-
psnet.ahrq.gov/node/43919/psn-pdf
May 01, 2015 - no statistically significant difference in the rate of improvement
for any of the measured outcomes—risk-adjusted
-
psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - Patients with this response are at risk for pseudotumors and subsequent symptoms related to
obstruction … Was this patient at high risk for retention of a foreign body after his operation? … Risk factors for retained instruments and
sponges after surgery.
-
psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - The risk of delayed treatment was particularly high in hospitals that rarely saw patients with the
disease … especially vigilant in
patients who are prescribed quinolones initially, and those from groups at high risk … groups
include immigrants from high prevalence TB countries, persons known to be infected with or at risk
-
psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - systematic analysis of known errors is crucial to
uncovering process breakdowns that put patients at risk … areas include clarifying responsibilities for follow-up of abnormal
clinical findings, identifying at-risk … patient
communication and relationships, and tracking follow-up on certain types of high-risk abnormal
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - significantly increased cardiac output, any underlying cardiac
compromise will greatly increase the risk … often
inadequate to protect against the development of in-hospital DKA, which carries an increased risk … Metabolic stressors, such as infections, greatly increase basal insulin requirements, putting patients
at risk
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psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - Medication reconciliation: a practical tool to reduce the risk of medication errors. … September 1, 2006
WebM&M Cases
Miscalculated Risk … More
See More About The Topic
Hospitals
Physicians
Nurses
Pharmacists
Risk
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psnet.ahrq.gov/node/49574/psn-pdf
November 01, 2008 - experiencing at least one episode.(1) The Joint Commission considers insulin one of
the top five high-risk … patients in the period July
1–August 30 to those treated April 15–June 15, and found an 18% increased risk … of morbidity and 41%
increased risk of mortality in the July/August period.(2) Yet this finding stands
-
psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - a single nurse on a medical-surgical unit may be responsible for 5 to 10 patients, may mitigate the risk … This practice eliminates the need to use the high risk IV and the potential for an inadvertent overdose … More obvious labeling of ‘high risk’ IV drips (eg, bigger, brighter labels; duplicate labeling on IV
-
psnet.ahrq.gov/node/60168/psn-pdf
March 25, 2020 - 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.
-
psnet.ahrq.gov/node/73412/psn-pdf
August 01, 2022 - and morbidity.1 Additionally, IPV increases the likelihood of a pregnant
patient experiencing a high-risk … IPV is a critical risk factor that limits the
ability of patients to adhere to treatment for chronic … conditions and can cause mental health issues, chronic
pain, and high-risk pregnancies.
-
psnet.ahrq.gov/node/33698/psn-pdf
August 01, 2010 - second reason is that certain biological factors in immunocompromised patients
predispose them to a risk … interesting to challenge that notion and see
whether we could address this issue in these very high-risk … place, but when it's publicly reported that
we had the second highest rate of these complications when risk
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - panic result—the repeat potassium level had come back at 8.4 mEq/L, a level associated with a high risk … available, since the patient had electrocardiographic changes consistent with hyperkalemia and the risk … October 30, 2017
Risk factors of missed colorectal lesions after colonoscopy.
-
psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - 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
-
psnet.ahrq.gov/node/33676/psn-pdf
November 01, 2008 - search, and found that while there are a lot of data on
the prevalence of these infections and their risk … RW: There may be some trade-offs in terms of patients being forced out of bed and an increased fall risk … found it to be more comfortable than the indwelling catheter, and in some
patients it led to a lower risk
-
psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - Apart from excluding peanuts, manual methods to reduce the risk of delivering food to which
a patient … adaptation of the techniques for preventing adverse medication events can significantly
reduce the risk … Removal of peanuts from the hospital environment mitigates much of the risk, but a systematic approach
-
psnet.ahrq.gov/web-mm/copy-and-paste
December 10, 2014 - In this modern era of EHRs, this point, plus the risk of copying and pasting, must be driven home in … Pseudohyperkalemia
December 31, 2024
Perspective
Risk … Resources
WebM&M Cases
Direct Oral Anticoagulants are High-Risk
-
psnet.ahrq.gov/web-mm/little-shuteye
December 22, 2018 - Protective gauze should be maintained over high-risk areas as secondary protection from run-off as well … business, multitude of procedures involved in provision of care, and large numbers of staff, is a high-risk … The Commentary
References
Related Resources From the Same Author(s)
Risk
-
psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - adverse events) because the trigger algorithm serves as a flag for identifying potential cases at high risk … Although this trigger was
designed to identify patients at high risk of surgical adverse events, many … measurement, in which a relatively robust set of outcome and process
measures exists (e.g., 30-day risk-adjusted … Surveillance
Can be used retrospectively or
prospectively, helpful in screening
patients who may be at high risk
-
psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - literacy. 12,13 In this approach, clinicians and health care systems assume that all patients are at risk … Healthy People 2030 recognizes personal health literacy as a social risk that is associated with poor … May 31, 2023
Social risk, health inequity, and patient safety. … Primers
Medication Administration Errors
March 12, 2021
Risk
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psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
Multidisciplinary approaches to reducing error and risk … https://psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting … Multidisciplinary approaches to reducing error and risk in a patient care setting. … teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
https://psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting