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psnet.ahrq.gov/node/47922/psn-pdf
May 29, 2019 - wrong-patient
Having multiple patient records open in the electronic health record increases the potential risk
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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
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psnet.ahrq.gov/primer/rapid-response-systems
July 18, 2024 - nurses Respond to emergencies Follow up on patients discharged from ICU Proactively evaluate high-risk … backup Respond to emergencies Follow up on patients discharged from ICU Proactively evaluate high-risk
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - establishes a "culture of safety" that
encompasses these key features:
acknowledgment of the high-risk … It
distinguishes between human error (e.g., slips), at-risk behavior (e.g., taking shortcuts), and reckless
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - concept of high reliability is
attractive for health care, due to the complexity of operations and the risk … People in HROs assume the system is at risk
for failure, and they practice performing rapid assessments
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - caused by slips rather than mistakes, and checklists represent a simple, elegant method to reduce the risk … in which a checklist of evidence-based infection control interventions was implemented to reduce the risk
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - American Medical Association (JAMA), Wu and colleagues
questioned whether RCAs have actually reduced the risk … The
answer to this question points to the latent conditions that also must be resolved to reduce the risk
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 15, 2024 - Recent studies have identified promising ways to identify clinicians at risk for disruptive behavior, … clinicians might allow for targeted interventions to address disruptive behavior and reduce patient risk
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-7
June 16, 2019 - View More
See More About The Topic
Physicians
Nurses
Pharmacists
Risk
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-34
June 16, 2019 - 16, 2019
View More
See More About The Topic
Health Care Providers
Risk
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psnet.ahrq.gov/issue/protect-initiative-advancing-childrens-medication-safety
April 01, 2024 - 18, 2009
View More
See More About The Topic
Health Care Providers
Risk
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psnet.ahrq.gov/issue/talkingquality
December 24, 2008 - October 23, 2019
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit
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psnet.ahrq.gov/node/39501/psn-pdf
January 03, 2017 - Heparin is a high-risk medication that
frequently generates incident reports, and significant efforts
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - These new policies always lead to unforeseen consequences, and we cannot be so risk averse that we don't … I don't think that's what Medicare intends, but I think that's the risk of going too far and too fast … Studies have also suggested that sicker patients are at higher risk of adverse events. … transfers and among physician-referred versus self-referred or primary care patients.( 6 ) Current risk … Risk Adjustment for Measuring Health Care Outcomes.
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - Institutional policies usually follow a logic of risk mitigation, and thus they can support clinical … decision-making by clarifying “ceiling” or “floor” levels of risk that are appropriate in a particular … about the use of institutional resources, institutional policies can offer guidance about how much risk … infusion would violate the nurse’s personal moral beliefs about not contributing to death, create a risk … The complexity of health care can be a source of risk or harm to patients in other ways as well.
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psnet.ahrq.gov/issue/rxawareness
September 07, 2016 - The website offers videos and other resources to assist community-level efforts to reduce risk for
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psnet.ahrq.gov/issue/doctors-learn-say-im-sorry
August 17, 2016 - September 29, 2017
Why empathy may be the best risk management strategy.
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psnet.ahrq.gov/issue/finding-way-ask-doctors-tough-questions
August 17, 2016 - July 31, 2013
Doctors say patients who lie may put their health at risk.
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psnet.ahrq.gov/node/47267/psn-pdf
September 05, 2018 - research has shown that inappropriate
medication alert overrides occur frequently and place patients at risk
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psnet.ahrq.gov/issue/revolutionary
September 07, 2016 - July 1, 2015
All can be lost: the risk of putting our knowledge in the hands of machines