-
psnet.ahrq.gov/node/48126/psn-pdf
August 14, 2019 - designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-
nursing-homes
Patients in long-term care are at risk
-
psnet.ahrq.gov/node/72814/psn-pdf
March 10, 2021 - J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.21454.
-
psnet.ahrq.gov/node/857447/psn-pdf
December 06, 2023 - Not completing test or referrals within
the recommended timeframe can increase the risk of delayed diagnoses
-
psnet.ahrq.gov/node/36476/psn-pdf
December 14, 2009 - https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
-
psnet.ahrq.gov/node/34649/psn-pdf
June 11, 2014 - Within that construct, the
author discusses behaviors that put patients at risk, including communication
-
psnet.ahrq.gov/node/34639/psn-pdf
March 02, 2011 - final
phase called for developing a screening tool to identify patients at admission who were at high risk
-
psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - CRRT is a high-risk procedure that is handled differently by different hospitals. … were how to restructure the orientation and training programs to ensure that staff performing high-risk … case, the new nurse in ICU might be presented with a simulation of the use of CCRT, which are high-risk … More
See More About The Topic
Intensive Care Units
Nurses
Nurse Managers
Risk
-
psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - notified of the event and a report entered into the hospital's incident reporting system for review by risk … Missouri Health Care System's second
victim support team are purposefully embedded on every shift in high-risk … clinical areas (such as intensive
care units or operating rooms) as well as on high-risk clinical teams … individual (either patient safety expert or
https://psnet.ahrq.gov//#ref19
https://psnet.ahrq.gov//#ref21
risk
-
psnet.ahrq.gov/node/49433/psn-pdf
June 23, 2021 - Interventions are then implemented to decrease the risk of infection in future
patients. … investigates sentinel events—serious adverse events that may
occur in only a single patient—to determine what risk … First, staff must believe that restraining loose hair and jewelry will decrease the risk of
surgical … A risk index for sternal surgical wound infection after cardiovascular
surgery.
-
psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Take-Home Points Intrahospital transfers expose patients to an increased risk of complications. … Assessment of patient pre- and post-transfer might mitigate some patient risk. … incidence of adverse events during intra-hospital transport of critically ill patients and new related risk … Adverse events during intrahospital transport of critically ill patients: incidence and risk factors.
-
psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - Detailed history taking to identify potential risk factors for SEA is important in establishing the early … The most
common risk factors for SEA are diabetes mellitus, intravenous drug use, trauma, and alcohol … In such situations, a detailed history
taking to look for risk factors and a careful physical examination … Careful history taking to identify the risk factors and meticulous physical examination to detect local
-
psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - happened, the next child in this same condition in this same institution will have just as
high a risk … It is now trite to comment that handovers are risk laden (1,2), but the first point at which error was … behind this push seems solid; there is evidence that adult surgical outcomes improve
when care for high risk … Trends in hospital volume and operative mortality for high-risk
surgery.
-
psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - inappropriate diagnosis and initiation of unnecessary or even harmful medications with potential to carry risk … : a mixed method study to identify incidence and risk factors for CPOE patient misidentification. … March 15, 2023
WebM&M Cases
Multiple High-Risk
-
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/861774/psn-pdf
January 31, 2024 - /issue/mitigating-racial-bias-machine-learning
https://psnet.ahrq.gov/issue/understanding-liability-risk-using-health-care-artificial-intelligence-tools
-
psnet.ahrq.gov/node/867688/psn-pdf
March 05, 2025 - incomplete-orders-hypertonic-saline-treat-hyponatremia
https://psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
-
psnet.ahrq.gov/node/72571/psn-pdf
December 16, 2020 - by being available,
responsive, and caring towards patients, while also focusing on management of risk
-
psnet.ahrq.gov/node/843320/psn-pdf
February 01, 2023 - /psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
-
psnet.ahrq.gov/node/836710/psn-pdf
March 09, 2022 - implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
https://psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes
-
psnet.ahrq.gov/node/867345/psn-pdf
December 11, 2024 - This study identified improvements in patient safety culture scores (particularly risk
identification