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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - the patient's abnormal thyroid function tests, even though she was taking a medication with a known risk … Unnecessary (particularly "shotgun") testing risks missing important findings and confounding the diagnostic … Score: <25: unlikely; 25–59: risk for myxedema coma; ≥60 highly suggestive of myxedema coma
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psnet.ahrq.gov/node/50445/psn-pdf
October 09, 2019 - safety culture and use of evidence-based infection
prevention practices is associated with infection risk
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - We're starting to understand that we need to risk-stratify handoffs and that not all handoffs are the … It sounds like with this risk stratification there's different expectations of the time it will take … I think if there is a yes to any of these questions, there's an inherent increase in your safety risk … Does housestaff discontinuity of care increase the risk for preventable adverse events? … August 21, 2019
A systematic literature review and narrative synthesis on the risks of
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - Studies have also suggested that sicker patients are at higher risk of adverse events. … transfers and among physician-referred versus self-referred or primary care patients.( 6 ) Current risk … Risk Adjustment for Measuring Health Care Outcomes. … I don't think that's what Medicare intends, but I think that's the risk of going too far and too fast … September 6, 2023
Perspective
Where Does Risk-Adjusted
-
psnet.ahrq.gov/innovation/pharmacist-led-mobile-health-intervention-and-transplant-medication-safety-randomized
April 07, 2021 - Organ transplant patients are at increased risk for medication errors given their complex medication … March 1, 2023
Risk from delayed or missed care and non-COVID-19 outcomes for older patients
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psnet.ahrq.gov/issue/do-junior-doctors-make-more-prescribing-errors-experienced-doctors-when-prescribing
February 22, 2023 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … July 31, 2008
Comparison of potential risk factors for medication errors with and without
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 -
Respond to emergencies
Follow up on patients
discharged from ICU
Proactively evaluate high-
risk …
Respond to emergencies
Follow up on patients
discharged from ICU
Proactively evaluate high-
risk
-
psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - , injury or other preventable harm to a patient
during the process of healthcare, and reduction of risk … evidence-based care can help
avoid “toxic cascades” of unnecessary tests,
reducing exposure to unnecessary risk … Diagnostic Safety
Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit
Toolkit to Engage High-Risk … Black adults’ high cardiovascular disease risk not due to race itself. Northwestern Now. … /
https://news.northwestern.edu/stories/2022/05/black-adults-high-cardiovascular-disease-risk-not-due-to-race-itself
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psnet.ahrq.gov/node/40837/psn-pdf
September 27, 2016 - medication-prescribing-errors-involving-route-administration
https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
-
psnet.ahrq.gov/node/43213/psn-pdf
June 04, 2014 - back-basics-preventing-surgical-site-infections
https://psnet.ahrq.gov/issue/improving-measurement-surgical-site-infection-risk-stratificationoutcome-detection-final
-
psnet.ahrq.gov/node/837506/psn-pdf
June 22, 2022 - reducing-pediatric-emergency-department-prescription-errors
Several factors contribute to the increased risk
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psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - criteria (“gut feeling” or family/staff concerns) were used to identified patients who may be at risk … December 1, 2021
Situation awareness and the mitigation of risk associated with patient
-
psnet.ahrq.gov/node/74704/psn-pdf
January 26, 2022 - J Patient Saf Risk Manage. 2021;26(6):251-260.
doi:10.1177/25160435211047643.
-
psnet.ahrq.gov/node/60932/psn-pdf
January 01, 2021 - retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
https://psnet.ahrq.gov/web-mm/suicide-risk-hospital
-
psnet.ahrq.gov/node/852452/psn-pdf
August 16, 2023 - value-assessment-deprescribing-interventions-suggestions-improvement
Deprescribing is used to reduce the risk
-
psnet.ahrq.gov/node/46328/psn-pdf
August 09, 2017 - following an adverse event and describes a debriefing strategy informed by practice in other high-risk
-
psnet.ahrq.gov/node/74746/psn-pdf
February 09, 2022 - This
systematic review identified three main risk factors for medication errors in the home: transition
-
psnet.ahrq.gov/node/46639/psn-pdf
November 29, 2017 - This commentary outlines strategies to ensure safe
care in this patient population, including risk assessment
-
psnet.ahrq.gov/node/846756/psn-pdf
March 29, 2023 - frequency-medication-administration-timing-error-hospitals-systematic-review
https://psnet.ahrq.gov/issue/clinical-relevance-and-risk-factors-associated-medication-administration-time-errors
-
psnet.ahrq.gov/node/73612/psn-pdf
August 18, 2021 - of RFID can lead to rapid, accurate detection of retained
surgical instruments (RSIs) and reduced risk