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psnet.ahrq.gov/node/44608/psn-pdf
October 28, 2015 - Navigating risks in breast cancer diagnosis and
treatment. … https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
Patients diagnosed … https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/are-physicians-safely-prescribing-opioids-chronic-noncancer-pain-systematic-review-current
November 07, 2018 - Given heightened awareness around the risks associated with opioid use, physicians' prescribing practices … This review examined provider adherence to established opioid risk reduction practices and found that … 2014
View More
Related Resources
Strategies to identify patient risks … January 11, 2017
The effectiveness and risks of long-term opioid therapy for chronic
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/116-cusp-premortem-project-assessment.docx
January 01, 2007 - implementation barriers and challenges before launching a 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/34759/psn-pdf
July 13, 2016 - His book Managing the Risks of
Organizational Accidents is less theoretical and may be more appropriate … https://psnet.ahrq.gov/issue/human-error
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
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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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psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
December 23, 2016 - fatigue and patient safety has been established in seminal studies, which have demonstrated that the risk … This alert calls on hospitals to design work schedules to minimize fatigue risks, monitor the safety … incentive for teaching hospitals and residency programs to harmonize efforts around minimizing the risk … June 18, 2021
Radiation risks of diagnostic imaging and fluoroscopy. … May 23, 2018
Managing the risks of direct oral anticoagulants.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
August 01, 2023 - the consequences of not treating specific illnesses are devastating.” 16 The juxtaposition of the risk … When definitive tests exist, such tests may expose children to greater risks than similar testing in … malignancy over their lifetime. 26,27 Thus, clinicians caring for children must carefully weigh the risks … and diagnostic yield associated with computed tomography and fluoroscopy. 28-30
The risks of testing … children with medical complexity (CMC) represents a population with considerable diagnostic safety risks
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk is reduced? … Slide 13: How Will You Reduce Risk of Recurrence? … Slide 16: How Will You Reduce Risk of Recurrence? … Slide 19: How Will You Know Risks Were Reduced? … Post the stories of reduced risks (with data!).
Share with others.
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psnet.ahrq.gov/node/43811/psn-pdf
July 18, 2018 - 2014 Annual Benchmarking Report: Malpractice Risks in
the Diagnostic Process. … https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
This … https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
https
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www.ahrq.gov/patient-safety/resources/learning-lab/idea-ll-long-desc.html
August 01, 2025 - errors in emergency departments (EDs) by examining diagnostic decision making, identifying contributing risk … and clinician workload. 3 This computational work enabled the development of early-stage diagnostic risk … These diverse data streams produced a robust, multilayered understanding of diagnostic risk in academic … Monitoring diagnostic safety risks in emergency departments: protocol for a machine learning study . … Intervention concepts included: Clinician-facing dashboards that visually displayed diagnostic risk signals
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psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
September 28, 2010 - Study
Insulin treatment as a tracer for identifying latent patient safety risks in … Citation Text:
Insulin treatment as a tracer for identifying latent patient safety risks in home-based … found that attitudes about patient safety among nurses with medical responsibility may heighten the risk … Citation
Citation Text:
Insulin treatment as a tracer for identifying latent patient safety risks … March 28, 2018
Risk perception on the labour ward: a mixed methods study.
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca6.pdf
June 16, 2014 - Although we are all individual people, our racial and ethnic backgrounds may place us at differing
risks … We can work to reduce these risks by making sure that everyone gets high
quality health care. … By knowing more about your racial and ethnic background, we can get a better
idea of health risks you … Studies show that our racial and ethnic backgrounds may place us at different
risks for certain diseases … By knowing more about your racial and ethnic background, we can get a
better idea of health risks you
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexec.pptx
January 01, 2006 - Joins frontline staff and middle manager for rounds and a 1-hour monthly meeting
Considers patient risks … and involves frontline personnel in creating ways to mitigate those risks
Reviews unit data with team … Change
12
13
Collaborates To Develop and Implement a Plan Addressing Safety Issues
Considers patient risks … identified in the Staff Safety Assessment with team members
Involves frontline providers to help reduce risks
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digital.ahrq.gov/population/pharmacist
January 01, 2024 - Samantha
Project Name
Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks … Alerts
Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks … Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes - … Samantha
Project Name
Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks
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psnet.ahrq.gov/node/39454/psn-pdf
October 04, 2017 - expands upon the ground covered in Reason’s two other classic texts, Human Error and Managing the
Risks … issue/failure-and-rescue
https://psnet.ahrq.gov/issue/human-error
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
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psnet.ahrq.gov/node/46183/psn-pdf
July 12, 2017 - Medication-related Malpractice Risks. 2016 CRICO
Strategies National CBS Report. … https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report … https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
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psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
March 18, 2011 - Study
Intravenous chemotherapy preparation errors: patient safety risks identified … Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory … Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory … June 13, 2018
Improving shared situation awareness for high-risk therapies in hospitalized … the reporting of adverse medical device events: qualitative interviews with physicians about higher risk
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psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric
Patients at Risk of Physiologic Instability … Mitigating the Risk of Intrahospital Transport for Pediatric Patients at
Risk of Physiologic Instability … https://psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic … risks that can be mitigated prior to the transport of the patient. … Problems must be anticipated and
risks should be mitigated.
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - Managing the Risks of Organizational Accidents.
March 28, 2005
Reason JT. … ISBN: 9781840141047
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
Written 7 … this seminal book, readers are introduced to the now-famous "Swiss cheese model" of
errors in high-risk … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
https://psnet.ahrq.gov/issue/human-error
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digital.ahrq.gov/2019-year-review/research-summary/smart-mobile-health-app-improves-screening-for-risks-and-protective-factors
January 01, 2019 - Smart Mobile Health App Improves Screening for Risks and Protective Factors for Pregnant Women
A … screening tool for risk and protective factors during pregnancy can be integrated in clinic flow and … Technology to Improve Adherence to Prenatal Guidelines Funded Amount: $298,304
Screening for risks … Research links poor perinatal outcomes to risks such as mental health conditions, substance misuse, and … Gance-Cleveland
Tool supports screening for perinatal risk and protective factors
While providers