-
psnet.ahrq.gov/node/47478/psn-pdf
January 16, 2019 - pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
https://psnet.ahrq.gov/issue/impact-pharmacist-involvement-transitional-care-high-risk-patients-through-medication
-
psnet.ahrq.gov/node/36718/psn-pdf
July 26, 2011 - causes-errors-electrocardiographic-diagnosis-atrial-fibrillation-physicians
https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
-
psnet.ahrq.gov/node/45582/psn-pdf
June 15, 2017 - interruptions-and-distractions-healthcare-review-and-reappraisal
https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
-
psnet.ahrq.gov/node/60353/psn-pdf
May 20, 2020 - to patients who did not experience an adverse events, those with
adverse events were at increased risk
-
psnet.ahrq.gov/node/837860/psn-pdf
August 17, 2022 - J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952.
-
psnet.ahrq.gov/node/866958/psn-pdf
October 16, 2024 - J
Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583.
-
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
-
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
-
psnet.ahrq.gov/node/73345/psn-pdf
June 02, 2021 - Using administrative
data, this retrospective study estimated the risk of potentially missed pediatric
-
psnet.ahrq.gov/node/47287/psn-pdf
December 19, 2018 - between accepting
personal responsibility and identifying systems-level factors that enhanced patient risk
-
psnet.ahrq.gov/node/35575/psn-pdf
April 11, 2011 - conclude that parental desire for reporting increases with severity, disclosure likely
reduces the risk
-
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
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Two common risks to insertion
of central lines include (i) misdirection of the catheter (cranially up … Association of interruptions with an
increased risk and severity of medication administration errors
-
psnet.ahrq.gov/node/47510/psn-pdf
June 30, 2019 - J Patient Saf Risk Manag. 2019;24:127–133.
-
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
-
psnet.ahrq.gov/node/46152/psn-pdf
May 31, 2017 - root-cause-analysis-adverse-events-outpatient-anticoagulation-management-
consortium
Anticoagulation confers a high risk