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psnet.ahrq.gov/node/38104/psn-pdf
February 18, 2011 - Patient reported receipt of medication instructions for
warfarin is associated with reduced risk of … Patient reported receipt of medication instructions for warfarin is
associated with reduced risk of … psnet.ahrq.gov/issue/patient-reported-receipt-medication-instructions-warfarin-associated-reduced-
risk-serious … //psnet.ahrq.gov/issue/patient-reported-receipt-medication-instructions-warfarin-associated-reduced-risk-serious … //psnet.ahrq.gov/issue/patient-reported-receipt-medication-instructions-warfarin-associated-reduced-risk-serious
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psnet.ahrq.gov/node/35721/psn-pdf
March 28, 2011 - Health Care Failure Mode and Effect Analysis: a useful
proactive risk analysis in a pediatric oncology … Health Care Failure Mode and Effect Analysis: a
useful proactive risk analysis in a pediatric oncology … https://psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis … https://psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric … https://psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
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psnet.ahrq.gov/node/46526/psn-pdf
December 22, 2018 - Risk factors for adverse events in emergency department
procedural sedation for children. … Risk Factors for Adverse Events in Emergency Department
Procedural Sedation for Children. … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-
children … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
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psnet.ahrq.gov/node/40508/psn-pdf
June 08, 2011 - Hassle in the dispensary: pilot study of a proactive risk
monitoring tool for organisational learning … Hassle in the dispensary: pilot study of a proactive risk
monitoring tool for organisational learning … https://psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational … https://psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based … https://psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based
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psnet.ahrq.gov/node/41959/psn-pdf
January 16, 2013 - Use of FMEA analysis to reduce risk of errors in
prescribing and administering drugs in paediatric wards … Use of FMEA analysis to reduce risk of errors in prescribing and
administering drugs in paediatric wards … https://psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs … https://psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards … https://psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards
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psnet.ahrq.gov/node/38779/psn-pdf
July 15, 2009 - Prospective risk analysis of health care processes: a
systematic evaluation of the use of HFMEA in Dutch … Prospective risk analysis of health care processes:
a systematic evaluation of the use of HFMEA in Dutch … https://psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use … https://psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health … https://psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
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psnet.ahrq.gov/node/43585/psn-pdf
July 16, 2015 - At risk care plans: a way to reduce readmissions and
adverse events. … At Risk Care Plans: a way to reduce readmissions and adverse
events. … https://psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
This commentary … describes one hospital's effort to decrease readmissions and adverse events involving
inpatients at risk … https://psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/36052/psn-pdf
June 29, 2011 - Identifying risk factors for medical injury.
June 29, 2011
Guse CE, Yang H, Layde PM. … Identifying risk factors for medical injury. Int J Qual Health Care.
2006;18(3):203-10. … https://psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
This cross-sectional study described … They discovered injury diagnoses in 13.3% of
discharge records, with greater risk associated with women … https://psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
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psnet.ahrq.gov/node/60564/psn-pdf
June 03, 2020 - Subtherapeutic heparin infusions: is your organization at
risk of bypassing soft low-dose alerts? … https://psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low … https://psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts … https://psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts … accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
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psnet.ahrq.gov/node/43736/psn-pdf
April 24, 2017 - Seeing risk and allocating responsibility: talk of culture
and its consequences on the work of patient … Seeing risk and allocating responsibility: talk of culture and its consequences on the work of
patient … https://psnet.ahrq.gov/issue/seeing-risk-and-allocating-responsibility-talk-culture-and-its-consequences … https://psnet.ahrq.gov/issue/seeing-risk-and-allocating-responsibility-talk-culture-and-its-consequences-work-patient … https://psnet.ahrq.gov/issue/seeing-risk-and-allocating-responsibility-talk-culture-and-its-consequences-work-patient
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psnet.ahrq.gov/node/43470/psn-pdf
September 10, 2014 - Identifying critically ill patients at risk for inappropriate
antibiotic therapy: a pilot study of a … Identifying critically ill patients at risk for inappropriate antibiotic
therapy: a pilot study of a … https://psnet.ahrq.gov/issue/identifying-critically-ill-patients-risk-inappropriate-antibiotic-therapy-pilot-study … https://psnet.ahrq.gov/issue/identifying-critically-ill-patients-risk-inappropriate-antibiotic-therapy-pilot-study-point … https://psnet.ahrq.gov/issue/identifying-critically-ill-patients-risk-inappropriate-antibiotic-therapy-pilot-study-point
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psnet.ahrq.gov/node/42170/psn-pdf
May 10, 2013 - Understanding factors that impact on health care
professionals' risk perceptions and responses toward … Understanding factors that impact on health care professionals'
risk perceptions and responses toward … https://psnet.ahrq.gov/issue/understanding-factors-impact-health-care-professionals-risk-perceptions-and … https://psnet.ahrq.gov/issue/understanding-factors-impact-health-care-professionals-risk-perceptions-and-responses-toward … https://psnet.ahrq.gov/issue/understanding-factors-impact-health-care-professionals-risk-perceptions-and-responses-toward
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
January 01, 2012 - days of discharge from a skilled nursing facility,
the prevalence of appropriate monitoring for high-risk … Adverse drug events
Intervention
period
n=100
N(%)
Non-intervention
period
n=100
N(%)
Relative … Risk factors
for adverse drug events among older adults in the
ambulatory setting. … Posthospital
care transitions: patterns, complications, and risk
identification. … Furthermore,
infrequently prescribed medications are at higher risk for poor monitoring.
-
psnet.ahrq.gov/node/867633/psn-pdf
February 26, 2025 - Failure to rescue female patients undergoing high-risk
surgery. … Failure to rescue female patients undergoing high-risk
surgery. … https://psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
Failure-to-rescue … of Medicare beneficiaries from 2015 to 2020, researchers found that female patients
undergoing high-risk … https://psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/44489/psn-pdf
November 10, 2015 - Frequency of and risk factors for medication errors by
pharmacists during order verification in a tertiary … Frequency of and risk factors for medication errors by
pharmacists during order verification in a tertiary … https://psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order- … https://psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary … https://psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/copd-anticholinergic-medicines_research.pdf
December 01, 2009 - Tiotropium in combination with two other medications was associated with increased risk
of mortality … TIO+IPRA+ICS, TIO+LABA+IPRA, TIO+THEO+IPRA, etc.) where there was an
increased risk of mortality (HR … Second, medications used in combination with tiotropium may be
associated with increased risks and therefore … This is
particularly true if risks reported for ipratropium represent a class effect for
anticholinergic … If this is the case, our study design is not optimal for
identifying risks associated with tiotropium
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www.ahrq.gov/hai/cusp/modules/apply/sl-cusp.html
December 01, 2012 - Understanding Risk and Human Behavior
Slide 7. Managing Error and Risk
Slide 8. … At-Risk Behavior:
Choosing to behave in a way that increases risk where risk is not recognized, or … Console
At-Risk Behavior
A choice: risk believed insignificant or justified . … Manage through:
Removal of incentives for at-risk behaviors. … Coach
Reckless Behavior
Conscious disregard of substantial and unjustifiable risk .
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-2-tech-specs.pdf
January 01, 2011 - High risk pregnant women.
ii. … Step 2: Identify High Risk Pregnancies using Table 2. … Count the number of visits for each of the high risk pregnancies to a
cardiologist.
d. … Count the number of visits for each of the high risk pregnancies to a
neurologist.
f. … Step 2: Identify High Risk Pregnancies in Table 2.
-
psnet.ahrq.gov/node/49856/psn-pdf
March 01, 2019 - This places the patient at risk for breathing difficulty after extubation.) … Only one-third of patients
who required intubation were considered high risk for extubation failure … Patients with postextubation stridor are likely at increased risk of reintubation. … Various
conditions help identify patients at higher risk for reintubation. … How to identify patients with no
risk for postextubation stridor? J Crit Care. 2004;19:23-28.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - patient’s overall health goals, as well as those related to the current condition and treatment options, risks … knee replacement specific component)
Patients should have their body mass index (BMI) measured and risks … However, for short-term use, the potential benefits may outweigh the risks. … procedure type, local antimicrobial resistance patterns, and a balance of benefits versus potential risks … Tip: Patient education should be done about risks and benefits of post discharge prophylaxis.