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Showing results for "risks".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44324/psn-pdf
    September 09, 2015 - Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective … Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Prospective … https://psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital- … https://psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients … https://psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum … Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum … https://psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and- … https://psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum … https://psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39069/psn-pdf
    February 18, 2011 - Did duty hour reform lead to better outcomes among the highest risk patients? … Did duty hour reform lead to better outcomes among the highest risk patients? … https://psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients The … significant harm or benefit to patients with higher- severity illness compared with those with lower risk … https://psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients https

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40562/psn-pdf
    July 03, 2014 - malpractice claims is a common strategy for evaluating potential patient safety issues, particularly in high-risk … Advocating for effective risk management programs, an accompanying editorial [see link below] highlights … how malpractice risk is increasing and under-recognized in the ambulatory setting. … A past AHRQ WebM&M conversation and perspective discuss the intersection between risk management and … https://psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety

  5. On-Time Falls Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/packet.html
    November 01, 2017 - Overview Materials Packet Samples of four types of reports are provided here: On-Time Falls High-Risk … Quarterly Summary of Falls Risk Factors by Unit or Facility . … On-Time Falls High-Risk Report Sample Falls High-Risk Report Unit: ______________________________ … Quarterly Summary of Falls Risk Factors by Unit or Facility Sample Quarterly Summary of Falls Risk … of Falls Risk Factors Date: ___/___/___ Select for accessible version of report .

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44719/psn-pdf
    February 14, 2017 - individual clinicians in patient safety, seeking to identify clinicians whose patients are at elevated risk … Moreover, recidivism was common, in that practitioners with more than 3 claims had a 24% risk of another … studies of patient complaints, implies that it may be possible to identify clinicians who are at high risk … The issues around such high-risk physicians are discussed in a previous WebM&M perspective. … cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology https://psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41133/psn-pdf
    December 29, 2014 - Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology … Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology … https://psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large- … https://psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology … https://psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology

  8. Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-multifaceted-clinical-pharmacist-intervention-medication-safety-after-hospitalization
    April 28, 2021 - clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk … clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk … High-risk medications have the potential to cause serious patient harm if not administered correctly … May 8, 2017 Development and pilot testing of guidelines to monitor high-risk medications … February 23, 2011 Dementia and risk of adverse warfarin-related events in the nursing

  9. Dementia and risk of adverse warfarin-related events in the nursing home setting. | PSNet

    psnet.ahrq.gov/issue/dementia-and-risk-adverse-warfarin-related-events-nursing-home-setting
    February 23, 2011 - Study Dementia and risk of adverse warfarin-related events in the nursing home setting … Dementia and risk of adverse warfarin-related events in the nursing home setting. … Dementia appeared to be an independent risk factor for medication errors among a cohort of geriatric … Increased nursing staff time seemed to mitigate this risk. … Dementia and risk of adverse warfarin-related events in the nursing home setting.

  10. Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet

    psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
    March 16, 2022 - J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/jhrm.21498. … J Healthc Risk Manag . 2022; 41 (4) :17-26 . View more articles from the same authors. … J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/jhrm.21498. … March 10, 2021 Social risk, health inequity, and patient safety. … October 5, 2022 Social risk, health inequity, and patient safety.

  11. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. | PSNet

    psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner
    December 04, 2015 - Study Enhance patient safety by identifying and minimizing risk exposures affecting … Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice … J Healthc Risk Manag. 2013;33(2):27-35. doi:10.1002/jhrm.21124. … J Healthc Risk Manag . 2013; 33 (2) :27-35 . View more articles from the same authors. … J Healthc Risk Manag. 2013;33(2):27-35. doi:10.1002/jhrm.21124.

  12. Designing highly reliable adverse-event detection systems to predict subsequent claims. | PSNet

    psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
    September 01, 2018 - J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm.21167. … J Healthc Risk Manag . 2015; 34 (4) :7-17 . View more articles from the same authors. … disclosure programs , could be deployed more efficiently using an automated algorithm to detect high-risk … J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm.21167. … September 10, 2014 Conditions that influence the impact of malpractice litigation risk

  13. 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). | PSNet

    psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos
    April 12, 2019 - Commentary 1,300 days and counting: a risk model approach to preventing retained … Citation Text: Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach … Needs assessments, multidisciplinary engagement , risk classification , and modeling approaches were … April 25, 2016 Risk factors for retained surgical items: a meta-analysis and proposed … risk stratification system.

  14. Harnessing the power of medical malpractice data to improve patient care. | PSNet

    psnet.ahrq.gov/issue/harnessing-power-medical-malpractice-data-improve-patient-care
    September 25, 2019 - J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. … J Healthc Risk Manag . 2020; 39 (3) :28-36 . … J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. … January 8, 2020 New graduate registered nurses: Risk mitigation strategies to ensure … October 14, 2020 Special Section: Event Analysis and Risk Management.

  15. JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. | PSNet

    psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare-settings
    September 03, 2008 - Risk Management Reporter. June 2005. … Risk Management Reporter. June 2005. … Risk Management Reporter. June 2005. … November 16, 2022 Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk … Resources Patient Safety Innovations Combined Proactive Risk

  16. Chrischilles, Elizabeth | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/chrischilles-elizabeth
    January 01, 2023 - Chrischilles, Elizabeth Design and Testing of a Mobile Cardiovascular Risk … Design and Testing of a Mobile Cardiovascular Risk Service With Patient Partners - Final Report. … Chrischilles, Elizabeth Project Name Design and Testing of a Mobile Cardiovascular Risk … Elder Medication Use Quality Design and Testing of a Mobile Cardiovascular Risk … service to improve patient engagement in self-management of cardiovascular risk.

  17. Implementation Guide: Factors to Consider in Managing Chronic Pain (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
    January 01, 2024 - the patient and the provider regarding the effectiveness of existing treatments and the benefits and risks … Before starting—and periodically during—opioid therapy, clinicians should discuss with patients known risks … Echo’s subsequent risk assessments show 6 no elevated risk factors for opioid misuse or abuse. … the patient and the provider regarding the effectiveness of existing treatments and the benefits and risks … Intervention “Risk Considerations” A contextual category that lists additional risks not expressed in

  18. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
    January 01, 2025 - process faults in our cohort most highly associated with errors were problems with assessment (adjusted relative … risk 2.89, 95% CI 2.23, 3.73), and testing (adjusted relative risk of 2.85, 95% CI 2.16, 3.76). … the two diagnostic processes most highly associated with DE were problems with assessment (adjusted relative … risk 2.89, 95% CI 2.23, 3.73) and with testing (adjusted relative risk of 2.85, 95% CI 2.16, 3.76), … Possible interventions include identifying patients at high risk for diagnostic errors, implementing

  19. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
    May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction … Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition … utilize the Failure Mode and Effects Analysis in response to Joint Commission standards for proactive risk … Resources Patient Safety Innovations Combined Proactive Risk … View More See More About The Topic Health Care Executives and Administrators Risk

  20. Decision Precision : Increasing Lung Cancer Screening for At-Risk Patients | Digital Healthcare Research

    digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/decision-precision-increasing-lung-cancer-screening-risk-patients
    January 01, 2019 - Decision Precision+: Increasing Lung Cancer Screening for At-Risk Patients Widely disseminating a … Increasing use of LDCT for at-risk patients could prevent as many as 10,000 lung cancer deaths annually … However, the decision to screen requires a risk-benefit discussion between patients and their physicians … Veterans Health Administration medical centers, decision-making improved about LDCT screenings among at-risk … discussion with at-risk patients on whether lung cancer screening is right for them.
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