-
psnet.ahrq.gov/node/39143/psn-pdf
February 14, 2011 - may indicate that more
comprehensive discharge interventions may be necessary in order to reduce the risk
-
psnet.ahrq.gov/node/42748/psn-pdf
November 20, 2013 - Despite consensus that the signout process between physicians should be standardized to reduce the risk
-
psnet.ahrq.gov/node/42103/psn-pdf
January 07, 2015 - indication-based-prescribing-prevents-wrong-patient-medication-errors-
computerized-provider
Wrong-patient errors have long been a risk
-
psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - sustaining-and-spreading-reduction-adverse-drug-events-multicenter-
collaborative
Pediatric inpatients are at high risk
-
psnet.ahrq.gov/node/37543/psn-pdf
March 03, 2011 - Nearly one quarter of residents were found to be at high risk of major depression,
and the rate of medication
-
psnet.ahrq.gov/node/42693/psn-pdf
December 23, 2016 - /primer/never-events
https://psnet.ahrq.gov/web-mm/missing-suction-tip
https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
-
psnet.ahrq.gov/node/38435/psn-pdf
February 25, 2009 - Investigators found that the drug classes at highest risk for
discrepancy-related ADEs were opioid and
-
psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using
https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
-
psnet.ahrq.gov/node/46986/psn-pdf
June 27, 2018 - multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety
https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
-
psnet.ahrq.gov/node/42711/psn-pdf
October 31, 2014 - proportion of errors, this study's results indicate a
need for closed-loop systems that can minimize the risk
-
psnet.ahrq.gov/node/38611/psn-pdf
February 15, 2011 - The intervention was more successful at preventing medication discrepancies among high-
risk patients
-
psnet.ahrq.gov/node/45319/psn-pdf
September 01, 2018 - Concluding editorials highlight
lessons learned from an AHRQ-funded multifaceted intervention to mitigate risk
-
psnet.ahrq.gov/node/36366/psn-pdf
April 11, 2011 - Use of this chart-based review process may help identify specific patient
populations at high risk for
-
psnet.ahrq.gov/node/40239/psn-pdf
February 23, 2011 - psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
https://psnet.ahrq.gov/web-mm/bleeding-risk
-
psnet.ahrq.gov/node/44096/psn-pdf
November 03, 2015 - weekend effect to demonstrate that current weekend
hospital conditions are associated with higher risk
-
psnet.ahrq.gov/node/46599/psn-pdf
August 20, 2018 - effect-standardized-handoff-curriculum-improved-clinician-preparedness-
intensive-care-unit
Handoffs represent a significant risk
-
psnet.ahrq.gov/node/45555/psn-pdf
June 15, 2017 - investigators found that clinicians did not consistently pursue further testing in patients
with high-risk
-
psnet.ahrq.gov/node/39016/psn-pdf
April 04, 2011 - psnet.ahrq.gov//#failuretorescue
https://psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
-
psnet.ahrq.gov/node/47671/psn-pdf
January 01, 2019 - An accompanying editorial reviews study limitations and highlights the need to develop
risk-prediction
-
psnet.ahrq.gov/node/46337/psn-pdf
August 30, 2017 - engaging-patients-vigilant-partners-safety-systematic-review
https://psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility