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Showing results for "risks".

41. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
    May 30, 2008 - of risk assessments to identify generic risks and risk contributors. … ) to further evaluate and identify risks and risk contributors. 4. … risks), are identified as generic risks. … Risk-binning analysis protocol to identify significant risks. … The highest risks with the highest consequence are in Risk Bin I, the next highest in Risk Bin II, and

42. Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
    January 01, 2024 - The data were summarized into seven modules (IT safety management systems, risk assessment, change management … To mitigate the hazards identified in the previously conducted proactive risk assessment (PRA) with respect … Resilience 1R18 HS017902-01 The data were summarized into seven modules (IT safety management systems, risk … Health information technology risks. The Risks Digest 2010; 26. … Re: Health information technology risks (Kenzo, RISKS-26.30).

43. The normalization of deviance: what are the perioperative risks? | PSNet
    psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
    July 15, 2020 - Commentary The normalization of deviance: what are the perioperative risks? … The normalization of deviance: what are the perioperative risks? … The normalization of deviance: what are the perioperative risks? … November 13, 2019 Implementing universal suicide risk screening in a pediatric hospital

44. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. | PSNet
    psnet.ahrq.gov/issue/patient-safety-virtual-primary-care-qualitative-study-examining-risks-and-mitigation
    September 27, 2023 - Study Patient safety of virtual primary care: a qualitative study examining risks … Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies … This study, conducted with patients and providers, identifies patient safety risks associated with virtual … care and strategies patients and providers can implement to mitigate those risks. … Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies

45. Limitations of AI and the Resulting Risk | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave4.html
    July 01, 2025 - While deep learning holds immense potential for improving healthcare delivery, it also introduces new risks … To maximize the benefits of AI while minimizing harm, it is critical to examine the underlying risks … In healthcare, hallucinations pose an even greater risk. … While the risks of bias and hallucinations underscore the need for human oversight, the lack of transparency … This inclination to over-trust confident but unexplainable AI outputs can introduce new risks into clinical

46. Look-alike and sound-alike medicines: risks and 'solutions.' | PSNet
    psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
    March 29, 2023 - Commentary Look-alike and sound-alike medicines: risks and 'solutions.' … Look-alike and sound-alike medicines: risks and 'solutions'. … Look-alike and sound-alike medicines: risks and 'solutions'.

47. The risks to patient safety from health system expansions. | PSNet
    psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
    May 13, 2020 - Commentary Emerging Classic The risks to patient safety … The Risks to Patient Safety From Health System Expansions. … The Risks to Patient Safety From Health System Expansions. … July 7, 2021 A framework for operationalizing risk: a practical approach to patient safety

48. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx Spotlight … The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Source and Credits • This … Suggest possible solutions to improve interprofessional and interfacility communication. 3 THE RISKS … COMMUNICATION A case highlighting the importance of clear documentation of complications, mitigating risks …  Best practices to mitigate patient care transition risks are to minimize the number of provider

49. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
    January 01, 2024 - than in other high-risk settings30). 7. … Higher RPNs represent greater risk, and low RPNs represent lower risk. … risks with high RPN scores. … Although similar risk points were present across most phases, similar risk points were ranked higher … risk modeling in healthcare.

50. Risk-Based Patient Safety Metrics (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
    March 25, 2008 - of harm, assess these risks and, whenever possible, eliminate or reduce these risks are a necessary … The risk-based metrics become: Assessed risks Identified risks and Eliminated risks Assessed risks … resulting in Eliminated risks Identified risks In the first statement, the denominator is limited … In the case of the proposed risk metric, the fact that the denominator is “identified risks” clearly … Identifying risks. 2. Assessing risk through analysis and clinical interpretation. 3.

51. A Multicenter, Observational Cohort Study to Assess the Cardiovascular Risks of Medications Prescribed for Attention Deficit Hyperactivity Disorder | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/adhd-medicines-risks/abstract

52. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet
    psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
    March 09, 2022 - Study Risks in the implementation and use of smart pumps in a pediatric intensive … Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of … This study applied failure mode and effect analysis (FMEA) to identify possible risks associated with … Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of … September 19, 2016 Surgery is in itself a risk factor for the patient.

53. Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and/final-report
    January 01, 2023 - Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes - … Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes - … Samantha Project Name Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks

54. Operating room to intensive care unit handoffs and the risks of patient harm. | PSNet
    psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
    October 05, 2022 - Study Operating room to intensive care unit handoffs and the risks of patient harm … Operating room to intensive care unit handoffs and the risks of patient harm. … The authors identified 81 process failures and outlined recommendations to mitigate many of these risks … Operating room to intensive care unit handoffs and the risks of patient harm. … safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk

55. Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. | PSNet
    psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
    April 24, 2019 - Study Risks in the analogue and digitally-supported medication process and potential … Risks in the analogue and digitally-supported medication process and potential solutions to increase … This study sought to identify critical risks and solutions in analog (pathway including at least one … In both processes, experts identified that the most critical risk of errors and harm occurs at admission … Risks in the analogue and digitally-supported medication process and potential solutions to increase

56. Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. | PSNet
    psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
    July 18, 2018 - Book/Report Malpractice Risks in Communication Failures: 2015 Annual Benchmarking … Citation Text: Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. … July 18, 2018 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine … September 26, 2012 Annual Benchmarking Report: Malpractice Risks in Surgery. … January 2, 2017 Annual Benchmarking Report: Malpractice Risks in Surgery.

57. The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. | PSNet
    psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-risks-and
    January 17, 2012 - The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks … The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks … to address such risks in dental practice. … Related Resources From the Same Author(s) Patient safety in dentistry: dental care risk … December 2, 2020 Inappropriate hospital admission as a risk factor for the subsequent

58. High-alert medications: the safeguards that you should put in place to reduce risks. | PSNet
    psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
    May 20, 2020 - Article High-alert medications: the safeguards that you should put in place to reduce risks … Citation Text: High-alert medications: the safeguards that you should put in place to reduce risks. … organization-specific lists to guide practice and use of independent double-checks when working with high-risk … Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk … See More About The Topic Outpatient Pharmacy Pharmacists Pharmacy Specific to High-Risk

59. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. | PSNet
    psnet.ahrq.gov/issue/need-systematically-identify-and-mitigate-risks-upon-hospitalisation-patients-chronic-health
    August 04, 2021 - Commentary Need to systematically identify and mitigate risks upon hospitalisation … Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health … example, the authors present a framework for systematically identifying and mitigating patient safety risks … The framework underscores the importance of identifying high-risk patients and implementing appropriate … Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health

60. Final Progress Report: How Do Consumers View the Risks of Medical Errors? (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
    January 01, 2024 - Final Progress Report: How Do Consumers View the Risks of Medical Errors? … FINAL REPORT Title of Project: How Do Consumers View the Risks of Medical Errors? … Results: Patients perceived medical-error risks based on Dreadedness and Preventability. … how consumers perceive the risks of different medical errors and (2) to assess consumer willingness … Perceived risks of medical errors.