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Showing results for "risks".

  1. Case Control Study | Digital Healthcare Research

    digital.ahrq.gov/research-method/case-control-study
    January 01, 2023 - Pilot Testing of Electronic Prescribing Standards Comparing fracture absolute risk … tools: an osteoporosis clinical informatics tool to improve identification and care of men at high risk … Comparing fracture absolute risk assessment (FARA) tools: an osteoporosis clinical informatics tool to … improve identification and care of men at high risk of first fracture.

  2. High-reliability organizations (HROs): what they know that we don't (Part II). | PSNet

    psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-ii
    June 10, 2018 - August 10, 2016 Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication … June 10, 2018 Epidural-IV route mix-ups: reducing the risk of deadly errors. … Resources Patient Safety Innovations Combined Proactive Risk … September 10, 2013 Risk, Safety and Reliability Special Issue.

  3. Screening and Supplementation for Iron Deficiency and Iron Deficiency Anemia During Pregnancy: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/r9MoffF79edExY5m2V_koD
    May 01, 2021 - trials, n = 2230; 8.6% vs 19.8%; relative risk, 0.40 [95% CI, 0.26-0.61]; I2 = 20.5%) and maternal iron … deficiency at term (6 trials, n = 2361; 46% vs 70%; relative risk, 0.47 [95% CI, 0.33-0.67]; I2 = 81.9% … the estimate was imprecise (5 trials; n = 13 610; 4.7% vs 3.1% [all studies pooled, weighted rates]; relative … difference; HDI, Human Development Index; NA, not applicable; RR, relative risk. a Statistically significant … Low income postpartum women are at risk of iron deficiency.

  4. Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. | PSNet

    psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
    August 09, 2017 - Book/Report Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose … Citation Text: Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer … provides insights into the prevalence of patients diagnosed with opioid use disorders and others at risk … Cite Citation Citation Text: Medicare Part D Beneficiaries at Serious Risk

  5. The harms of promoting 'Zero Harm'. | PSNet

    psnet.ahrq.gov/issue/harms-promoting-zero-harm
    February 12, 2020 - conversation shift from striving to achieve absolute safety (Zero Harm ) towards actively managing risk … April 8, 2011 Medication errors in critical care: risk factors, prevention and disclosure … March 13, 2024 Mind the power gap: how hierarchical leadership in healthcare is a risk … April 5, 2023 Psychosocial factors and safety in high-risk industries: a systematic literature

  6. Sensemaking in Organizations. | PSNet

    psnet.ahrq.gov/issue/sensemaking-organizations
    June 20, 2018 - Related Resources From the Same Author(s) Journal of Patient Safety and Risk … January 30, 2019 Clinical Risk Management. Enhancing Patient Safety. 2nd ed. … Resources Patient Safety Innovations Combined Proactive Risk … August 17, 2022 Managing risk in hazardous conditions: improvisation is not enough.

  7. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. | PSNet

    psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand
    August 16, 2023 - Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted … June 12, 2013 The effect of workload on infection risk in critically ill patients. … January 14, 2011 Matching nurse skill with patient acuity in the intensive care units: a risk … July 10, 2008 Infants at risk: when nurse fatigue jeopardizes quality care.

  8. Safe use of opioids in hospitals. | PSNet

    psnet.ahrq.gov/issue/safe-use-opioids-hospitals
    February 28, 2018 - Opioid pain medications are considered high-risk medications due to the potential for respiratory depression … December 23, 2016 Managing risk during transition to new ISO tubing connector standards … May 23, 2012 WebM&M Cases Miscalculated Risk August … See More About The Topic Hospitals Physicians Nurses Nurse Managers Risk

  9. Certified pharmacy technicians' views on their medication preparation errors and educational needs. | PSNet

    psnet.ahrq.gov/issue/certified-pharmacy-technicians-views-their-medication-preparation-errors-and-educational
    June 03, 2015 - June 3, 2015 Understanding risk factors for complaints against pharmacists: a content … June 19, 2024 Risk identification and prediction of complaints and misconduct against … June 16, 2019 Work overload is related to increased risk of error during chemotherapy … June 29, 2011 Geometric probability distribution for modeling of error risk during prescription

  10. Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? | PSNet

    psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
    November 18, 2020 - Newspaper/Magazine Article Subtherapeutic heparin infusions: is your organization at risk … Citation Text: Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose … Citation Citation Text: Subtherapeutic heparin infusions: is your organization at risk … May 31, 2023 The differences between human error, at-risk behavior, and reckless behavior

  11. Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. | PSNet

    psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written
    May 25, 2010 - Study Effectiveness of a community collaborative for eliminating the use of high-risk … Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written … Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written … See More About The Topic Physicians Pharmacists Facility and Group Administrators Risk

  12. Health Coach Intervention Sustainability Plan (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
    June 02, 2025 - Purpose: to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment … history and other risks. … include encouraging the use of aspirin for the primary prevention of CVD when the benefits outweigh the risks … G0446: Face-to-face behavioral counseling for cardiovascular risk reduction 4. … However, cardiovascular risk factors are a critical piece of the Health Risk Assessment of the AWV.

  13. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
    June 01, 2005 - the patient is receiving the wrong dose RCA—Differential Diagnosis No ICU protocols for high-risk … doses for different indications RCA—Analyzing Contributing Factors No ICU protocols for high-risk … medication Protocols should be developed for high-risk medications Bates DW. … Medication reconciliation: a practical tool to reduce the risk of medication errors. … RCA—System Solutions High-risk medications need to be treated similarly to high-risk procedures “Time

  14. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)

    www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
    January 01, 2024 - Our hypothesis was that older adults who are more aware of risks and can more easily determine if that … misuse high-risk OTC medications. … glass) for reading and reviewing OTC options, (4) strategically placed signage to highlight potential risks … own risk levels and select safer OTC medications with confidence. … “Impact of Health Literacy and Risk Perception on Over-the-Counter Medication Misuse.”

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846922/psn-pdf
    March 29, 2023 - Care navigators tracked patients at the highest risk for readmission after discharge with the help of … in employment, housing, psychosocial, or other socioeconomic domains are at significantly greater risk … the highest risk patients, and investing in a system to track those patients. … of disability and social determinants of health on condition-specific readmissions beyond Medicare risk … care: lessons learned from a community-based partnership to reduce hospital readmission among high-risk

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850362/psn-pdf
    June 14, 2023 - system.1 Transitions of care are an especially vulnerable time for patients, and unfortunately the risk … “Double-checking” is a well-known process utilized prior to high-risk medication administration, whereby … confirms that the medication to be administrated is intended for the current patient, reducing the risk … “Double checking” high-risk medications by two or more individuals may intercept some errors, but this … Cause to Pause: preventing medication errors with high-risk opioids.

  17. Practice Survey Codebook: CPCQ and PCMH-A (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-baseline.pdf
    June 02, 2025 - practice uses to improve cardiovascular preventive care (e.g., prescribing aspirin for patients at risk … cessation services for smokers, appropriately managing hypertension, and prescribing statins for high risk … practice performance on cardiovascular disease prevention measures (such as aspirin for patients at risk … to assess and manage care for practice populations, but only for a limited number of diseases and risk … routinely used for pre-visit planning and patient outreach, across a comprehensive set of diseases and risk

  18. 129-Ss-Blank-Lfd (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
    April 01, 2025 - incidents, such as a surgical site infection (SSI), that you believe caused patient harm or put patients at risk … Negative contributing factors are those that harmed or increased the risk of harm for a patient. … Describe how you know you have reduced the risk. … Protocol for determining risk factors for MRSA colonization in electronic health record.) … How Will You Know the Risk Is Reduced?

  19. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - Individual is not educated about potential risk and sees no value in established policies to prevent … Manage by: Removing incentives for at-risk behaviors. … Educate about potential risks. Redesign of system factors. … Risk management. … J Healthc Risk Manag. 2013;33(2):11-20. What are the Outputs from the Solutions Meeting?

  20. Community-Acquired Pneumonia in the Primary Care Setting (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_pc-pamphlet.pdf
    January 01, 2018 - No. 18-0020-5-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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