-
psnet.ahrq.gov/node/40839/psn-pdf
December 30, 2014 - This AHRQ-funded
survey of risk managers found that most hospitals' systems did not meet these effectiveness
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psnet.ahrq.gov/node/853959/psn-pdf
September 27, 2023 - usefulness of a structured clinical note,
especially regarding pending tests and the status of high-risk
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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
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psnet.ahrq.gov/node/47283/psn-pdf
January 27, 2019 - study examined the effect of a New Hampshire policy that
mandates clinicians use a PDMP and an opioid risk
-
psnet.ahrq.gov/node/42283/psn-pdf
February 27, 2014 - checklists-reduce-diagnostic-errors
https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
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psnet.ahrq.gov/node/866517/psn-pdf
August 14, 2024 - issue of data-driven feedback loop failures which occur when disease
incidence, presentation, and risk
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psnet.ahrq.gov/node/61004/psn-pdf
October 07, 2020 - -19 due to their age, and communal living
conditions, and nursing home staff are among the most at-risk
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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
-
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
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psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
https://psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
-
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.
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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
-
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
-
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.
-
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
-
psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - Barcoding offers some protection yet generates scores of other error-risks.( 5 ) Also, data displayed
-
psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - Also, providers are vulnerable if they lack information about high-risk situations, the processes and … Staff could fear that reporting might negatively affect them, put their jobs at risk, or be shared with … Risk factors for workplace violence in healthcare settings can include (1) unpredictable behaviors of … These standards require that hospitals manage safety and security risks by establishing processes for … Workplace violence in healthcare settings: the risk factors, implications and collaborative preventive
-
psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - Risk factors for workplace violence in healthcare settings can include (1) unpredictable behaviors of … These standards require that hospitals manage safety and security risks by establishing processes for … Workplace violence in healthcare settings: the risk factors, implications and collaborative preventive … Also, providers are vulnerable if they lack information about high-risk situations, the processes and … Staff could fear that reporting might negatively affect them, put their jobs at risk, or be shared with
-
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
-
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