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Showing results for "risks".

8761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72674/psn-pdf
      January 27, 2021 - effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu Fatigue among health care workers can increase risk

8762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74694/psn-pdf
      January 26, 2022 - The risk of death due to adverse event was higher for younger patients and Black patients.

8763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60247/psn-pdf
      April 22, 2020 - delays in cancer diagnosis or treatment against the harm of COVID-19 exposure, how to mitigate the risk

8764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45792/psn-pdf
      December 20, 2017 - medication and treatments as well as a delay in appropriate treatment, placing patients at increased risk

8765. Psn-Pdf (pdf file)
      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

8766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838182/psn-pdf
      September 28, 2022 - J Healthc Risk Manag. 2022;42(2):31-38. doi:10.1002/jhrm.21521.

8767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43758/psn-pdf
      March 17, 2015 - discuss the role of nurses in introducing the checklist and the use of team briefings to reduce the risk

8768. Psn-Pdf (pdf file)
      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

8769. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47381/psn-pdf
      April 03, 2019 - J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516043518791051.

8770. Psn-Pdf (pdf file)
      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

8771. Psn-Pdf (pdf file)
      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

8772. Psn-Pdf (pdf file)
      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.

8773. Psn-Pdf (pdf file)
      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

8774. Diagnostic Errors Case Studies | PSNet
      psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
      August 10, 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.

8775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49846/psn-pdf
      November 01, 2018 - He felt that he had placed the patient's life at risk because of his inexperience. … features, subsumed as integrity, reliability, and humility); (ii) nature of the task (difficulty, risk … The decision to trust a trainee is driven by characteristics of the learner, risks involved in the task

8776. PowerPoint Presentation (ppt file)
      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

8777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50844/psn-pdf
      January 29, 2020 - step is for a designated team member to preview selected patients to be seen that day who may be at risk … Examples include patients who may be on medications that could increase their risk of falls or bleeding … Malpractice risk in communication failures. Boston, MA. 2015. 2.

8778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49416/psn-pdf
      September 01, 2003 - single nurse on a medical-surgical unit may be responsible for 5 to 10 patients, may mitigate the risk … This practice eliminates the need to use the high risk IV and the potential for an inadvertent overdose … More obvious labeling of ‘high risk’ IV drips (eg, bigger, brighter labels; duplicate labeling on IV

8779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33627/psn-pdf
      February 01, 2006 - The common belief that apologizing increases the risk of a malpractice suit is probably not true; in … Risk management: extreme honesty may be the best policy. … A risk management program based on full disclosure and trust: does everyone win?

8780. Never Events | PSNet
      psnet.ahrq.gov/primer/never-events
      June 15, 2024 - administration of  blood products Maternal death  or serious injury associated with labor or delivery in a low-risk … healthcare setting Death or serious injury of a neonate associated with labor or delivery in a low-risk … death, easily identifiable and measurable, have the potential for significant learning, and running the risk