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psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients
March 23, 2022 - Study
Risk factors for clinically relevant deviations in patients' medication lists … Risk factors for clinically relevant deviations in patients’ medication lists reported by patients in … Risk factors for clinically relevant deviations in patients’ medication lists reported by patients in … Same Author(s)
Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk … June 29, 2022
Medication errors at hospital admission and discharge: risk factors and
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psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
June 27, 2018 - values coupled with computerized provider order entry: a tool for quality improvement and hospital risk … values coupled with computerized provider order entry: a tool for quality improvement and hospital risk … values coupled with computerized provider order entry: a tool for quality improvement and hospital risk … Author(s)
Use of unsolicited patient observations to identify surgeons with increased risk … , 2009
View More
See More About The Topic
Hospitals
Physicians
Risk
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psnet.ahrq.gov/issue/delivery-inadequate-level-maternal-care-associated-severe-maternal-morbidity
September 29, 2021 - Obstetric care is a complex, high-risk heath care environment. … Among the one-third of individuals with a high-risk obstetric condition, 13% delivered at a hospital … Assessment Tool to better understand their resources and capabilities to ensure that everyone receives risk-appropriate … July 15, 2020
Provider risk factors for medication administration error alerts: analyses … October 24, 2018
Intervening in interruptions: what exactly is the risk we are trying
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www.ahrq.gov/research/publications/search.html?page=15
April 01, 2013 - 19
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last »
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Proactive Risk … results of a study AHRQ commissioned in August 2010 that had two primary objectives: using proactive risk … assessment to identify the realm of risk factors associated with surgical site infections resulting … centers and to design an intervention to reduce the likelihood of such infections due the most common risk … factors identified by the proactive risk assessment.
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psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
December 17, 2014 - Study
Escalation of care in surgery: a systematic risk assessment to prevent avoidable … Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized … This study used ethnographic observations, a risk assessment survey, and a formal health care failure … Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized … Resources
Patient Safety Innovations
Combined Proactive Risk
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psnet.ahrq.gov/issue/why-psychiatry-different-challenges-and-difficulties-managing-nosocomial-outbreak-coronavirus
February 14, 2024 - psychiatric departments may be more susceptible to hospital-acquired COVID-19 due to treating high-risk … effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … February 14, 2024
Adverse drug events caused by three high-risk drug-drug interactions … December 16, 2020
Expanding frontiers of risk management: care safety in nursing home … September 23, 2020
Design and implementation of the infection prevention program into risk
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psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
August 17, 2022 - Study
The impact of an electronic alert to reduce the risk of co-prescription of … The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins … and subsequent overrides are known contributors to preventable adverse events particularly for high-risk … The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins … March 17, 2021
Situation awareness and the mitigation of risk associated with patient
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psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved
September 24, 2014 - This multicenter study identified risk factors for RSIs, including longer duration of surgery, lack of … Interestingly, the presence of a trainee during the operation appeared to decrease the risk for RSIs. … September 24, 2014
Risk factors for retained surgical items: a meta-analysis and proposed … risk stratification system. … May 26, 2016
Risk factors and outcomes for foreign body left during a procedure: analysis
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www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/information-for-consumers
and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Disease Risk … Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk … Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Risk … Behavioral Counseling to Promote a Healthful Diet and Physical Activity in Adults With Cardiovascular Risk … Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixD_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - were due to a usability,
software design or organizational factor and most often resulted in patient risk … Production Use Usability Risk 177
Production Use Usability Actual 63
Production Use Software Design … Risk 163
Production Use Software Design Actual 35
Production Use Other Org. … Factors Risk 99
Production Use Other Org. … • Risk of Care Process Compromise was most often selected with Usability (49.3%, n=244)
and Software
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
September 01, 2015 - catheter
Identify causes of CAUTI in the intensive care unit (ICU)
Describe methods to mitigate the risk … urinary catheter don’t have a valid indication for placement
Each day the urinary catheter remains, the risk … Reducing CAUTI in Hospitals
14
Patient Factors
ICU patients who are critically ill may be at high risk … daily)
Overview ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
18
Methods for Mitigating Risk … protocol
Overview ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
Methods for Mitigating Risk
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psnet.ahrq.gov/node/37922/psn-pdf
May 02, 2018 - Epidural-IV route mix-ups: reducing the risk of deadly
errors. … https://psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
This article reports … https://psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026704-ahmad-final-report-2023.pdf
January 01, 2023 - Abstract
Purpose: The goal of our project was to adapt and implement an electronic STI risk assessment … We previously implemented a risk based electronic STI screening program AQS
(Adolescent Questionnaire … testing, largely due to do a low perceived risk of having an STI. … Adapting an Electronic
STI Risk Assessment Program for Use in Pediatric Primary Care. … Implementation of Risk-Based STI Screening in
Pediatric Primary Care.
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psnet.ahrq.gov/node/37107/psn-pdf
May 02, 2018 - Failure to cap IV tubing and disinfect IV ports place
patients at risk for infections. … https://psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections … https://psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
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psnet.ahrq.gov/node/50605/psn-pdf
October 30, 2019 - Report focuses on risk to patients from ED errors.
October 30, 2019
Palmer J. … https://psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
The pace of emergency care delivery … https://psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
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psnet.ahrq.gov/node/35642/psn-pdf
January 18, 2006 - Patients put at risk by NHS computer fault.
January 18, 2006
Gray R. … https://psnet.ahrq.gov/issue/patients-put-risk-nhs-computer-fault
This story discusses the impact of … https://psnet.ahrq.gov/issue/patients-put-risk-nhs-computer-fault
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www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/intimate-partner-violence-abuse-older-vulnerable-adults
October 29, 2024 - However, they are also often important predictors of health risk. … cisgender persons (74 studies; N=1,273,989 participants, including n=49,966 transgender participants; relative … risk [RR], 1.7 [95% CI, 1.4 to 2.0]). 1 , 16 Risk did not differ based on sex assigned at birth. 1 … Risk markers for physical intimate partner violence victimization: a meta-analysis. … A meta-analysis of risk markers for intimate partner violence in same-sex relationships.
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www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
January 01, 2024 - Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety … Grant Award Number: R18HS017906
TITLE PAGE
Title of Project: Risk-Informed Intervention to Improve … In a proactive risk reduction project, we established interdisciplinary risk modeling teams
recruited … Development of guidelines for laboratory monitoring of high-risk medications. … Factors associated with ordering laboratory monitoring
of high-risk medications.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ems-911-workforce-disposition-comments.pdf
November 01, 2022 - examined the risk for COVID-19 infection among EMS providers
in King County, Washington. … of COVID-19 infection and that overall risk to EMS
providers was very low. … "
in fact some studies say lower risk than the general public. … Example -
medical waste studies do not show that medical waste poses
a risk. … , proper patient care
risk reduction practices as well as personal protection.
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cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_Slides.pdf
April 01, 2021 - with a wide variety of
abilities
6
Intersection Study – Standards Engagement
Uncertainty and Risk … and user
• Meet them where they are
• Learn where they find info
• Assess attitude and capacity
► Risk … with uncertainty
► Critical thinking skills
10
Carlos
• Symptoms
• Living and work density
• Job risk … rights and social responsibility
• Critical thinking:
► Managing trust in belief versus fact
16
Risk … 17
https://theapna.org/covid-19-risk-tolerance-scale/
Critical Thinking
18
A Trust “Nutrition