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psnet.ahrq.gov/node/44965/psn-pdf
February 15, 2017 - care and improved patient safety, but it has also
led to unintended consequences that increase the risk
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psnet.ahrq.gov/node/43679/psn-pdf
May 22, 2015 - health-it-and-patient-safety-building-safer-systems-better-care
https://psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
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psnet.ahrq.gov/node/44743/psn-pdf
December 22, 2017 - The only factor that
consistently predicted readmission risk was if patients reported not feeling ready
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psnet.ahrq.gov/node/38295/psn-pdf
May 27, 2010 - patients-and-physicians-attitudes-regarding-disclosure-medical-errors
https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy
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psnet.ahrq.gov/node/45731/psn-pdf
September 29, 2017 - Overdiagnosis can result
in unnecessary use of medical care, subjecting patients to greater risk of
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psnet.ahrq.gov/node/46652/psn-pdf
July 14, 2018 - J Healthc Risk Manag. 2018;38(1):17-37.
doi:10.1002/jhrm.21292.
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psnet.ahrq.gov/node/37453/psn-pdf
March 03, 2011 - preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
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psnet.ahrq.gov/node/46119/psn-pdf
August 15, 2018 - opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010
https://psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use
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psnet.ahrq.gov/node/47672/psn-pdf
January 17, 2019 - The hospitalists' patients had a greater risk for device-related adverse events, which was explained
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psnet.ahrq.gov/node/864368/psn-pdf
March 13, 2024 - During the study period of 1968 - 2015, results show Black infants were at significantly higher risk
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - 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 … October 19, 2022
Uncovering the risks of anticancer therapy through incident report analysis … 13, 2023
Use of unsolicited patient observations to identify surgeons with increased risk
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - inpatient surgical procedures.(2)
Although the majority of these procedures are associated with minimal risk … financial investment, and must be implemented with the entire health
system in mind to reduce the risk … Early warning scores use risk prediction,
typically generated each shift, based on vital signs and information … An analysis of risk factors and hospital mortality rates. JAMA. 1990;264:2768-2774. … Variation in mortality after high-risk cancer surgery: failure to rescue.
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - We spoke with him about readmissions and post-hospital
syndrome, a term he coined to describe the risk … NEJM198411223112105
https://www.ncbi.nlm.nih.gov/pubmed/8996046
https://psnet.ahrq.gov/issue/hospital-readmission-risk-isolating-hospital-effects-patient-effects … The rates of infection, bleeding, blood clots, and falls were
increasing—in addition to the risk of … But maybe less attention on what happens in the hospital that may set patients up to be at risk for … delirium by
Sharon Inouye and others, which demonstrated that when you addressed these issues, delirium risk
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - We're starting to understand that we need to risk-stratify handoffs and that not all
handoffs are the … It sounds like with this risk
stratification there's different expectations of the time it will take … Then in risk-stratifying all these types of care transitions, there's a series of three questions proposed … I think if there is a yes to any of these questions, there's an inherent increase in your safety risk … of issues regarding
financial viability and federal funding for residency education dollars is at risk
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psnet.ahrq.gov/node/866826/psn-pdf
September 25, 2024 - patient survives the episode of
hypoxemia.1
Anesthesia clinicians are very aware of the enormous risk … of the routine anesthesia machine check-out
procedure at the beginning of every working day.3
The risk … operating room infrastructure because of the high cost of constructing a separate
pipeline system and the risk … a separate pipeline for nitrous oxide is not only very expensive but also exposes patients to the
risk … This new technology effectively eliminates the risk of a hypoxic gas mixture in the
breathing system
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - Due to concerns of legal liability, the hospital administration and the risk management department at … fairness of our tort system.( 14 ) In this case, fear of malpractice lawsuit may have motivated the risk … These discussions require careful planning with quality and risk management specialists at both hospitals … o Consider using the word "error" or "mistake", after consultation with a disclosure coach or risk … More About The Topic
Emergency Departments
Specialty Hospitals
Health Care Providers
Risk
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - caused by slips rather than mistakes, and checklists
represent a simple, elegant method to reduce the risk … which a checklist of evidence-based infection control interventions was implemented to
reduce the risk
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Without appropriate education, the patient could be at high risk of insulin dosing errors, which could … communication and collaboration across providers plays a vital role in patient safety by decreasing risk … Topic
Hospitals
Pharmacists
Hospital Medicine
Hospital Pharmacy
Specific to High-Risk
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psnet.ahrq.gov/node/72567/psn-pdf
December 16, 2020 - study assessed the impact of a pharmacist-led, patient-centered telemedicine program to
manage high-risk
-
psnet.ahrq.gov/node/848040/psn-pdf
April 26, 2023 - Working more than 60 hours in a week significantly
increased the risk of a medical error resulting in