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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - This alert provides recommendations for minimizing the risk of anesthesia awareness. … Analgesia (PCA) Opioid-Induced Respiratory Depression
May 27, 2020
Managing risk … View More
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Operating Room
Physicians
Nurses
Risk
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/intimate-partner-violence-and-abuse-of-elderly-and-vulnerable-adults-screening
June 24, 2025 - In a recent systematic review, individual factors that consistently increased the risk of IPV included … Risk factors for experiencing abuse include isolation, lack of social support, functional impairment, … differs from their sex experienced increased prevalence of IPV (74 studies; n = 1,273,989 participants; relative … The USPSTF is deeply concerned about the risk of harm associated with IPV screening. … Risk markers for physical intimate partner violence victimization: a meta-analysis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
March 01, 2016 - Identify populations at risk.
3. Calculate observed (raw) indicator rates.
4. … Risk adjust the indicator rates (where applicable).
5. … (denominator) refers to the number of individuals in the population at risk for the event. … (population) rate refers to the population rate that is used for risk adjustment. … Population rates are
only included for those indicators that use these rates in risk adjustment.
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - particular, an extensive body of research has examined the weekend effect —the purportedly increased risk … treatment of time-sensitive conditions, potentially resulting in worsened outcomes for specific high-risk … personnel and services are available at all times for patients with conditions associated with a high risk … study sought to determine the contribution of health care system and patient factors to the greater risk … For certain diagnoses (for example, acute coronary syndrome), the risk of death was elevated during the
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022911-chaudhry-final-report-2017.pdf
January 01, 2017 - To determine the impact of reminders to non-
adherent high-risk patients and the impact of real time … Determine the impact of reminders to non-adherent high-risk patients. … Highest risk groups for the development of cervical cancer include women never
screened, under-screened … ability to study the effectiveness of this
intervention in this high risk population. … Impact of reminders to non-adherent high-risk patients
Table 4.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/visual-impairment-in-children-ages-1-5-screening-2011
January 15, 2011 - children at least once between the ages of 3 and 5 years, to detect the presence of amblyopia or its risk … Risk Factors for Amblyopia
View the Recommendation in PDF Format
» (January … instruments that detect refractive errors) and photoscreeners (instruments that detect amblyogenic risk … An important risk of amblyopia is that an unrelated, severe vision impairment or blindness might occur … Risk Factors for Amblyopia
Condition
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - available administrative data
Based on ICD-9-CM (and now ICD-10-CM) diagnosis and procedure codes
Risk … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and … pressure ulcer risk (using Braden Scale or other tool) upon admission and every 24 hours thereafter, … using valid risk assessment, with results documented in the patient's chart. … Slide 67
Looking Back and Looking Forward
Retrospective Reviews
Appropriate Risk Assessment
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
May 01, 2024 - those with
poor health status or limited life expectancy These individuals may have competing health risks … For example, an individual with poor health
status may have increased short-term risks of colon cancer … Risks for Men 55–69. Rockville, MD: U.S.
Preventive Services Task Force; 2018. … Depression and suicide risk in adults:
screening. U.S. … for exposures while risk for
exposures persists (e.g., people with HIV).
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effectivehealthcare.ahrq.gov/sites/default/files/ch_4-user-guide-to-ocer_130129.pdf
January 01, 2010 - Examples of exposure(s) and risk/benefit associations
for the prevention of osteoporotic fractures, … In this example,
it is clearly important to identify and measure
the intervals at which the risk is … Panel H shows a
linear increase in the risk/benefit associated with
exposure. … then an
increase in the risk/benefit at a slower rate with
each subsequent exposure. … Use of
inhaled corticosteroids and the risk of fracture.
Chest. 2006;130:1082-8.
2.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/telehealth-acute-chronic_research-protocol.pdf
February 15, 2017 - Assessment of Methodological Risk of Bias of Individual Studies. … of bias,” “medium risk of bias,” or “high risk of bias.” … Studies rated “low risk of bias” are considered to have the least risk of bias, and their results are … We will not exclude studies rated high risk of bias a priori, but high risk of bias
studies will be … Each study evaluated will be independently reviewed for risk of bias by two team members.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/speech-and-language-delay-and-disorders-in-children-age-5-and-younger-screening-july-2015
July 07, 2015 - Grade: I statement (insufficient evidence)
Risk Assessment
Risk factors that have been reported … sex, family history of speech and language impairment, low parental education level, and perinatal risk … Assessment of Risk
Based on a review of 31 cohort studies, several risk factors have been reported … The USPSTF also called for research on socioeconomic and other factors associated with risks, assessment … Early language delay and risk for language impairment.
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
December 23, 2008 - study analyzed nearly 290,000 medication orders during a 1-year study period to determine the rates and risk … The authors conclude that medication errors pose a significant safety risk in teaching hospitals and … 2, 2010
Effectiveness of a community collaborative for eliminating the use of high-risk … June 21, 2010
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Physicians
Risk Managers
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psnet.ahrq.gov/issue/potentially-unintended-discontinuation-long-term-medication-use-after-elective-surgical
October 16, 2012 - elective procedures and found that patients who were prescribed warfarin therapy were particularly at risk … the reporting of adverse medical device events: qualitative interviews with physicians about higher risk … 13, 2011
Effectiveness of a community collaborative for eliminating the use of high-risk … 2006
View More
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Physicians
Pharmacists
Risk
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psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
September 23, 2020 - Newspaper/Magazine Article
The differences between human error, at-risk behavior, … Citation Text:
The differences between human error, at-risk behavior, and reckless behavior are key … This article compares human error , at-risk behavior, and reckless behavior to suggest systems design … Cite
Citation
Citation Text:
The differences between human error, at-risk
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psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
April 12, 2019 - Study
Enhanced free-text search for aggregated medication error report analysis and risk … Enhanced free-text search for aggregated medication error report analysis and risk detection. … Enhanced free-text search for aggregated medication error report analysis and risk detection. … January 27, 2016
Opioids and falls risk in older adults: a narrative review.
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psnet.ahrq.gov/issue/analysis-medication-safety-intervention-pediatric-emergency-department
August 02, 2012 - The risk of administration error was reduced after the intervention and, while the risk increased slightly … July 5, 2023
Opioid prescribing after childbirth and risk for serious opioid-related … May 31, 2023
Emergency department crowding and risk of preventable medical errors.
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psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
June 24, 2009 - Related Resources From the Same Author(s)
Surgical glove perforation and the risk … September 30, 2010
Adverse drug events caused by three high-risk drug-drug interactions … October 3, 2012
Supplemental perioperative oxygen and the risk of surgical wound infection … February 3, 2011
Surgical glove perforation and the risk of surgical site infection.
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psnet.ahrq.gov/issue/optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children
January 19, 2022 - new model decreased emergency transfers to the ICU and improved process measures, such as improved risk … Related Resources From the Same Author(s)
Improving shared situation awareness for high-risk … June 30, 2021
WebM&M Cases
Mitigating the Risk of Intrahospital … Transport for Pediatric Patients at Risk of Physiologic Instability
December 23, 2020
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psnet.ahrq.gov/issue/2018-gosport-independent-panel-report-deaths-national-health-services-gosport-war-memorial
March 25, 2020 - J Risk Res. 2020;23(6):827-831. doi:10.1080/13669877.2019.1591488. … J Risk Res . 2020; 23 (6) :827-831 .
View more articles from the same authors. … J Risk Res. 2020;23(6):827-831. doi:10.1080/13669877.2019.1591488. … Related Resources From the Same Author(s)
The threat within: mitigating the risk
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psnet.ahrq.gov/issue/association-between-patient-safety-indicators-and-medical-malpractice-risk-evidence-florida
September 28, 2022 - Study
The association between patient safety indicators and medical malpractice risk … The Association between Patient Safety Indicators and Medical Malpractice Risk: Evidence from Florida … The Association between Patient Safety Indicators and Medical Malpractice Risk: Evidence from Florida … July 9, 2018
Do written disclosures of serious events increase risk of malpractice claims