and action: integrating human factors to create strong interventions and reduce risk … Resources
Patient Safety Innovations
Combined Proactive Risk
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psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
March 05, 2008 - The authors argue that focusing on improving prescribing safety for these necessary but higher-risk medications … March 24, 2011
The burden and risk factors for adverse drug events in older patients-
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psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
June 30, 2021 - May 25, 2011
Risk management, or just a different risk: a national survey of newborn
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psnet.ahrq.gov/issue/communication-patients-and-families-regarding-health-care-associated-exposure-coronavirus
June 24, 2020 - October 28, 2020
Expanding frontiers of risk management: care safety in nursing home … See More About The Topic
Hospitals
Long-Term Care
Facility and Group Administrators
Risk
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psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing
September 01, 2021 - May 31, 2023
Opioid-prescribing patterns of emergency physicians and risk of long-term … January 18, 2023
Long-term risk of overdose or mental health crisis after opioid dose
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - The e-triggers targeted six clinical scenarios: high-risk stroke, high-risk abdominal pain, unexpected
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psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid
August 11, 2021 - Older adults are at increased risk of hospitalization due to COVID-19 infections. … decision support systems should be used to assess potential DDI with particular attention paid to the risk
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psnet.ahrq.gov/issue/too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization
December 02, 2020 - November 28, 2018
Underlying risk factors for prescribing errors in long-term aged care … August 19, 2016
Variability in antibiotic use across nursing homes and the risk of antibiotic-related
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psnet.ahrq.gov/issue/cost-adverse-drug-events-related-potentially-inappropriate-medication-use-systematic-review
December 21, 2022 - Potentially inappropriate prescribing in older adults can increase the risk of adverse drug events … May 26, 2011
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices
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psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
August 26, 2020 - readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … transitional care visits and impact on medication discrepancies identified and hospital readmission risk
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psnet.ahrq.gov/issue/artificial-intelligence-versus-clinicians-systematic-review-design-reporting-standards-and
May 20, 2019 - identified few prospective studies or studies conducted in real-world settings; additionally, overall risk … Future studies examining the impact of AI in medicine must decrease risk of bias, increase relevance
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psnet.ahrq.gov/issue/interventions-designed-improve-safety-and-quality-therapeutic-anticoagulation-inpatient
March 27, 2024 - August 16, 2023
Pharmacists reducing medication risk in medical outpatient clinics: a … Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk
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psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
March 12, 2025 - to the ED resulting in admission) and non-EHR based signals (e.g., patient complaints, referral to risk … August 19, 2020
Patient-related factors associated with an increased risk of being a
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psnet.ahrq.gov/issue/racial-inequality-receipt-medications-opioid-use-disorder
April 24, 2018 - medications to treat OUD ( naltrexone , naloxone, or buprenorphine) and limiting prescriptions of high-risk … White patients were significantly more likely to receive buprenorphine and less likely to receive high-risk
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psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study
January 18, 2023 - March 30, 2022
Use of FMEA analysis to reduce risk of errors in prescribing and administering … More
Related Resources
Failure to rescue female patients undergoing high-risk
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psnet.ahrq.gov/issue/medication-opioid-use-disorder-after-nonfatal-opioid-overdose-and-association-mortality
October 03, 2018 - July 13, 2016
Physician prescribing of opioids to patients at increased risk of overdose … Related Resources
Physician prescribing of opioids to patients at increased risk
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psnet.ahrq.gov/issue/effect-reducing-interns-work-hours-serious-medical-errors-intensive-care-units
June 29, 2009 - February 17, 2011
Extended work duration and the risk of self-reported percutaneous injuries … September 2, 2009
Infants at risk: when nurse fatigue jeopardizes quality care.