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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/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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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/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/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/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
March 04, 2011 - Review
The effectiveness and risks of long-term opioid therapy for chronic pain: … The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National … Opioid medications are associated with increased risk of adverse drug events , including overdoses. … The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National … March 14, 2022
Epidemiology of and risk factors for coronavirus infection in health care
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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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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/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
April 10, 2024 - A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic … A Quality Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic … Recent guidelines from the Institute for Safe Medication Practices have warned of the risk of blood-borne … A Quality Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic
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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
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psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
June 23, 2021 - Study
Reducing risks in complex care transitions in rural areas: a grounded theory … Reducing risks in complex care transitions in rural areas: a grounded theory. … Reducing risks in complex care transitions in rural areas: a grounded theory.
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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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digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-training.pdf
February 15, 2008 - Reviewing Patient-Specific Fall & Injury Risks
• The Genview (below) displays specific patient risks … N/a = “no action” at this time, meaning
that no fall/injury risks were identified
Reviewing the … of falls and
risks for fall-related injury … Example: Patient has Fall risks,
Special Conditions and Injury
Risk Factors
X
X
X
X
X … X
X
X
Use Educational Tool to Identify Personal Risks
Check the boxes that pertain to the
risks
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psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain
November 16, 2022 - Review
Classic
Strategies to identify patient risks of … Strategies to Identify Patient Risks of Prescription Opioid Addiction When Initiating Opioids for Pain … High-risk opioid prescribing by providers contributes to opioid misuse . … This systematic review sought to identify factors that confer risk for opioid addiction and thereby … Strategies to Identify Patient Risks of Prescription Opioid Addiction When Initiating Opioids for Pain
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing
August 02, 2017 - Study
Using failure mode and effects analysis to reduce patient safety risks related … Using Failure mode and Effects Analysis to reduce patient safety risks related to the dispensing process … Using Failure mode and Effects Analysis to reduce patient safety risks related to the dispensing process … Download Citation
Related Resources From the Same Author(s)
Using prospective risk … December 22, 2021
Minimising treatment-associated risks in systemic cancer therapy.
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www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
January 01, 2024 - the risks against their impact on quality of life. … in peri- and postmenopausal women at increased breast cancer risk. … A Framework for Personalized Risk Assessment and
Counseling. … vaginal HT
Minimal risks.
SSRIs
Dry mouth, decreased appetite, nausea, constipation. … It reduces risk of obesity, heart disease, stroke and
diabetes.
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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/risk-management-pearls-medication-safety-part-i-and-part-ii
September 30, 2015 - Citation Text:
Risk Management Pearls for Medication Safety: Part I and Part II. … Chicago, IL: American Society for Healthcare Risk Management; 2014. … These guides cover medication safety principles, common causes for errors, and strategies to manage risks … Chicago, IL: American Society for Healthcare Risk Management; 2014. … February 17, 2009
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The
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psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays
September 25, 2019 - Study
Unintended patient safety risks due to wireless smart infusion pump library … Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. … These delays resulted in failure to alert for two high-risk medication cases, but neither case led … Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. … June 9, 2011
Balancing safety, comfort, and fall risk: an intervention to limit opioid