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Showing results for "risks".

9621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35436/psn-pdf
      September 15, 2009 - and satisfied core of nursing staff that perhaps led to better care but also used a less rigorous risk

9622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35486/psn-pdf
      December 06, 2011 - such as the Harvard Medical Practice study, they argue that malpractice exposure likely decreases the risk

9623. In Conversation With… Nicholas G. Castle, MHA, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
      August 01, 2012 - family, in an elderly high rise, you do tend to deteriorate to the point where you become a safety risk … clinical settings in all of medicine and place older persons residing in nursing homes at substantial risk … antipsychotic agents, anticoagulants, diuretics, and antiepileptic medications—were found to be at special risk … Unanticipated safety risks continue to emerge ( 10 ), and recent guidelines advise that these agents … room, and the hospital are very common in this patient population and add further to increasing the risk

9624. Retained Surgical Items: Causation and Prevention | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
      January 04, 2024 - Each RSI case is essentially a result of human error (or device failure) in a complex and high-risk environment … 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

9625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33864/psn-pdf
      January 01, 2019 - airway management, endoscopic procedures, central venous catheter insertions, and obstetrics—all high-risk … simulation is an additional support in educational programs for health care professions involved in risk … In studying high-risk areas of the operating room, intensive care unit, emergency department, and the … single-player, first-person game designed to evaluate a player's decision-making capability in seven high-risk

9626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49419/psn-pdf
      October 01, 2003 - unknown, and no studies have attempted to compare the various approaches or to determine whether any new risk … How to investigate and analyse clinical incidents: clinical risk unit and association of litigation … and risk management protocol. … Clinical risk management. Enhancing patient safety. London: BMJ Publications; 2001:461-79. 15.

9627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33662/psn-pdf
      January 01, 2008 - When I left, we were installing a very robust risk management and patient safety system from a company … It replaced a somewhat rickety risk management system that the hospitals had. … The risk managers and the patient safety officers just love this new system. … And we gave them an incentive in that 10% of their entire annual at-risk compensation was driven by

9628. No BP During NIBP | PSNet
      psnet.ahrq.gov/web-mm/no-bp-during-nibp
      March 01, 2011 - Indeed, there is a higher risk of adverse outcomes in these locations which could be prevented with the … Harmonized monitor design within a hospital would alleviate this risk. … The risk and safety of anesthesia at remote locations: the US closed claims analysis. … Risk and safety of anesthesia outside the operating room. Minerva Anestesiol. 2009;75:345-348.

9629. Returning Home Safely | PSNet
      psnet.ahrq.gov/web-mm/returning-home-safely
      December 22, 2018 - time-limited services designed to ensure health care continuity, avoid preventable poor outcomes among at-risk … home.( 12 ) As this case illustrates, failure to implement plans well before discharge increases the risk … Take-Home Points Patients treated in skilled nursing facilities are at high risk for rehospitalization … Long November 1, 2003 WebM&M Cases Bleeding Risk

9630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73064/psn-pdf
      March 24, 2021 - outpatient-insulin-related-adverse-events-due-mix-errors-findings-two-national- surveillance The Institute for Safe Medication Practices (ISMP) classifies insulin as a high-risk

9631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/856583/psn-pdf
      January 01, 2024 - medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs https://psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering

9632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44248/psn-pdf
      May 26, 2016 - universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery

9633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841771/psn-pdf
      December 21, 2022 - receiving-specialist Patients with medical complexities who are receiving palliative care may be at increased risk

9634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73978/psn-pdf
      October 20, 2021 - preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment

9635. Neuromuscular blocking agents: reducing associated wrong-drug errors. | PSNet
      psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
      April 26, 2023 - View More See More About The Topic General Hospitals Health Care Providers Risk

9636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60933/psn-pdf
      September 23, 2020 - among-frontline-health-care-personnel-multistate- hospital-network This study examined the prevalence and risk

9637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848083/psn-pdf
      April 26, 2023 - cost-effective interventions addressing health care-associated infections, including screening high-risk

9638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42802/psn-pdf
      January 07, 2015 - what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported https://psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility

9639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47661/psn-pdf
      January 23, 2019 - paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals

9640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867599/psn-pdf
      January 22, 2025 - patient work-system factors be assessed before transitions to home to identify patients at higher risk