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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - Other fields that transfer critical information verbally have developed methods to
minimize the risks … Does housestaff discontinuity of care increase
the risk for preventable adverse events?
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - has the potential to reduce adverse events, reduce patient hospital readmissions, and even reduce the risk … safety, pharmacists have also had to learn to work with the limitations of technology to address new risks
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - Other fields that transfer critical information verbally have developed methods to minimize the risks … Does housestaff discontinuity of care increase the risk for preventable adverse events?
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - patients in shared decision making about cancer screening and follow-up; provide information on cancer risks … June 16, 2021
Changes in early high-risk opioid prescribing practices after policy interventions
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - help the elderly population
better manage, prevent, and/or enhance quality of life, there are also risks … Ther Clin Risk Manag. 2015;11:1061-75.10.2147/tcrm.S79135.
9. Sultana J, Cutroneo P, Trifiro G. … 2014) found that a direct-
to-consumer education intervention using an 8-page booklet to describe the risks … Although some researchers caution about risks related to cognitive declines when medications are
reduced … prescribing physicians during medication reviews,4,6,10 and educating pharmacists and physicians about
the risks
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effectivehealthcare.ahrq.gov/sites/default/files/reporting.ppt
September 01, 2009 - Detail any assessment of risk of bias that may affect the cumulative evidence. … In the pooled analysis, surfactant was associated with significantly lower mortality (relative risk = … the slide “Methods: Risk of Bias Across Studies” in this talk for additional information). … of bias vs. high risk of bias), separate from subgroup analyses in the report. … The long term clinical benefits and risks of combination therapies have yet to be demonstrated.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/TxnCztmvpE5FtsEqts6oBM
November 01, 2015 - High blood pressure is a major con-
tributing risk factor to heart failure, heart attack, stroke,
and … Grade: A
Risk Assessment Persons at increased risk for high blood pressure are those who have high-normal … of these risk factors. … to 5 years in those at low risk (adults
aged 18 to 39 years with no risk factors). … White coat
hypertension is a cardiovascular risk factor: a 10-year follow-up
study.
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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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www.uspreventiveservicestaskforce.org/home/getfilebytoken/_cRbjtBvRYVLgT-9_c2jm7
Grade: B
Risk Assessment All children and adolescents are at risk for obesity and should be screened … ; specific risk factors include parental obesity, poor
nutrition, low levels of physical activity, inadequate
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - Although the patient was not harmed, he was placed at risk for development of a central line–associated … Hospital faculty and staff were placed at risk of contamination with Ebola. … Although the nurse was able to draw blood, in doing so she ran the risk of becoming contaminated. … even higher when the procedures are to be performed by
individuals wearing bulky PPE and when the risks … for error and, due to the nature of the organism, high-risk for
harm to staff and patients.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - According to the final report, this project generated
new epidemiological evidence of patient safety risks … telemedicine and telepharmacy showed
low-to-moderate evidence of improved dosing and reduced bleeding risks … available; however, a resulting
publication found that low bed heights do not appear to reduce fall risks … Additionally, the evidence indicates
that fall risks may be reduced in high-risk populations by setting … interviews, observations, and systems engineering tools like
FRAM modeling, researchers have mapped risks
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - million; total $59.9 million): This research portfolio prevents, mitigates,
and decreases patient safety risks … 2019
Final
FY 2020
Enacted
FY 2021
President’s Budget
Patient Safety Risks … Research Related to Risk and Harms
At the FY 2021 President’s Budget level, Research related to Risk … of outpatient prescription opioids which can be effective
in relieving pain, but also carry serious risks … availability and increased use of these substances, it is
imperative to know more about potential risks
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psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
November 18, 2020 - Book/Report
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical … Citation Text:
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final … Copy URL
Cite
Citation
Citation Text:
Reducing Risk … August 25, 2021
Incidence, duration and risk factors associated with delayed and missed
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psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating-room-does-not-stay
January 23, 2017 - Intraoperative adverse events have been shown to increase the risk of hospital readmission . … January 7, 2019
Operating at night does not increase the risk of intraoperative adverse … March 9, 2022
System factors affecting intraoperative risk and resilience: applying a … February 22, 2019
Operating at night does not increase the risk of intraoperative adverse
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psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii
April 18, 2012 - patients experiencing more than two adverse events had an associated threefold increase in the risk … March 5, 2025
COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort … April 7, 2019
NICU medication errors: identifying a risk profile for medication errors … April 18, 2012
Risk and pharmacoeconomic analyses of the injectable medication process
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psnet.ahrq.gov/issue/reliability-assessment-preventable-adverse-drug-events-daily-clinical-practice
March 04, 2011 - March 4, 2011
Comparison of potential risk factors for medication errors with and without … March 4, 2009
Comparison of methods for identifying patients at risk of medication-related … January 19, 2011
Frequency of and risk factors for preventable medication-related hospital … 29, 2010
Effectiveness of a community collaborative for eliminating the use of high-risk
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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/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/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.