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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
March 01, 2012 - Reduction of 30-day postdischarge hospital readmission or emergency department (ED) visit rates in high-risk … each
Calls may take more time if interventions are needed
Institutions may choose to focus on high-risk … patients
Elderly, certain diagnoses, high-risk medications
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Take-Home Points (1)
Transitional
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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
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psnet.ahrq.gov/node/40965/psn-pdf
December 15, 2011 - The authors highlight the
opportunities for medication safety during this high-risk transition period
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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
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psnet.ahrq.gov/node/47307/psn-pdf
December 12, 2018 - Prior research has shown that teaching
hospitals, hospitals caring for more complicated and high-risk
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psnet.ahrq.gov/node/42654/psn-pdf
December 21, 2014 - psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
Malpractice risk
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psnet.ahrq.gov/node/40725/psn-pdf
October 16, 2012 - Admission to the ICU was associated with an even greater risk
of medication discontinuation.
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psnet.ahrq.gov/node/40078/psn-pdf
January 19, 2011 - engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care
https://psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility
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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
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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
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - "( 5 ) Risk management databases might provide an alternative source of information, but access to national … How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and … risk management protocol.
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - 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
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - for height > 85th percentile; or weight > 120% of ideal for height
With any two of the following risk … Changing behavioral risk for pregnancy among high school students in the United States, 1991-2007. … symptoms
Sexual abuse in the US peaks during adolescence and is associated with a two-fold increased risk
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psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - .( 7,8 ) From an organizational perspective, these include identifying drugs that have the greatest risk … errors, proper medication reconciliation procedures and handoffs are important strategies to reduce the risk … Consulting with a clinical pharmacist is also highly encouraged for assistance in dosing high-risk medications
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psnet.ahrq.gov/node/49616/psn-pdf
December 01, 2010 - High-risk medications, such as insulin or heparin, are commonly prescribed using protocols or order sets … prescribing (74%) and nurse administration (13%) followed by pharmacy
dispensing (1%).(7) Additional risk … to patients in individualized units of use, give highest priority to
pediatric patients and to high-risk
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - bowel-injury-after-laparoscopic-surgery
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
The risk … Delayed diagnosis is associated with a higher risk of septicemia (as seen in this case), the need for … a
laparotomy, high risk of multiple operations, stoma formation, prolonged hospital stay, and, most
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - step is for a designated team member to preview selected patients to be seen that day who may be at risk … Examples include patients who may be on medications that could increase their risk of falls or bleeding … Malpractice risk in communication failures. Boston, MA. 2015.
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - function is designed to override a cognitive process that generally works well and thereby runs the risk … to improve diagnosis are in their infancy.( 8 ) As they improve and become more widespread, there is risk … Improving Diagnostic Safety and Quality
April 26, 2023
Risk
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psnet.ahrq.gov/web-mm/near-miss-neonate
August 15, 2018 - If documented at any time during pregnancy, the infant is at increased risk of infection at the time … To identify risk factors prior to the onset of labor, GBS screening is conducted as part of a woman's … early identification of GBS colonization, use of prophylactic intrapartum antibiotics for patients at risk
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - 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