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psnet.ahrq.gov/node/39643/psn-pdf
December 21, 2014 - A systematic quantitative assessment of risks associated
with poor communication in surgical care. … A systematic quantitative assessment of risks associated with poor
communication in surgical care. … https://psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication- … surgical-care
This study used failure mode and effect analysis to identify safety risks in perioperative … https://psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - SPOTLIGHT CASE
CME/MOC
The Risks of a Malpositioned Gastrostomy Tube … The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. … The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. … Best practices to mitigate patient care transition risks are to minimize the number of provider transitions … The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet].
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction-2013
September 15, 2013 - that treatment with tamoxifen or raloxifene can significantly reduce the relative risk (RR) for invasive … Breast Cancer Prevention Trial; IBC = invasive breast cancer; WHI = Women's Health Initiative; RR = relative … Breast Cancer Prevention Trial; IBC = invasive breast cancer; WHI = Women's Health Initiative; RR = relative … Breast Cancer Prevention Trial; IBC = invasive breast cancer; WHI = Women's Health Initiative; RR = relative … Breast Cancer Prevention Trial; IBC = invasive breast cancer; WHI = Women's Health Initiative; RR = relative
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effectivehealthcare.ahrq.gov/products/chronic-pain-opioid-treatment
December 19, 2013 - The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain
Timeline … December 19, 2013
Research Protocol
Archived
The Effectiveness and Risks … September 29, 2014
Systematic Review
Archived
The Effectiveness and Risks
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psnet.ahrq.gov/node/45259/psn-pdf
July 13, 2016 - Communicating Radiation Risks in Paediatric Imaging:
Information to Support Healthcare Discussions About … Benefit and Risk. … https://psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-
healthcare-discussions … This report reviews
techniques clinicians can use to discuss risks associated with using radiologic … https://psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-healthcare-discussions
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psnet.ahrq.gov/node/44722/psn-pdf
March 15, 2016 - Patient safety's missing link: using clinical expertise to
recognize, respond to and reduce risks at … Patient safety's missing link: using clinical expertise to recognize,
respond to and reduce risks at … psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-
reduce-risks … This commentary provides a framework to use incident
reporting to identify, analyze, and address risks … psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
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psnet.ahrq.gov/node/44668/psn-pdf
January 22, 2016 - Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental … Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental … https://psnet.ahrq.gov/issue/medication-safety-interface-evaluating-risks-associated-discharge-
prescriptions-mental-health … These findings underscore the risks of
adverse events in the postdischarge period and the need for more … https://psnet.ahrq.gov/issue/medication-safety-interface-evaluating-risks-associated-discharge-prescriptions-mental-health
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digital.ahrq.gov/ahrq-funded-projects/healthy-teens-txt-me-information-technology-change-teen-health-risk-behaviors/annual-summary/2012
January 01, 2012 - Healthy Teens TXT ME: Information Technology to Change Teen Health Risk Behaviors - 2012 … Project Name
Healthy Teens TXT ME: Information Technology to Change Teen Health Risk Behaviors … Research has shown that school-based interventions for major risks are often nominally or not at all … Specific Aims:
Enhance the TXT ME PDA-based health risk screening tool with clinician prompts to … A total of 3,811 adolescents were screened for health risks.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/adoption-strategies/risks-barriers-and-benefits
Risks, Barriers, and Benefits of EHR Systems: A Comparative Study Based on Size of Hospital … hospitals regarding the core functionalities implemented, and to determine the perceived benefits, risks … Author(s): Thakkar M, Davis DC Publication Year: 2006 Link: Risks, Barriers, and Benefits of EHR Systems
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psnet.ahrq.gov/node/43792/psn-pdf
January 07, 2015 - Patient safety risks associated with telecare: a systematic
review and narrative synthesis of the literature … Patient safety risks associated with telecare: a systematic review and
narrative synthesis of the literature … https://psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative … Many risks were identified, but the authors conclude more study is needed to understand
telecare-related … https://psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
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psnet.ahrq.gov/node/45201/psn-pdf
June 08, 2016 - Safety risks associated with physical interactions
between patients and caregivers during treatment … Safety risks associated with physical interactions between patients and
caregivers during treatment … https://psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers … This systematic review
defined home care safety risks for both patients and caregivers, including awkward … https://psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
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psnet.ahrq.gov/node/43169/psn-pdf
May 07, 2014 - Copy, paste, and cloned notes in electronic health
records: prevalence, benefits, risks, and best practice … Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks,
and best practice … ://psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-
risks-and-best … medical
documentation, this commentary relates how this might facilitate communication and introduce risks … https://psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
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psnet.ahrq.gov/node/48181/psn-pdf
August 07, 2019 - Managing the risks of direct oral anticoagulants.
August 7, 2019
Sentinel Event Alert. … https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
Anticoagulant medications are … known to be high-risk for adverse drug events. … anticoagulants (DOACs) require less monitoring than warfarin, they are still associated with an increased
risk … The Joint Commission has issued a new
sentinel event alert to raise awareness of the risks related to
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/03-diagnostic-safety-infographic.pdf
August 01, 2021 - Improve
Diagnostic Safety strategy.
1- CRICO Strategies, 2014 Annual Benchmarking Report: Malpractice Risks … Medical Institutions; 2015. https://
www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process … To Improve Diagnostic Safety
https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-the-Diagnostic-Process
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - of risk assessments to identify generic risks and risk contributors. … ) to further evaluate and identify risks and risk contributors.
4. … risks), are identified as
generic risks. … Risk-binning analysis protocol to identify significant risks. … The highest risks
with the highest consequence are in Risk Bin I, the next highest in Risk Bin II, and
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digital.ahrq.gov/sites/default/files/docs/publication/AppendixE_Comm_Tech_For_AA_Women.pdf
May 23, 2013 - Initial stage of change and distribution of final stage of change (all risks discussed)
Initial stage … #
Risks % Total
# ending
at precon-
templation %
# ending at
contemplation %
# ending at … preparation %
# ending at
action/
maintenance %
Self-
reported
not a
risk
Precontemplation … %
# ending at
preparation %
# ending at
action/
maintenance %
Self-
reported
not a
risk … Initial stage of change and distribution of final stage of change (all risks discussed)
Table 2.
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psnet.ahrq.gov/node/40684/psn-pdf
August 10, 2011 - Accountability, organisational learning and risks to
patient safety in England: conflict or compromise … Accountability, organisational learning and risks to patient safety in England: Conflict
or compromise … Health Risk Soc. 2011;13(4):327-346. doi:10.1080/13698575.2011.575454. … https://psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict … -
or
This commentary explores risk regulation in the English National Health Service and describes
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psnet.ahrq.gov/node/39431/psn-pdf
April 07, 2010 - Identified safety risks with splitting and crushing oral
medications.
April 7, 2010
Paparella S. … Identified safety risks with splitting and crushing oral medications. … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
In the … context of emergency care nursing, this piece explains the risks associated with crushing or splitting … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
https://
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-e.pdf
September 01, 2015 - Poster on Urinary Catheter Risks and Indications
AHRQ Safety Program for Reducing CAUTI in Hospitals … Poster on Urinary Catheter Risks
and Indications
■ Acute
urinary
retention
or obstr
uction … Indicat
ed for...
...and pa
tients wi
th urinar
y
catheters
tend to
stay in b
ed,
increasin
g risk
-
psnet.ahrq.gov/node/37470/psn-pdf
January 16, 2008 - Iatrogenic disease management: moderating medication
errors and risks in a pharmacy benefit management … Iatrogenic Disease Management: Moderating Medication Errors and Risks in
a Pharmacy Benefit Management … https://psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-
pharmacy-benefit … https://psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit … https://psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit