-
psnet.ahrq.gov/issue/prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints-using-routinely
September 07, 2011 - Study
The PRONE score: an algorithm for predicting doctors' risks of formal patient … The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely … They developed a risk prediction model which predicted future complaints with reasonable accuracy. … Actions to reduce future litigation risk —such as directed education, referral to a regulatory agency … The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely
-
psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors
June 29, 2011 - prior studies have also demonstrated that high levels of temporary staff may pose patient safety risks … December 29, 2014
The harm susceptibility model: a method to prioritise risks identified … July 28, 2010
Identified safety risks with splitting and crushing oral medications.
-
psnet.ahrq.gov/node/47904/psn-pdf
April 24, 2019 - psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
Air transport service combines risks … The author encourages efforts to
reduce risks through policy change, purchasing the latest safety equipment
-
psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - Dashboard design to identify and balance competing risk
of multiple hospital-acquired conditions. … Dashboard design to identify and balance competing risk of
multiple hospital-acquired conditions. … https://psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital- … healthcare-acquired condition reduction and prevention target a single
condition, rather than the risks … discusses clinician
feedback on a proposed dashboard to enhance clinicians’ management combining the risks
-
psnet.ahrq.gov/node/867036/psn-pdf
January 01, 2025 - Artificial intelligence-powered chatbots in search
engines: a cross-sectional study on the quality and risks … Artificial intelligence-powered chatbots in search engines: a
cross-sectional study on the quality and risks
-
psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
January 29, 2018 - Study
Uncovering the risks of anticancer therapy through incident report analysis … Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical … Oncology is a high-risk care environment involving complex medication administration. … The researchers identified nine intermediate- and high-risk scenarios carrying the greatest risk to patient … Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - CULTURE
Have leaders established methods to identify risks and provide employees opportunities … FUTURE RISKS
Are there other areas in the organization where this could happen?
… FUTURE RISKS
Are there opportunities to improve trainings, competencies and orientation sessions
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/3HxQuXnyqHpUKNqjB7hWBw
September 01, 2005 - risks for breast
and ovarian cancer in moderate- and high-risk groups. … All chemoprevention trials reported relative
risk (RR) estimates, and the logarithm of the RR (logRR) … Combining all trials in a meta-analysis resulted in a
relative risk for total breast cancer of 0.62 ( … The relative risk (0.39 [CI, 0.20 to 0.79]) was
further reduced for estrogen receptor–positive breast … Relative risks for breast cancer in chemoprevention
trials.
-
psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
January 27, 2019 - Study
Risks and medication errors analysis to evaluate the impact of a chemotherapy … Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management … Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management … September 1, 2016
Inappropriate hospital admission as a risk factor for the subsequent … June 15, 2012
Use of a prospective risk analysis method to improve the safety of the
-
psnet.ahrq.gov/node/843413/psn-pdf
February 01, 2023 - toward-translation-systems-thinking-methods-patient-safety-practice-
assessing-validity-net
Organizations are encouraged to proactively identify patient safety risks … This article
describes validity testing of systems-thinking risk assessment (Net-HARMS) to identify … risks associated
with patient medication administration and an accident analysis method (AcciMap) to
-
psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
March 18, 2013 - Study
What are the safety risks for patients undergoing treatment by multiple specialties … What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective … This study found that the risk of errors increases with the number of specialties treating a patient. … What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective … February 8, 2012
Integration of prospective and retrospective methods for risk analysis
-
www.ahrq.gov/hai/cusp/modules/engage/alt-text.html
April 01, 2013 - 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 … 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
-
psnet.ahrq.gov/node/866525/psn-pdf
August 14, 2024 - Clinicians felt challenged when balancing risks and benefits of
further prescribing. … stakeholder-perceptions-and-attitudes-towards-problematic-polypharmacy-and-prescribing
https://psnet.ahrq.gov/issue/risks-prescribing-cascade
-
psnet.ahrq.gov/node/853244/psn-pdf
September 06, 2023 - This article highlights five patient safety risks
during pediatric perioperative blood management (failure … The authors discuss potential solutions to address these safety risks.
-
effectivehealthcare.ahrq.gov/sites/default/files/communicating_risk_media_wilkes.ppt
April 01, 2006 - , small differences between risks, and uncertainty around risks
Public Expectations
Public believes … million cases of breast cancer.
raloxifene is already used to prevent bone loss after menopause
NCI used relative … risk reductions in their promotion rather than absolute risk reductions
At the press release and conference … Why are risks minimized? … new possibilities
Tools to help patients better understand the health care system and risk
-
psnet.ahrq.gov/issue/identifying-risks-and-opportunities-outpatient-surgical-patient-safety-qualitative-analysis
November 10, 2010 - Study
Identifying risks and opportunities in outpatient surgical patient safety: … Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qualitative Analysis of … This qualitative study asked surgical staff about risk factors for adverse events in outpatient surgery … Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qualitative Analysis of
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - How will you reduce the risk of it happening again?
How will you know the risk was reduced? … Slide 28: How Will You Know Risks Were Reduced? … Do staff believe risks were reduced?
Make data-driven metrics the goal whenever possible. … Slide 29: How Will You Know Risks Were Reduced?
Identify how you will measure success. … Slide 30: How Will You Know Risks Were Reduced?
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - Ensure unit team has resources to reduce risks. … What could you do to reduce risk?
How do you know risk was reduced? … Do staff believe risks have been reduced?
Return to Contents
Slide 31. … What are potential risks during the day; how can we reduce these risks? … Safety survey to identify at-risk departments.
Mandatory science of safety training.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - First-Order
Problem Solving
Second-Order
Problem Solving
Recovers for one patient, but does not reduce risks … for future patients
Example: You get the supply from another area or you manage without it
Reduces risks … How will you reduce the risk of it happening again? … How Will You Reduce Risk Reoccurring? … Do staff believe risks were reduced?
-
psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Because of the drug's risks for adverse effects, clozapine must be
prescribed and dispensed in accordance … The purpose of REMS
is to reduce the occurrence or severity of serious known risks. … Rather, it is focused on preventing, monitoring, and/or managing very specific and serious risks—to … , known
medication safety risks. … Approved Risk Evaluation and Mitigation Strategies (REMS).