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psnet.ahrq.gov/node/47330/psn-pdf
September 19, 2018 - Patient and consumer safety risks when using
conversational assistants for medical information: an … Patient and consumer safety risks when using conversational
assistants for medical information: an observational … https://psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants- … https://psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information … https://psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information
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psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information
December 21, 2022 - Study
Safety risks associated with the lack of integration and interfacing of hospital … Safety risks associated with the lack of integration and interfacing of hospital health information technologies … Safety risks associated with the lack of integration and interfacing of hospital health information technologies
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-5/share-tool5.pdf
April 01, 2014 - Avoid explaining risks in purely
descriptive terms (such as “low risk”).5 For example, say, “Studies … instead of relative risk.1 Absolute risk estimates the number of
health events among individuals in … Communicating risks and benefits: an evidence-based user’s
guide. Silver Spring (MD): U.S. … Strategies to help patients understand risks. BMJ 2003 Sep 27;327(7417):745-8. PMID:
14512489.
6. … What Are the Risks of Having a Stent? National Heart, Lung, and Blood Institute. http://www.nhlbi.
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digital.ahrq.gov/sites/default/files/docs/safety-risks-ehr-slides-082916.pdf
August 29, 2016 - Webinar - A National Web Conference on Assessing Safety Risks Associated With EHRs - August 29
A National … Web Conference
on Assessing Safety Risks Associated
With EHRs
Presented by:
David Classen, M.D., … Describe the potential risk of providers placing orders in
the wrong patient’s record when multiple … support the benefits.1,2
However, literature provides multiple anecdotes of new health IT
safety risks … the
system.1
o Found many situations in which “a leading CPOE
system facilitated medication error risks
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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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ce.effectivehealthcare.ahrq.gov/innovations/will-work/guide2.html
February 01, 2021 - What Are the Risks? … Key Questions to Consider
What types of risk will we face?
How do we assess potential risks? … What types of risk will we face?
Change entails risk. … How can we mitigate these risks? … Carmel’s identification of the risk.
Question 2. How do we assess potential risks?
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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/node/45057/psn-pdf
June 22, 2017 - Safety risks associated with the lack of integration and
interfacing of hospital health information … Safety risks associated with the lack of integration and interfacing of
hospital health information … https://psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health … https://psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information … https://psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/133-clabsi-prevention-central-line-insertion.docx
October 01, 2024 - Each location has its own risks and should be considered on a case-by-case basis.
· Subclavian vein: … catheter-related thrombosis.
· Femoral vein: Should be avoided if possible, due to significant increase in risk … of infection.7
· Risks include: infection due to proximity of the groin, catheter-related thrombosis … Risk of infection due to central venous catheters: effect of site of placement and catheter type. … The risk of bloodstream infection associated with peripherally inserted central catheters compared with
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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/33585/psn-pdf
March 15, 2025 - , as the use
of diagnostic imaging technologies has increased, we have also come to appreciate the risks … Foremost among these risks is the potential for harm related to excess exposure
to ionizing radiation … by a growing body of literature) that radiation exposure from medical
imaging may put patients at risk … Cancer risk from radiation exposure is a future
statistical risk that is not known at the time of exposure … There are also risks of adverse events such as
radiation burns (more common in radiotherapy), which
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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/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/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/48011/psn-pdf
May 29, 2019 - issue/it-time-safeguards-adoption-robotic-surgery
The FDA recently raised awareness of the potential risks … adverse-events-robotic-surgery-retrospective-study-14-years-fda-data
https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards … https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/vaughan-serrazin-r01grant.pdf
February 29, 2016 - While stroke risk increases
with age, the high prevalence of chronic conditions in the elderly can also … increase the risks associated with anticoagulation. … This study will evaluate the risks and benefits of anticoagulation by
warfarin, dabigatran, or rivaroxaban … , bleeding risk, and illness burden. … Main Objective
Evaluate the risks and benefits
of anticoagulation by warfarin,
dabigatran, or rivaroxaban
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/care-management-issue-brief-15.pdf
April 01, 2015 - • Use multiple metrics to
identify patients with
modifiable risks
• Develop risk-based
approaches … • Develop/refine tools for risk
stratification
• Develop predictive models to
support risk stratification … This requirement is particularly important for high-risk and/or high-cost
populations. … consequently at different stages of modifiable risk. … More work is needed to explore what constitutes
modifiable risks.
-
www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
April 01, 2015 - • Use multiple metrics to
identify patients with
modifiable risks
• Develop risk-based
approaches … • Develop/refine tools for risk
stratification
• Develop predictive models to
support risk stratification … This requirement is particularly important for high-risk and/or high-cost
populations. … consequently at different stages of modifiable risk. … More work is needed to explore what constitutes
modifiable risks.
-
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