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psnet.ahrq.gov/node/47381/psn-pdf
April 03, 2019 - J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516043518791051.
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psnet.ahrq.gov/node/60766/psn-pdf
August 05, 2020 - dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms-care-patients-color
https://psnet.ahrq.gov/issue/algorithm-based-smartphone-apps-assess-risk-skin-cancer-adults-systematic-review-diagnostic
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psnet.ahrq.gov/node/44729/psn-pdf
January 07, 2016 - Describing weaknesses of the traditional M&M conference model, this commentary advocates for a
proactive risk
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psnet.ahrq.gov/node/74215/psn-pdf
October 25, 2011 - depression may be expressed differently based on the patient’s race or culture,
and therefore be at risk
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psnet.ahrq.gov/node/35786/psn-pdf
May 07, 2007 - when-things-go-wrong-responding-adverse-events
This consensus paper of the Harvard-affiliated hospitals was prepared by clinicians, risk
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psnet.ahrq.gov/node/34750/psn-pdf
May 21, 2019 - when to use FMEAs provide practical information for a variety of audiences
interested in proactive risk
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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
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - Labor and delivery is a high-risk care setting that requires teamwork among different clinical areas … WebM&M Cases
From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient … the appropriate evaluation for acute abdominal pain, the importance of imaging in patients with high-risk … healthcare providers and organizations can play in suicide prevention, including identifying suicide risk
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - Services Trigger Tool (EMSTT), for use in ground-based EMS settings to identify cases with potential risk … Trigger tools can be used to evaluate low-risk, high-frequency cases that are not typically reviewed … of the things that I think I understood about trigger tools, was they're looking at more of the low-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
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - Indeed, there is a higher risk of adverse outcomes in these locations which could be
prevented with … Harmonized monitor
design within a hospital would alleviate this risk. … The risk and safety of anesthesia at remote locations: the US closed
claims analysis. … Risk and safety of anesthesia outside the
operating room. Minerva Anestesiol. 2009;75:345-348.
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - 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
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
September 15, 2025 - Read More
Multiple Missed Opportunities for Suicide Risk Assessment in … Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings … The commentary discusses the challenges of screening for suicide risk and the importance of continuity … of care for patients at risk of self-harm and suicide.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.14_slideshow.ppt
May 01, 2003 - Incidence of DVT/PE not well studied in children
Prospective study of 59 children with more than 2 risk … Risk Factors for DVT in Children
Central venous catheters
Sepsis
DIC
Immobility
Cancer
Nephrotic … flushes not beneficial in adult literature
No studies in children
Higher dose may be effective but risk
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psnet.ahrq.gov/node/74044/psn-pdf
November 03, 2021 - challenges-requiring-five-characters-during-adc-drug-searches-override
https://psnet.ahrq.gov/issue/documentation-bad-habits-shortcuts-electronic-records-pose-risk
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psnet.ahrq.gov/node/838141/psn-pdf
September 21, 2022 - new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
Look-alike sound-alike packaging is a known risk
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psnet.ahrq.gov/node/61070/psn-pdf
October 28, 2020 - perioperative use of radiofrequency technology was associated with fewer
retained sponges and decreased risk
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psnet.ahrq.gov/node/43554/psn-pdf
June 21, 2015 - psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
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psnet.ahrq.gov/node/46242/psn-pdf
June 21, 2017 - applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and
https://psnet.ahrq.gov/issue/what-near-misses-tell-us-about-risk-and-safety-mental-health-care
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psnet.ahrq.gov/node/42100/psn-pdf
March 13, 2013 - of duplicate records (a single patient having multiple medical records within the same
system) is a risk
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psnet.ahrq.gov/node/44785/psn-pdf
January 27, 2016 - psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
Opioids are high-risk