-
psnet.ahrq.gov/node/47266/psn-pdf
August 08, 2018 - cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https://psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-opioids
-
psnet.ahrq.gov/node/46313/psn-pdf
December 21, 2017 - patient-outcomes-dose-reduction-or-discontinuation-long-term-opioid-therapy-
systematic-review
Opioid medication use is associated with an increased risk
-
psnet.ahrq.gov/node/48112/psn-pdf
July 10, 2019 - Minor errors were common in each country,
but only 0.8% of infusions placed patients at serious risk
-
psnet.ahrq.gov/node/40289/psn-pdf
March 16, 2011 - poison-centers
Preventing medication errors remains a focus of safety interventions, particularly for high-risk
-
psnet.ahrq.gov/node/45407/psn-pdf
September 27, 2016 - Risk factors identified for undertriage included
age younger than 3 months, type of medical presenting
-
psnet.ahrq.gov/node/41408/psn-pdf
October 19, 2012 - culture-safety
https://psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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.
-
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.
-
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.
-
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
-
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
-
psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - all antibiotics prescribed by dentists in the US. 1 , 2 Clindamycin is associated with an increased risk … throughout the United States to evaluate their perception of appropriate antibiotic and opioid prescribing, risks … a patient’s opioid prescription history, dentists should actively engage in patient counseling and risk … published recommendations regarding antibiotics prior to dental procedures for patients at highest risk … Opioid prescribing and risk mitigation implementation in the management of acute pain: Results from The