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Showing results for "risks".

9921. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40565/psn-pdf
      June 29, 2011 - miss medication error in the ED that illustrates the many safety issues that contribute to this high-risk

9922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39215/psn-pdf
      January 03, 2017 - Errors were common among patients receiving high-risk medications such as warfarin, insulin, and heparin—in

9923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38116/psn-pdf
      February 18, 2011 - impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures https://psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns

9924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45553/psn-pdf
      October 13, 2018 - determined that patients experienced delays in receiving medications due to these errors and were at risk

9925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48000/psn-pdf
      May 15, 2019 - found a significant association between improved safety culture as measured by the SAQ and reduced risk

9926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44471/psn-pdf
      September 27, 2016 - patient-engagement-and-safety https://psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility

9927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47634/psn-pdf
      January 09, 2019 - adverse-events-long-term-care-hospitals-national-incidence-among-medicare- beneficiaries Frail populations cared for in long-term care facilities are at high risk

9928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45167/psn-pdf
      May 25, 2016 - A PSNet interview with the chief risk officer of the University of Michigan Health System discusses

9929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45310/psn-pdf
      January 03, 2017 - prompting referral were not addressed in the medical record), more than 70% were at moderate to high risk

9930. Cognitive Overload in the ICU | PSNet
      psnet.ahrq.gov/web-mm/cognitive-overload-icu
      June 01, 2005 - Two common risks to insertion of central lines include (i) misdirection of the catheter (cranially up … Association of interruptions with an increased risk and severity of medication administration errors.

9931. Despite Clues, Failed to Rescue | PSNet
      psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
      August 02, 2015 - inpatient surgical procedures.( 2 ) Although the majority of these procedures are associated with minimal risk … significant 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.

9932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867805/psn-pdf
      February 26, 2025 - For example, with pressure injuries, wetness in the bed dramatically increases the risk that somebody … But it seems like infections, where we have bundles that have been demonstrated to reduce risk, have … The safe surgery checklist is another example of an intervention that has clearly reduced risk, although … there is still a lot of risk associated with surgery. … Automated identification of adults at risk for in-hospital clinical deterioration.

9933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60268/psn-pdf
      April 29, 2020 - Patients receiving ECMO must receive anticoagulant therapy due to a substantial risk of blood clots … intra-hospital transfers are much shorter than inter-hospital transfers, the latter appear to carry higher risk … dedicated ECMO checklist Use of a uniform checklist applicable to any ECMO-related emergency minimizes the risk … There is always risk of hypothermia, even indoors. 4. Tubing      i. … Risk areas for tubing to be kinked or exposed to ambient temperature/mechanical stress.      v.

9934. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet
      psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
      February 26, 2025 - which can delay diagnosis and treatment. 10 A study in Michigan found that patients at the greatest risk … equity-informed high-reliability organizational framework; therefore, hospital leadership aspired to reduce the risk … Without input from a primary care provider, they did not know other patient risk factors. … Without knowing all the risk factors, the team could not determine clinical necessity for follow-up testing … Resources Patient Safety Innovations Combined Proactive Risk

9935. Equity in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/equity-patient-safety
      September 24, 2024 - In healthcare, algorithms use patient variables to estimate risk for various outcomes, such as the worsening … In a qualitative study on race- and ethnicity-based algorithms in healthcare, respondents found risk … That bias may result from over-reliance on a risk factor calculator that used race as a predictive factor … negative tone and potentially stigmatizing language in the electronic health record alongside other risk … Resources Patient Safety Innovations Combined Proactive Risk

9936. Preventing Infections During Cancer Treatment. | PSNet
      psnet.ahrq.gov/issue/preventing-infections-during-cancer-treatment
      September 07, 2016 - This Web site provides resources for patients and practitioners to help reduce risk of infection during

9937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42498/psn-pdf
      December 30, 2014 - In this study, four electronic triggers were developed to detect patients at risk for delayed diagnosis

9938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38359/psn-pdf
      May 27, 2010 - It also included specific measures to improve teamwork and reduce the risk of surgical site infection

9939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40965/psn-pdf
      December 15, 2011 - The authors highlight the opportunities for medication safety during this high-risk transition period

9940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46178/psn-pdf
      December 22, 2017 - evaluating-serial-strategies-preventing-wrong-patient-orders-nicu Wrong-patient errors are a well-established risk