-
psnet.ahrq.gov/node/50574/psn-pdf
October 23, 2019 - occupational-stress-and-cognitive-failure-nurses-and-associations-self-
reported-adverse
Staff workload and stress can impact patient safety and increase the risk
-
psnet.ahrq.gov/node/44326/psn-pdf
October 21, 2015 - gaps by standardizing intrahospital transport and providing criteria to identify patients at high
risk
-
psnet.ahrq.gov/node/74129/psn-pdf
January 01, 2022 - factors-influencing-providers-willingness-deprescribe-medications
Deprescribing is a patient safety strategy to reduce the risk
-
psnet.ahrq.gov/node/866318/psn-pdf
July 17, 2024 - optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children
https://psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children
-
psnet.ahrq.gov/node/39605/psn-pdf
December 17, 2010 - perceptions of safety climate vary by facility complexity, which is defined by
a hospital's volume, risk
-
psnet.ahrq.gov/node/45409/psn-pdf
May 17, 2021 - ismp-list-high-alert-medications-long-term-care-ltc-settings
Long-term care patients often have concurrent conditions that increase their risk
-
psnet.ahrq.gov/node/43478/psn-pdf
August 27, 2014 - it-time-move-beyond-errors-clinical-reasoning-and-discuss-accuracy
Highlighting how heuristics can both increase and reduce risk
-
psnet.ahrq.gov/node/47281/psn-pdf
August 22, 2018 - J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325.
-
psnet.ahrq.gov/node/44140/psn-pdf
July 15, 2015 - issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
https://psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
-
psnet.ahrq.gov/node/847733/psn-pdf
March 16, 2025 - role-community-pharmacists-patient-safety
https://psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study
-
psnet.ahrq.gov/node/45952/psn-pdf
May 31, 2017 - surgeon-heal-thyself-optimising-surgical-performance-managing-stress
Stress, information overload, and high-risk
-
psnet.ahrq.gov/node/46600/psn-pdf
December 06, 2017 - interventions-reduction-prescribed-opioid-use-chronic-non-cancer-pain
Overuse of opioids to treat chronic pain places patients at risk
-
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
-
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?
-
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
-
psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - support, professional review, and collegial feedback, as well as access to patient safety experts and risk … The second tier involves trained peer support persons embedded in high-risk clinical units to monitor … support, trigger debriefings, and access to other organizational resources such as patient safety or risk
-
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.
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psnet.ahrq.gov/node/73579/psn-pdf
August 11, 2021 - review found that 30% to 80% of pediatric patients experience a medication error at home,
and that the risk
-
psnet.ahrq.gov/node/45507/psn-pdf
November 02, 2016 - information-handoff-and-outcomes-critically-ill-patients-transferred-between-
hospitals
Patients are at risk
-
psnet.ahrq.gov/node/47901/psn-pdf
April 10, 2019 - However, there is some evidence that
communication disability leads to increased risk of falls and the