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Showing results for "risks".

8961. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - Finally, the physician failed to appreciate the high-risk nature of anticoagulation, especially in the … High-risk medications: Anticoagulation Because the clinician was concerned for a cardiac etiology of … “Has this patient suffered recent head trauma or is this patient at increased risk of head trauma?”) … nature of anticoagulation and forcing consideration of contraindications to high-risk medications. … A New Risk Scheme to Predict Warfarin-Associated Hemorrhage.

8962. Preventing and mitigating radiology system failures: a guide to disaster planning. | PSNet
      psnet.ahrq.gov/issue/preventing-and-mitigating-radiology-system-failures-guide-disaster-planning
      November 23, 2016 - This guide assists hospital executives, quality & safety professionals, and risk managers by assessing … November 23, 2016 Planning for a pandemic: mitigating risk to radiation therapy service … June 23, 2009 Hidden danger, obvious opportunity: error and risk in the management of … See More About The Topic Emergency Departments Health Care Executives and Administrators Risk

8963. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. | PSNet
      psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
      January 26, 2022 - J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990261. … J Patient Saf Risk Manag . 2021; 26 (2) :64-73 . … system (HFACS), and AcciMap (which places emphasis on multiple levels of decision making important to risk … J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990261.

8964. Racial and ethnic disparities in patient safety. | PSNet
      psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
      March 03, 2011 - Prior studies have raised the concern that minorities may be at higher risk of adverse events while … Resources Patient Safety Innovations Combined Proactive Risk … The Evolution of Root Cause Analysis February 26, 2025 Prevalence, risk … March 18, 2013 View More See More About The Topic Hospitals Risk Managers

8965. A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet
      psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
      April 03, 2005 - J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10.1002/jhrm.21529. … J Healthc Risk Manag . 2023; 42 (3-4) :30-39 . … J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10.1002/jhrm.21529. … February 5, 2020 Social risk, health inequity, and patient safety.

8966. Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions. | PSNet
      psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based
      January 21, 2015 - Study Hassle in the dispensary: pilot study of a proactive risk monitoring tool for … Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning … Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning … November 30, 2022 A method to identify pediatric high-risk diagnoses missed in the emergency

8967. Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. | PSNet
      psnet.ahrq.gov/issue/improving-handoff-communications-critical-care-utilizing-simulation-based-training-toward
      February 16, 2011 - in critical care: utilizing simulation-based training toward process improvement in managing patient risk … in critical care: utilizing simulation-based training toward process improvement in managing patient risk … in critical care: utilizing simulation-based training toward process improvement in managing patient risk … View More See More About The Topic Hospitals Nurses Nurse Managers Risk

8968. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? | PSNet
      psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet
      August 04, 2021 - January 25, 2023 Evidence-based guidelines for fatigue risk management in emergency medical … 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 … View More Related Resources Situation awareness and the mitigation of risk

8969. Health care worker perspectives of their motivation to reduce health care–associated infections. | PSNet
      psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
      June 02, 2019 - August 29, 2018 Prevalence, risk factors, and outcomes of idle intravenous catheters: … May 8, 2019 Risk-adjusted cumulative sum for early detection of hospitals with excess … February 23, 2018 A hybrid methodology for modeling risk of adverse events in complex … July 1, 2017 Receipt of antibiotics in hospitalized patients and risk for Clostridium

8970. Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu
      October 13, 2018 - Review Critical care transition programs and the risk of readmission or death after … Critical care transition programs and the risk of readmission or death after discharge from an ICU: a … generally involved proactive surveillance by a nurse or physician, were associated with a decreased risk … Critical care transition programs and the risk of readmission or death after discharge from an ICU: a

8971. Peer support: healthcare professionals supporting each other after adverse medical events. | PSNet
      psnet.ahrq.gov/issue/peer-support-healthcare-professionals-supporting-each-other-after-adverse-medical-events
      July 24, 2024 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … June 17, 2014 Adverse drug events caused by three high-risk drug-drug interactions in … April 12, 2019 Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk … March 23, 2022 Risk factors for clinically relevant deviations in patients' medication

8972. Brigham and Women's Hospital | Digital Healthcare Research
      digital.ahrq.gov/organization/brigham-and-womens-hospital
      January 01, 2023 - electronic health records, and machine learning) to better understand missed and delayed diagnoses, identify risk … records to engage individuals with multiple chronic conditions to improve understanding of individualized risk … available clinical decision support resource to aid primary care practices in instituting routine fall risk … intelligence technology technique Dynamic Logic with natural language processing to create a model to predict risk

8973. Preventive Medicine | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/preventive-medicine
      January 01, 2023 - Suicide Description This research will develop and validate a clinician-facing longitudinal risk-prediction … Description This study adapted and implemented an electronic sexually transmitted infection (STI) risk … Improving Teen Care With Health IT Description This research assessed the use of a multi-risk … increased rate of clinician counseling for endorsed behaviors, but no significant change in reported risk

8974. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? | PSNet
      psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk-experiencing
      March 23, 2011 - Study What makes hospitalized patients more vulnerable and increases their risk of … What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse … demonstrated that the number of exposures to potentially iatrogenic actions put patients at greater risk … What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse

8975. Hospital-Acquired Pneumonia (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
      November 01, 2019 - cultures have been obtained, de-escalate therapy based on clinical judgment and individual patient risk … and oral medications can be tolerated, consider conversion from intravenous to oral therapy · If no risk … clavulanate or oral second-/third-generation cephalosporins; reserve fluoroquinolones for patients at risk … Risk factors for methicillin-resistant Staphylococcus aureus in patients with community-onset and hospital-onset

8976. Opioid Epidemic COVID-19 Deepening Disparities | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/opioid-epidemic-and-covid-19-pandemic-deepening-disparities
      December 23, 2020 - racism, discrimination, poverty, lack of access to quality healthcare) contribute to both increased risk … of substance use and overdose, and to preexisting chronic conditions that increase risk of poor COVID … Academies workshop series discusses how social determinants of health have disproportionately increased risk … Americans with substance use disorder (SUD), especially those with opioid use disorder, have the highest risk

8977. Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. | PSNet
      psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
      July 07, 2021 - Study Implications of the failure to identify high-risk electrocardiogram findings … Implications of the failure to identify high-risk electrocardiogram findings for the quality of care … Implications of the failure to identify high-risk electrocardiogram findings for the quality of care … 10, 2008 View More See More About The Topic Emergency Departments Risk

8978. Liver-Cancer Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/liver-cancer_research-protocol.pdf
      July 24, 2013 - Institute’s Surveillance, Epidemiology, and End Results Cancer Statistics Review found that the lifetime risk … The population of high-risk patients is defined, as per the AASLD clinical guidelines, as composed … o Key Question 2  Patients at high risk for HCC in whom a suspicious lesion(s) has been detected … Each study evaluated will be dual reviewed for risk of bias by two team members. … Other definitions of high risk patients as defined by the primary studies will be accepted.

8979. Research Themes and Findings | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
      January 01, 2022 - multi-component digital tool with an innovative communication approach may reduce childhood obesity risk … contribute to the limited evidence base of effective, culturally relevant mHealth tools for minority, at-risk … Closing the Communication Gap Between Prescribers and Pharmacists to Decrease Medication Safety Risks … Emerging Continuous Predictive Analytics Monitoring to Improve Care for At-Risk Patients with Cardiac … education program increases a provider’s awareness of medications and conditions that increase the risk

8980. Impact of System Failures on Healthcare Workers | PSNet
      psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
      August 30, 2023 - In a culture of safety , health systems understand and acknowledge the high-risk and complex nature … Assess Staffing Levels and Enhance a Culture of Teamwork Recognizing that there are constant risks … Capture and Use Data to Mitigate Risk and Support Learnings from Events A culture of safety is a culture … adopt a systematic approach to gather and analyze data, identify system failures, and decrease the risk … work collaboratively and communicate effectively with their colleagues, which can help to reduce the risk