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Showing results for "risks".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35332/psn-pdf
    September 21, 2005 - are-language-barriers-associated-serious-medical-events-hospitalized- pediatric-patients This study demonstrated an increased risk

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73345/psn-pdf
    June 02, 2021 - Using administrative data, this retrospective study estimated the risk of potentially missed pediatric

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47287/psn-pdf
    December 19, 2018 - between accepting personal responsibility and identifying systems-level factors that enhanced patient risk

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74269/psn-pdf
    January 19, 2022 - dimensions used to assess this relationship were the involvement of leadership, safety resources, risk

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838177/psn-pdf
    September 28, 2022 - most recent shift and a variety of environmental factors (e.g., perception of their work environment, risk

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35575/psn-pdf
    April 11, 2011 - conclude that parental desire for reporting increases with severity, disclosure likely reduces the risk

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - institution in using failure mode and effects analysis (FMEA) to develop strategies for reducing the risk

  8. Duplicate Insulin Order | PSNet

    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

  9. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet

    psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
    March 25, 2020 - internal paddles delivering the electric shock should be applied directly to the atria to minimize the risk … Teaching defibrillators” are now available that reduce the cost of training equipment and eliminate the risk … Synchronized shocks and pacing should be used whenever possible to reduce this risk. … Hidden risk in operating room. Micro-shock. Acta Anaesthesiol Belg . 1986;37(1):39-44. … WebM&M Cases Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846170/psn-pdf
    March 15, 2023 - ARNI use, given that he was already on hemodialysis, but otherwise there would have been an increased risk … Transitions of care (TOC) are a high-risk period for medication-related harm.3 Systematic reviews of … Medication management is associated with a risk of errors and inefficiencies across all stages of the … other patient-tailored interventions.9 Additionally, focusing pharmacy-supported interventions on high-risk … meantime, putting together pharmacy teams that work closely with physicians and nurses, focus on high-risk

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33742/psn-pdf
    December 01, 2012 - Delirium often sets off a spiral where someone is very confused and a fall risk, so they get assigned … SI: If you can act upon the very common risk factors for delirium, you can make a big difference in … If they're at risk in terms of their own safety they might injure themselves, they might injure others … argument would be that we need a standard way of assessing outcomes, adjusted appropriately for the risk … key words from electronic medical records that, if they're present, those people have a very high risk

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49786/psn-pdf
    March 01, 2017 - atherosclerosis and its correlates, like coronary artery calcium, may be associated with an increased risk … developed in 61 of 1011 patients (6%) started on anticoagulant therapy before hospital discharge.(17) The risk … screening for coronary artery disease using CT angiography on mortality and cardiac events in high-risk … A bleeding risk index for estimating the probability of major bleeding in hospitalized patient starting … Risk of bleeding with single, dual, or triple therapy with warfarin, aspirin, and clopidogrel in patients

  13. ABCDEF Bundle Data Literacy Training, Performance Measurement Tracking, and Performance Feedback | PSNet

    psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
    September 23, 2024 - complexity requires additional treatment decisions. 2 The complex care provided in the ICU increases the risk … found that experiencing two or more adverse events was associated with a threefold increase in the risk … in the ICU. 5 Another study found that staff in critical care environments often have to make high-risk … ED-SAFE April 24, 2024 Patient Safety Innovations Risk … Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60817/psn-pdf
    January 01, 2021 - identified three themes which may bias decision making – overt diagnostic focus, discharge planning, and risk

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47109/psn-pdf
    June 06, 2018 - user-centered-collaborative-design-and-development-inpatient-safety-dashboard https://psnet.ahrq.gov/issue/all-can-be-lost-risk-putting-our-knowledge-hands-machines

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838081/psn-pdf
    September 14, 2022 - medication-dosage-calculation-among-nursing-students-does-digital-technology-make-difference https://psnet.ahrq.gov/issue/assessing-frequency-and-risk-weight-entry-errors-pediatrics

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47576/psn-pdf
    December 19, 2018 - Systems had more success improving metrics that placed patients at risk of life-threatening harm when

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46223/psn-pdf
    June 14, 2017 - patient-reported-safety-incidents-older-patients-long-term-conditions-large- cross-sectional Ambulatory patients with chronic illness are at particular risk

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46840/psn-pdf
    June 20, 2018 - J Healthc Risk Manag. 2018;37(4):25-51. doi:10.1002/jhrm.21284.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47600/psn-pdf
    December 03, 2018 - effect-pharmacist-led-educational-intervention-inappropriate-medication-prescriptions-older https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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