-
psnet.ahrq.gov/node/46257/psn-pdf
October 11, 2017 - compare outcomes of concurrent versus nonoverlapping surgeries and did not find any difference in risk
-
psnet.ahrq.gov/node/867382/psn-pdf
December 18, 2024 - J Patient
Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287.
-
psnet.ahrq.gov/node/840479/psn-pdf
January 01, 2023 - multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos
-
psnet.ahrq.gov/node/849600/psn-pdf
May 31, 2023 - danger-discharge-summaries-abbreviations-create-confusion-both-author-and-
recipient
Use of abbreviations in electronic health records increases risk
-
psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
February 26, 2025 - Resources
Patient Safety Innovations
Combined Proactive Risk
-
psnet.ahrq.gov/node/836985/psn-pdf
April 27, 2022 - study
developed and tested standardized assessment data elements (SADE) for reconciliation of high-risk
-
psnet.ahrq.gov/node/74723/psn-pdf
February 02, 2022 - medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-
adults-cluster
Deprescribing is one intervention to reduce the risk
-
psnet.ahrq.gov/node/44038/psn-pdf
May 06, 2015 - engineering-patient-safety-radiation-oncology-university-north-carolinas-
pursuit-high
Radiation oncology combines high-risk
-
psnet.ahrq.gov/node/44350/psn-pdf
July 29, 2015 - The most prevalent reports were breakdowns in office processes, with varying
risk for adverse events
-
psnet.ahrq.gov/node/851185/psn-pdf
July 05, 2023 - -2017
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
-
psnet.ahrq.gov/node/837026/psn-pdf
May 04, 2022 - drug-related-problems-and-polypharmacy-nursing-home-residents-cross-
sectional-study
Older adults living in nursing homes are at increased risk
-
psnet.ahrq.gov/node/836998/psn-pdf
April 27, 2022 - J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096.
-
psnet.ahrq.gov/node/60637/psn-pdf
July 01, 2020 - impact-pharmacist-administered-deprescribing-intervention-nursing-home-
residents-randomized
Polypharmacy is one risk
-
psnet.ahrq.gov/node/866684/psn-pdf
September 11, 2024 - during a hospital stay, a patient may receive a medication review with a pharmacist to
reduce the risk
-
psnet.ahrq.gov/node/43131/psn-pdf
December 12, 2014 - A larger proportion of nurses with bachelor's degrees
decreased this risk, consistent with previous
-
psnet.ahrq.gov/node/74058/psn-pdf
November 10, 2021 - hospital-onset COVID-19 (compared to suspected community-
acquired infections) are associated with high risk
-
psnet.ahrq.gov/node/60340/psn-pdf
May 20, 2020 - It found that patients with at least one trigger
had a higher risk of death than patients without a
-
psnet.ahrq.gov/node/43581/psn-pdf
December 26, 2014 - explores contributors to iatrogenic opioid addiction, identifies
patient characteristics that increase risk
-
psnet.ahrq.gov/node/837897/psn-pdf
August 24, 2022 - review-medication-error-sources-associated-inpatient-subcutaneous-insulin-
recommendations
Insulin is a high-alert medication due to heightened risk
-
psnet.ahrq.gov/node/34653/psn-pdf
March 07, 2005 - structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies