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psnet.ahrq.gov/issue/physician-leadership-key-creating-safer-more-reliable-health-care-system
November 17, 2009 - October 21, 2020
Report focuses on risk to patients from ED errors. … ED-SAFE
April 24, 2024
Patient Safety Innovations
Risk … Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review … October 13, 2010
Clear liquids may place patients at risk.
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psnet.ahrq.gov/issue/reducing-risk-designing-safer-shame-free-health-care-environment
September 29, 2017 - Book/Report
Reducing the Risk by Designing a Safer, Shame-free Health Care Environment … Citation Text:
Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. … Copy URL
Cite
Citation
Citation Text:
Reducing the Risk … Resources
WebM&M Cases
Direct Oral Anticoagulants are High-Risk
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psnet.ahrq.gov/issue/medicare-study-finds-teaching-hospitals-have-higher-risk-complications-findings-disputed
June 01, 2016 - Newspaper/Magazine Article
Medicare study finds teaching hospitals have higher risk … Citation Text:
Medicare study finds teaching hospitals have higher risk of complications; findings … Cite
Citation
Citation Text:
Medicare study finds teaching hospitals have higher risk … September 4, 2013
With money at risk, hospitals push staff to wash hands.
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psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013
August 01, 2012 - Related Resources From the Same Author(s)
Improving Medication Safety in High Risk … March 6, 2019
Promoting Patient Safety Through Effective Health Information Technology Risk … August 13, 2014
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … October 12, 2011
AHRQ Risk-informed Intervention Development and Implementation of Safe
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - Implanted ports reduce, but do not eliminate, the risk of vesicant extravasation. … Patients need to be informed of this risk, and nurses must implement risk reduction strategies such as … Extravasation is a known risk of vesicant administration. … Implanted ports reduce, but do not eliminate, the risk of vesicant extravasation. … Refer patients at high risk for peripheral extravasation for central line placement.
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - Given this prevalence, the risk to patients, and the medicolegal risk to clinicians of missing an AMI … of ischemia; whereas, sharp, pleuritic, or positional pain is associated with a significantly lower risk … Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: a … Predictor variables included in the TIMI risk score*.( 9 ) • Age 65 years or older … • Three or more risk factors for atherosclerosis • Known coronary artery disease (> 50% stenosis
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/oral-cancer-screening-1996
January 01, 1996 - factors for the development of oral cancer. 3 The risk of oral cancer is increased 6-28 times in current … U.S. 5 In several areas of India, oral cancer accounts for 40% of all female cancer deaths. 5 Other risk … examination and detecting early-stage oral cancer. 11 Older Americans, the population at greatest risk … evidence that tobacco use and excessive consumption of alcohol are both independent and synergistic risk … Even among high-risk groups such as smokers, oral cancer accounts for a relatively small proportion (
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effectivehealthcare.ahrq.gov/sites/default/files/epc-disclosure-policy-form.pdf
March 01, 2023 - Since its inception, the EPC Program has
had an established policy for reducing the risk of bias from … or increased partnership by an
organization that the individual represents may offset some of these risks … of bias and thus may be considered a higher
risk for non-financial COI. … or increased partnership by an organization that the individual represents may offset some of these risks … of bias and thus may be considered a higher risk for non-financial COI.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-draft-protocol.pdf
March 14, 2024 - to inform the implementation of
interventions for children, adolescents, and young adults at high risk … Assessment of the Risk of Bias of Individual Studies
We will evaluate the risk of bias of the included … of available studies (in a particular comparison) have
high or unclear risk of bias. … How have the SSRI antidepressants affected suicide risk? … RoB 2: a revised tool for assessing risk of bias in
randomised trials.
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-maternal-health-grand-rounds-slides.pptx
January 01, 2023 - of Bias of each study
Strength of Evidence (SoE) across studies by considering risk of bias, consistency … of Bias: 5 Low, 35 Moderate, 24 High
Key Question 2: Insurance Coverage (28 Studies)
28 NRCSs
Risk … Versus Clinic Visits for Breastfeeding Care
32
Abbreviations: CI = confidence interval, RoB = risk … of bias, RR = relative risk
No evidence of difference in hospital readmission by 3 months
Results … )
Population and intervention targets:
Limited data on general postpartum care, especially for at-risk
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psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
April 18, 2018 - Risk Manag Healthc Policy. 2023;16:393-400. doi:10.2147/rmhp.s399826. … Risk Manag Healthc Policy . 2023; 16 :393-400 . … Risk Manag Healthc Policy. 2023;16:393-400. doi:10.2147/rmhp.s399826. … April 18, 2018
Reducing high-risk medication use through pharmacist-led interventions
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psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
June 30, 2019 - J Patient Saf Risk Manag. 2018;23:207–219. … J Patient Saf Risk Manag. 2018;23:207–219.
View more articles from the same authors. … J Patient Saf Risk Manag. 2018;23:207–219. … October 28, 2020
Risk perception on the labour ward: a mixed methods study.
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psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
April 20, 2022 - impact of drug diversion at a system level and outlined steps an organization can take to minimize this risk … April 17, 2024
Your high-alert medication list—relatively useless without associated risk-reduction … June 10, 2018
Any new process poses a risk for errors: learning from 4 months of Coronavirus … October 30, 2019
View More
See More About The Topic
Risk Managers
Quality
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_ed-pamphlet.pdf
January 01, 2018 - No. 18-0020-3-EF
January 2018
www.ahrq.gov
Any clinical
presentation of:
Mortality risk
& treatment … Respiratory rate ≥ 30/min
Blood pressure (SBP < 90 mmHg or DBP ≤ 60 mmHg)
Age ≥ 65 years
LOW MORTALITY
RISK … Likely suitable for
home treatment
INTERMEDIATE
MORTALITY RISK
Likely needs hospital
referral … and further
assessment
HIGH MORTALITY
RISK
Urgent hospital
admission and
immediate treatment
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www.ahrq.gov/talkingquality/measures/understand/patient-comments.html
February 01, 2016 - J Risk Uncertain 1997;14(3):235–57.
[4] Schwartz LM, Woloshin S, Black WC, Welch HG. … What does it mean to understand a risk? Evaluating risk comprehension. … Risk as feelings. Psychol Bull 2001 Mar;127(2):267-86.
[7] Redelmeier DA, Rozin P, Kahneman D.
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digital.ahrq.gov/location/usa-ia-iowa-city
January 01, 2023 - Investigator(s)
Turvey, Carolyn
Design and Testing of a Mobile Cardiovascular Risk … developed and tested a mobile health application for a centralized, pharmacist-managed cardiovascular risk … service to improve patient engagement in self-management of cardiovascular risk. … 2005
Using the Electronic Medical Record to Identify and Screen Patients at Risk
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digital.ahrq.gov/organization/university-iowa
January 01, 2023 - Investigator(s)
Turvey, Carolyn
Design and Testing of a Mobile Cardiovascular Risk … developed and tested a mobile health application for a centralized, pharmacist-managed cardiovascular risk … service to improve patient engagement in self-management of cardiovascular risk. … 2005
Using the Electronic Medical Record to Identify and Screen Patients at Risk
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/TEqfQsqZ92eykPeTQBZx-h
younger than
age 21
Women older than age 65 who
have had adequate prior
screening and are not high risk … Grade: D
Do not screen with
HPV testing (alone or
with cytology)
Grade: D
Risk Assessment … Other factors that put a woman at increased risk of cervical cancer include HIV
infection, a compromised … USPSTF has made recommendations on screening for breast cancer and ovarian cancer, as well as genetic risk
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
January 01, 2012 - status, an electronic
decision support tool for the home care nurse including high risk medication … Computerized Risk Algorithm. … The specific items included: co-
morbidities and symptom severity, risk factors, prognosis, therapies … An email alert was sent to an intervention nurse for every patient identified at-risk. … Ther Clin Risk Manag 2009; 5:209-16.
10. George J, Phun YT, Bailey MJ, et al.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/preterm-birth-terbutaline-pump_disposition-comments.pdf
September 01, 2011 - That is the whole
point of assessment of study risk of bias and
applicability. … Both of these studies which
have a low risk of bias and do not involve double counting. … The risk of bias among the included studies overall is
moderate to high. … That is the whole
point of assessment of study risk of bias and
applicability. … All
studies based on those designs are included
and assessed for risk of bias.