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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836757/psn-pdf
    March 16, 2022 - improving-communication-and-teamwork-during-labor-feasibility-acceptability- and-safety-study Labor and delivery is a high-risk
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47091/psn-pdf
    March 19, 2019 - provider-interruptions-and-patient-perceptions-care-observational-study-emergency-department https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
  3. psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
    October 01, 2016 - providing clinicians and managers immediate feedback in some ways illustrating that a patient is at risk … We could build systems that would make it much easier to identify patients who are at risk for problems … vendor recounted the story of one physician who was shown an algorithm that predicted a high readmission risk … He asked a data scientist if he should prescribe fewer medications to reduce this risk. … learning algorithm found a significant correlation between the number of medications and readmission risk
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33857/psn-pdf
    July 01, 2012 - The same is true to a lesser extent for the somewhat more risk-bearing versions of ACOs. … If risk-based payment had been widespread, the HITECH Act would have been unnecessary. … When you are at risk and you do adopt a cost-minimization strategy and you work up the chain of causation … So if you were risk averse you would go to Epic, especially if you were big. … what should be put in on a radiology order slip: 75-year-old patient with chest pain and multiple risk
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - Each RSI case is essentially a result of human error (or device failure) in a complex and high-risk … when possible, but the decision to remove a retained fragment is based on the clinician weighing the risk … of harm from leaving the fragment where it is versus the risk of harm from trying to retrieve the fragment … When it is determined after discovery of an RSI that the risk of retention exceeds the risk of removal … Risk factors and preventive strategies for unintentionally retained surgical sharps: a systematic review
  6. psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
    February 05, 2020 - the patient survives the episode of hypoxemia. 1 Anesthesia clinicians are very aware of the enormous risk … of the routine anesthesia machine check-out procedure at the beginning of every working day. 3 The risk … operating room infrastructure because of the high cost of constructing a separate pipeline system and the risk … This new technology effectively eliminates the risk of a hypoxic gas mixture in the breathing system … Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33865/psn-pdf
    September 01, 2018 - that staff will follow that rule, it will be easy to follow that rule, and we can avoid any similar risks … dealing with individual incidents in health care environments, probably much more so than in other high-risk
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46502/psn-pdf
    July 02, 2019 - A significant proportion of these prescriptions were refilled, highlighting the risk of chronic use
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41414/psn-pdf
    June 06, 2012 - Medication Practices high-alert medications and 30-day readmission were associated with increased risk
  10. psnet.ahrq.gov/web-mm/duplicate-insulin-order
    May 04, 2012 - The Institute for Safe Medical Practices (ISMP) categorizes insulin as a high-risk medication in acute … administration.( 3,4 ) Although insulin errors occur in all hospital settings, the ED is a particularly high-risk … sets; disabling previously defaulted medications in order sets; activating alerts on targeted and high-risk … Take-Home Points Insulin is a high-risk medication and safe practice recommendations from the American … The emergency department is an area of high risk and having pharmacists physically present can decrease
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46314/psn-pdf
    November 01, 2020 - prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011 https://psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851650/psn-pdf
    July 26, 2023 - https://psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74039/psn-pdf
    November 03, 2021 - J Healthc Risk Manag. 2021;41(2):9-17. doi:10.1002/jhrm.21456.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45274/psn-pdf
    July 20, 2016 - https://psnet.ahrq.gov/issue/patient-misidentification-neonatal-intensive-care-unit-quantification-risk
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836752/psn-pdf
    March 16, 2022 - J Healthc Risk Manag. 2022;42(1):31-36. doi:10.1002/jhrm.21500.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47633/psn-pdf
    June 02, 2019 - manifestations-high-reliability-principles-hospital-units-varying-safety-profiles- qualitative High reliability principles from other high-risk
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74845/psn-pdf
    February 16, 2022 - care-transition-trauma-patients-processes-articulation-work-and-after-handoff Care transitions can increase the risk
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73416/psn-pdf
    June 23, 2021 - This study identified four phases of post-operative handoff associated with risk factors: pre-transfer
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853974/psn-pdf
    January 01, 2024 - psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47964/psn-pdf
    May 15, 2019 - deaths-among-opioid-users-impact-potential-inappropriate-prescribing- practices Inappropriate opioid prescribing increases risk

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