-
psnet.ahrq.gov/node/38294/psn-pdf
March 01, 2011 - factors-associated-unanticipated-day-surgery-deaths-department-veterans-
affairs-hospitals
This study examines contributors to unexpected deaths in low-risk
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psnet.ahrq.gov/node/60897/psn-pdf
January 01, 2022 - preventable-morbidity-mature-trauma-center
https://psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
-
psnet.ahrq.gov/node/40857/psn-pdf
October 19, 2011 - point-of-care analyzer results were systematically biased toward normal measurements, putting patients at
risk
-
psnet.ahrq.gov/node/844556/psn-pdf
February 15, 2023 - This report examines how machine learning can improve activities such as risk
identification and prediction
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psnet.ahrq.gov/node/42105/psn-pdf
June 28, 2013 - patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
https://psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology
-
psnet.ahrq.gov/node/47642/psn-pdf
April 07, 2019 - individual interviews with experienced
surgeons to examine behaviors early in training that constitute a risk
-
psnet.ahrq.gov/node/864383/psn-pdf
March 13, 2024 - health care becomes more technology-reliant, processes, devices, and care access are at increased
risk
-
psnet.ahrq.gov/node/40237/psn-pdf
February 23, 2011 - team (MET) nurses spent more than half their time engaged in
ongoing assessment and re-evaluation of risk
-
psnet.ahrq.gov/node/866649/psn-pdf
September 04, 2024 - psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective
https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
-
psnet.ahrq.gov/node/41577/psn-pdf
September 27, 2016 - Canadian study felt that standardized medication carts improved their workflow, but did not
reduce the risk
-
psnet.ahrq.gov/node/837509/psn-pdf
June 22, 2022 - scoping-review-studies-evaluating-frailty-and-its-association-medication-harm
Patient characteristics such as age, comorbidities and frailty can increase risk
-
psnet.ahrq.gov/node/840492/psn-pdf
November 30, 2022 - her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen-
mothers
Pregnancy is recognized as a high-risk
-
psnet.ahrq.gov/node/44511/psn-pdf
October 14, 2015 - multiple medical conditions and a mental health component, such
as depression, were at particularly high risk
-
psnet.ahrq.gov/node/45364/psn-pdf
September 04, 2016 - stories-clinicians-tell-achieving-high-reliability-and-improving-patient-safety
https://psnet.ahrq.gov/issue/why-empathy-may-be-best-risk-management-strategy
-
psnet.ahrq.gov/node/74238/psn-pdf
January 12, 2022 - Findings suggest
an association between lack of accessibility through accommodations and increased risk
-
psnet.ahrq.gov/node/860397/psn-pdf
January 10, 2024 - more
completely covers a wide range of concerns to be addressed through tactics such as training, risk
-
psnet.ahrq.gov/node/851196/psn-pdf
July 05, 2023 - patient-falls-while-under-supervision-trends-incident-reporting
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
-
psnet.ahrq.gov/node/44224/psn-pdf
June 10, 2015 - article discusses better communication and physician behavior
change as ways to reduce malpractice risk
-
psnet.ahrq.gov/node/864352/psn-pdf
March 13, 2024 - good-catch-operating-room
https://psnet.ahrq.gov/issue/mind-power-gap-how-hierarchical-leadership-healthcare-risk-patient-safety
-
psnet.ahrq.gov/node/848091/psn-pdf
April 26, 2023 - This article discusses the various factors that increase risk of RSIs and strategies to prevent them,