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psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
December 24, 2007 - Government Resource
Building a Memory: Preventing Harm, Reducing Risks and Improving … Citation Text:
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. … Cite
Citation
Citation Text:
Building a Memory: Preventing Harm, Reducing Risks … The Topic
General Hospitals
Health Care Providers
Facility and Group Administrators
Risk
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psnet.ahrq.gov/node/39045/psn-pdf
April 04, 2011 - Risks of complications by attending physicians after
performing nighttime procedures. … Risks of Complications by Attending Physicians After Performing Nighttime Procedures. … https://psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-
procedures … https://psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures … simulation-study-rested-versus-sleep-deprived-anesthesiologists
https://psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns
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psnet.ahrq.gov/node/46590/psn-pdf
November 01, 2017 - High-alert medications: the safeguards that you should
put in place to reduce risks. … https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
This … reports on high-alert medications, their potential to result in patient harm, and efforts
to reduce risks … organization-specific lists to guide practice
and use of independent double-checks when working with high-risk … https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
https
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psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
July 20, 2022 - Talking about falls: a qualitative exploration of spoken communication of patients' fall risks … Talking about falls: a qualitative exploration of spoken communication of patients’ fall risks in hospitals … Risk assessments and categorization (e.g., high- or low-risk) were discussed in conjunction with strategies … to focus on modifiable risk factors. … Talking about falls: a qualitative exploration of spoken communication of patients’ fall risks in hospitals
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/136-ss-premortem-tool.docx
April 01, 2025 - before launching a surgical site infection (SSI) prevention project can help the team mitigate these risks … Use this worksheet to identify, prioritize, and address these potential risks.
1. … concerns, brainstorm interventions that can be carried out during implementation to mitigate these risks
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psnet.ahrq.gov/node/46012/psn-pdf
December 21, 2017 - Mortality risks associated with emergency admissions
during weekends and public holidays: an analysis … Mortality risks associated with emergency admissions during weekends
and public holidays: an analysis … https://psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-
public-holidays-analysis … https://psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis … https://psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis
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psnet.ahrq.gov/node/47052/psn-pdf
July 31, 2018 - The risks to patient safety from health system
expansions. … The Risks to Patient Safety From Health System Expansions. … https://psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
Changes in organizational … https://psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
March 29, 2006 - Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks … Citation Text:
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks … Citation Text:
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks … April 19, 2023
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose … May 17, 2017
The effectiveness and risks of long-term opioid therapy for chronic pain
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psnet.ahrq.gov/node/47776/psn-pdf
August 20, 2021 - fda-safety-communication-caution-when-using-robotically-assisted-surgical-
devices-womens
This announcement seeks to raise awareness of the potential risks … surgery include asking about their surgeon's experience with these
procedures and discussing benefits, risks … robotic-assisted-surgery-focus-training-and-credentialing
https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
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psnet.ahrq.gov/node/43932/psn-pdf
March 04, 2015 - Safety considerations to mitigate the risks of
misconnections with small-bore connectors intended for … https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors … prevent misconnections,
including recommendations regarding improvements for labeling, user testing, and risk … https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
https … operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
https://psnet.ahrq.gov/issue/risk-and-event-assessment
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psnet.ahrq.gov/node/43025/psn-pdf
March 05, 2014 - Assessment of DoD Wounded Warrior Matters: Managing
Risks of Multiple Medications. … https://psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-
medications … https://psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications … https://psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
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psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
May 07, 2018 - focusing on high-alert medications, discusses issues related to heparin and warfarin use, including common risks … May 7, 2018
Selected medication safety risks to manage in 2016 that might otherwise fall … June 30, 2021
Don't underestimate the impact of change on risk potential. … June 10, 2018
View More
Related Resources
Managing the risks of
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psnet.ahrq.gov/issue/medication-errors-common-hospital-diabetes
May 13, 2009 - This news article discusses medication safety risks for hospitalized diabetes patients. … A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic … Some IV medications are diluted unnecessarily in patient care areas, creating undue risk … March 16, 2011
Insulin treatment as a tracer for identifying latent patient safety risks
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psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record
June 15, 2022 - Prior research has found that electronic health record (EHR) implementation has introduced risks … support tools to help clinicians identify potential allergy discrepancies and avoid patient safety risks … June 7, 2016
WebM&M Cases
The Risks of Absent Interoperability
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psnet.ahrq.gov/node/46747/psn-pdf
June 06, 2018 - Tackling ambulatory safety risks through patient
engagement: what 10,000 patients and families say about … Tackling Ambulatory Safety Risks Through Patient Engagement: What
10,000 Patients and Families Say About … https://psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000- … https://psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000-patients-and-families … https://psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000-
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www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-impl.html
October 01, 2020 - Poster on Urinary Catheter Risks and Indications ( PDF , 570 KB) (Appendix E of Toolkit for Reducing … Tract Infections in Hospital Units: Implementation Guide)
Educate and motivate staff regarding the risks … in Hospital Units: Implementation Guide)
Educate staff in removal of indwelling urinary catheters, risks … Risks of overuse of urine culturing are also covered in this tool. … Archived Webinars
Building a Team and Process to Reduce CAUTI Risk (April 8, 2014)
Accessible
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - These transitions increase risk of adverse events or missed patient care by
opening up opportunities … However, with increased risk of adverse events comes an opportunity to recognize, recover from, and learn … , increase resilience through timely detection
and mitigation of these risks, and avoid patient harm … of patient care from one healthcare
professional to another, has been associated with an increased risk … Communication training in healthcare has been shown to strengthen resilience, improve
teamwork, and reduce risk
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psnet.ahrq.gov/node/851192/psn-pdf
July 05, 2023 - and machine learning (ML) are emerging as tools to improve patient care, but they
are not without risks … launch AI
technologies, prompting users to consider physical and mental health and economic and social risks … using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
https://psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks
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psnet.ahrq.gov/node/43940/psn-pdf
February 25, 2015 - AHRQ Announces Interest in Research About the
Epidemiology of Patient Safety Risks and Harms in
Ambulatory … https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks … https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory … https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory
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psnet.ahrq.gov/node/44078/psn-pdf
March 15, 2016 - Language barriers and patient safety risks in hospital
care. A mixed methods study. … Language barriers and patient safety risks in hospital care.
A mixed methods study. … https://psnet.ahrq.gov/issue/language-barriers-and-patient-safety-risks-hospital-care-mixed-methods-study … https://psnet.ahrq.gov/issue/language-barriers-and-patient-safety-risks-hospital-care-mixed-methods-study