-
psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - of FHR that is intended to standardize communication among health care providers and
stratify fetal risk … The risks and benefits of FHR monitoring during labor have been the subject of several studies.(7)
Although … These methods have been
applied in other high-risk domains (e.g., aviation, processing plant operations … Attempts to combat monitoring deficits in other high-risk domains with more sophisticated technology
-
psnet.ahrq.gov/node/34117/psn-pdf
December 23, 2016 - in response to unexpected incidents
involving death or serious physical or psychological injury (or risk
-
psnet.ahrq.gov/node/60799/psn-pdf
August 12, 2020 - the SCM remains a relevant
model because of its systemic foundations and its sustained use in high-risk
-
psnet.ahrq.gov/node/34129/psn-pdf
January 16, 2019 - https://psnet.ahrq.gov/issue/who-patient-safety
Reducing accidents and the risk of error requires a
-
psnet.ahrq.gov/node/43658/psn-pdf
December 19, 2014 - These findings counter the concern that
hospitalists raise liability risk due to discontinuity of care
-
psnet.ahrq.gov/node/46974/psn-pdf
April 04, 2018 - support systems contain current and valid evidence in order to maximize
their effectiveness and minimize risk
-
psnet.ahrq.gov/node/60656/psn-pdf
July 08, 2020 - defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review
https://psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid
-
psnet.ahrq.gov/node/35305/psn-pdf
June 30, 2011 - prepared for pediatric use, and lower
educational level of the nurses were all associated with a higher risk
-
psnet.ahrq.gov/node/35042/psn-pdf
November 05, 2015 - adherence-simple-and-effective-measures-reduces-incidence-ventilator-
associated-pneumonia
The authors explored low-risk
-
psnet.ahrq.gov/node/45837/psn-pdf
March 08, 2017 - operating-room-hazards-and-approaches-improve-patient-safety
https://psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk-postoperative
-
psnet.ahrq.gov/node/35022/psn-pdf
June 22, 2009 - guidelines on effective methods to examine critical incidents, this review studied 12
techniques from high-risk
-
psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - But, newer work is using triggers themselves to identify patients at risk for various adverse events, … If people experience a minor event, does that increase their risk of other events? … you experience an inpatient adverse drug event, you increase not only your mortality but also your risk … understand the epidemiology of those early harm signals that could be used to identify patients at risk … was valuable in the early days of the patient safety field by highlighting the major patient safety risks
-
psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - of the things that I think I understood about trigger tools, was they're looking at more of the low-risk … everyday care that's being provided by EMS as opposed to some of those types of events that are high risk … But, when not monitored appropriately, there's a lot of risk associated with it. … concept of handoffs, so when EMS arrives at the hospital, how is the information communicated, are there risks … Trigger tools can be used to evaluate low-risk, high-frequency cases that are not typically reviewed
-
psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - The cardiac surgeon discussed the problem with the patient
and his wife, including the numerous risks … With support from the risk
management team, the surgeon ultimately contacted the patient’s wife some … condition was known to his wife, and given the very complex nature of the surgery, the
patient was at high risk … Immediately after
the surgery, the Risk Management team should have been notified of the surgical outcome
-
psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - Safety-I emphasizes compliance with policies, procedures, and ways to minimize risk. … attention to using the “learning team” methodology more often for
insight into processes that drive risks … intent is to look at processes through the eyes of the
stakeholders to understand complexities and risk … serious safety event, a recurrent event that we've heard about, or sometimes it's problematic or high-
risk
-
psnet.ahrq.gov/node/44174/psn-pdf
January 06, 2016 - https://psnet.ahrq.gov/issue/team-training-safer-birth
Obstetric care is considered a high-risk environment
-
psnet.ahrq.gov/node/42911/psn-pdf
February 12, 2014 - with clinical decision
support systems to enhance medication safety and its potential to increase risk
-
psnet.ahrq.gov/node/42467/psn-pdf
August 08, 2013 - psnet.ahrq.gov/issue/changes-language-services-use-us-pediatricians
Limited English proficiency is a risk
-
psnet.ahrq.gov/node/72533/psn-pdf
January 01, 2021 - practices for storing, preparing, dispensing, and
administering 2-component vaccines, and highlight risk
-
psnet.ahrq.gov/node/43256/psn-pdf
June 11, 2014 - This mistake
can have serious consequences and warrants further efforts to mitigate this risk.