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psnet.ahrq.gov/node/40551/psn-pdf
June 22, 2011 - Shifting the risks at night.
June 22, 2011
Boodman SG. Washington Post. June 7, 2011:E7. … https://psnet.ahrq.gov/issue/shifting-risks-night
This newspaper article discusses how nocturnists—physicians … https://psnet.ahrq.gov/issue/shifting-risks-night
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psnet.ahrq.gov/node/38050/psn-pdf
July 28, 2013 - Scariest hospital risks.
July 28, 2013
Herper M; Lindner M. … https://psnet.ahrq.gov/issue/scariest-hospital-risks
This article discusses common medical complications … https://psnet.ahrq.gov/issue/scariest-hospital-risks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - monthly with unit team
Executive should –
Review defects
Ensure unit team has resources to reduce risks … Hold team accountable for improving risks and central line-associated blood steam infection rate … What could you do to reduce risk?
How do you know risk was reduced ? … during the day; how can we reduce these risks
*
*
Step 5 cont’d: Shadowing
Follow another type … success
*
Science of Safety Education
Education done prior to CAUTI
Safety survey to identify at-risk
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psnet.ahrq.gov/node/37043/psn-pdf
May 04, 2015 - To reduce risks, hospitals enlist 'proceduralists.'
May 4, 2015
Landro L. … https://psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
This article reports on hospitals … https://psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
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psnet.ahrq.gov/issue/swiss-cheese-model
March 27, 2005 - Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997. … Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997. … Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997. … March 31, 2021
Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation … March 30, 2011
Managing the Risks of Organizational Accidents.
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psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
January 31, 2024 - Study
Co-worker unprofessional behaviour and patient safety risks: an analysis of … Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across … The researchers found that three in ten reports indicated a risk to patient safety, such as interruptions … Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across
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psnet.ahrq.gov/node/36809/psn-pdf
May 04, 2015 - Hospitals target risks of color wristbands.
May 4, 2015
Landro L. … https://psnet.ahrq.gov/issue/hospitals-target-risks-color-wristbands
This article reports on initiatives … to standardize the color designations of color-coded wristbands to avoid
confusion and reduce the risk … https://psnet.ahrq.gov/issue/hospitals-target-risks-color-wristbands
https://psnet.ahrq.gov/issue/wristband-color-standardization
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - group of disciplines so that a continuum of expertise is employed depending on severity of suicide risks … synthesizing it in a way that helps characterize acute risks, chronic risks, and factors that are amenable … , minimization of environmental (ligature) risks, provision of safe dining equipment, room sweeps, and … factors , R educe suicide risks by treating modifiable risk factors , and E xtend care beyond the … for life threats (and ensure safety), R isk assessment for suicide, R educe suicide risks, and E
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psnet.ahrq.gov/node/39591/psn-pdf
March 21, 2016 - Annual Benchmarking Report: Malpractice Risks in
Surgery. … https://psnet.ahrq.gov/issue/annual-benchmarking-report-malpractice-risks-surgery
Analyzing data from … https://psnet.ahrq.gov/issue/annual-benchmarking-report-malpractice-risks-surgery
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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/issue/dangerous-connections-health-care-community-tackles-tubing-risks-small-bore-connector
October 26, 2007 - Newspaper/Magazine Article
Dangerous connections: health care community tackles tubing risks … Citation Text:
Dangerous connections: health care community tackles tubing risks, small-bore connector … Citation
Citation Text:
Dangerous connections: health care community tackles tubing risks
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www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/surgery/tips/tipsurgery.pdf
June 02, 2025 - No surgery is risk free. … It is important to learn
about the possible benefits and risks involved
in the surgical procedure you … What are the risks of having the operation?
6. What will happen if I don’t have this
operation?
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www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
January 01, 2024 - Scope: The project aimed to develop a checklist-based cognitive tool to reduce the risks of gaps in care … The intended goal was to implement and
evaluate the tool to reduce the risks of information gaps in … This study, Evaluation of Risk by Active
Surveillance in the Emergency Department (ERASED), uses a novel … In this
study, we propose to develop, implement, and evaluate a tool that will minimize the risks of … The initial risk assessment project, Evaluation of Risk by Active Surveillance in the Emergency Department
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psnet.ahrq.gov/node/37852/psn-pdf
May 02, 2018 - Benefits and risks of including patients on RCA teams.
May 2, 2018
ISMP Medication Safety Alert! … https://psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
This article describes … https://psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
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psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
December 18, 2019 - Study
Identifying risks areas related to medication administrations - text mining … Identifying risks areas related to medication administrations - text mining analysis using free-text … Reporting and Learning System in England and Wales to identify terms most frequently associated with risk … Identifying risks areas related to medication administrations - text mining analysis using free-text … Hospitals
Information Professionals
Medicine
Administration Errors
Specific to High-Risk
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 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/37627/psn-pdf
March 19, 2008 - Patient Safety in Obstetrics and Gynecology: Improving
Outcomes, Reducing Risks. … https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-improving-outcomes-reducing-risks … https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-improving-outcomes-reducing-risks
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psnet.ahrq.gov/node/37523/psn-pdf
May 02, 2018 - ADC survey shows some improvements, but unnecessary
risks still exist. … https://psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
This article … https://psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
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psnet.ahrq.gov/node/36492/psn-pdf
June 09, 2011 - When surgery goes wrong: weighing up the risks.
June 9, 2011
Feinmann J. The Independent. … https://psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks
This article reports on a husband's … https://psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks
https://psnet.ahrq.gov/primer/human-factors-engineering
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psnet.ahrq.gov/node/42576/psn-pdf
September 04, 2013 - Exploring Patient Engagement in Reducing Health-Care-
Related Safety Risks. … nbsp;
https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks … https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
https