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psnet.ahrq.gov/node/837663/psn-pdf
July 13, 2022 - Long-term risk of overdose or mental health crisis after
opioid dose tapering. … Long-term risk of overdose or mental health crisis after opioid
dose tapering. … This study assessed the long-term risks of overdose and mental health crisis
as a result of dose tapering … Consistent with earlier research on short-term risks, results indicate that opioid
tapering is associated … with increased risk of adverse events up to 24 months after initiation of tapering.
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psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
March 16, 2016 - Laboratory test ordering and results management systems: a qualitative study of safety risks … Laboratory test ordering and results management systems: a qualitative study of safety risks identified … Laboratory test ordering and results management systems: a qualitative study of safety risks identified
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www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
April 01, 2018 - Study Strengths and Limitations
ST-PRA is a valuable and important tool for assessing the risks associated … unique combinations of risks that contribute to the adverse outcome. … Return to Contents
Next Steps
The use of ST-PRA as a modeling tool to identify risks in the ASC … years, there have been a variety of methods and tools designed to improve our understanding of the many risks … and easier to use by health care providers as they attempt to improve system design and reduce the risks
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psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
December 29, 2014 - Study
The harm susceptibility model: a method to prioritise risks identified in patient … The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems … The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems
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psnet.ahrq.gov/node/74861/psn-pdf
February 23, 2022 - psychological safety in healthcare settings – (1) perceptions of consequences related to taking
interpersonal risks … interpersonal relationships; (3) group-level phenomenon; (4) safe work
environments supporting interpersonal risks
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psnet.ahrq.gov/node/838074/psn-pdf
January 01, 2023 - Risk Anal. 2023;43(7):1463-1477. doi:10.1111/risa.14002. … online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-
and-unresolved
Patients are uniquely situated to identify safety risks … Despite limitations, online patient feedback
can serve as an additional source of potential safety risks
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psnet.ahrq.gov/node/866526/psn-pdf
August 14, 2024 - instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-
events
Residents of long-term care facilities are particularly vulnerable to patient safety risks … The authors found that most tools are designed to identify specific adverse events or
safety risks (
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Bisphosphonates%20Patient%20Handout.pdf
July 18, 2023 - Bisphosphonates are the safest choice for most people like you, who have thin
or fragile bones, because this risks … of falling and breaking a bone are greater
than the risks of side effects. … Weighing the risks and benefits
How to take it:
There are several different types of bisphosphonates
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cds.ahrq.gov/sites/default/files/cds/artifact/66551/Bisphosphonates%20Patient%20Handout.pdf
July 18, 2023 - Bisphosphonates are the safest choice for most people like you, who have thin
or fragile bones, because this risks … of falling and breaking a bone are greater
than the risks of side effects. … Weighing the risks and benefits
How to take it:
There are several different types of bisphosphonates
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psnet.ahrq.gov/node/48100/psn-pdf
July 24, 2019 - The authors emphasize preoperative
identification of patients at risk for long-term opioid use and suggest … ://psnet.ahrq.gov/issue/opioid-stewardship
https://psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain … https://psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain
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psnet.ahrq.gov/node/74266/psn-pdf
January 19, 2022 - outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-
arthroplasty-systematic
Previous research has raised concerns about safety risks … outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic
https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries … https://psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - This Primer will explore the typical
patient safety risks linked with inpatient transitions and strategies … to minimize and mitigate these risks. … systems to ensure seamless transitions with
minimal associated risks. … patient-centered experience as well as to optimize accurate information exchange, thereby
decreasing the risk … participate in their care, thereby enhancing patient safety,
improving outcomes, and reducing the risk
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - 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 … based on a synthesis of multiple risk
factors, Reduce suicide risks by treating modifiable risk factors … life threats (and ensure safety), Risk assessment for suicide, Reduce suicide risks, and Extend care
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digital.ahrq.gov/principal-investigator/abraham-joanna
January 01, 2025 - The foundational capabilities of large language models in predicting postoperative risks … The foundational capabilities of large language models in predicting postoperative risks using clinical … Risk factors for hospital readmission in patients with interstitial lung disease. … learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks … Risk factors associated with medication ordering errors.
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psnet.ahrq.gov/node/837640/psn-pdf
July 06, 2022 - record
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
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psnet.ahrq.gov/issue/reducing-patient-harm-opiates
April 29, 2018 - This article lists common risks associated with opiates, a high-alert medication , as well as recommended … safety improvements to reduce these risks. … June 4, 2014
Any new process poses a risk for errors: learning from 4 months of Coronavirus … November 18, 2020
Oral syringes: a crucial and economical risk-reduction strategy that
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - The Medical Director reviewed the risks of plasmapheresis with the physician and asked him to follow … The most effective way to reduce well-intentioned yet inappropriate care is to consider the risks of … Because of the risks of inappropriate and overly aggressive care, patient-centered decision-making with … That is why it is especially important to have an honest and informed discussion of risks and benefits … Failing the acid test: benefits of proton pump inhibitors may not justify the risks for many users.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - PowerPoint Presentation
Spotlight
Robotic Surgery: Risks vs. … the robotic technology would allow for smaller incisions, better control of the instruments, lower risk … for infection, bleeding, and the risks of anesthesia
Additional risks are unique to robotic surgery
Potential … (2)
Notably, the energy source can cause burn injuries from the cautery device
There is a small risk … institutions should also submit local reports to the FDA
21
Appropriate Risk Disclosure to Patients
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digital.ahrq.gov/program-overview/research-stories/improving-safety-postoperative-handoff-communication-telemedicine
January 01, 2023 - Poor postoperative handoffs can risk patient safety Effective communication during postoperative handoffs … ICU, whereas the machine learning–augmented report promotes the identification and sharing of patient risks … personalize patient handoffs, thereby promoting intelligent and interactive communication of patient risks … and risk mitigation strategies. … Joanna Abraham Reducing risks can increase safety of postoperative handoffs Customizing postoperative
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www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
December 01, 2012 - Considers patient risks and involves frontline personnel in creating ways to mitigate those risks. … Slide 13: Collaborates To Develop and Implement a Plan Addressing Safety Issues
Considers patient risks … Involves frontline providers to help reduce risks.