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psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology
May 01, 2019 - This systematic review identified three categories of direct and indirect risk factors of maternal safety … The risk factors varied between developed and developing countries. … effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … February 15, 2011
Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk
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psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
October 18, 2023 - Related Resources From the Same Author(s)
Adverse drug events caused by three high-risk … 2019
Prevalence of medication transfer errors in nephrology patients and potential risk … readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … September 27, 2017
Dementia and risk of adverse warfarin-related events in the nursing
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psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
May 18, 2022 - Study
Frequency of risk factors that potentially increase harm from medications in … Citation Text:
Frequency of risk factors that potentially increase harm from medications in older adults … and discovered that the number of medications, medical conditions, and daily medication doses were risk … Copy URL
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Citation Text:
Frequency of risk
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
November 25, 2009 - Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk … June 12, 2013
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis … October 21, 2009
An ethnographic study of classifying and accounting for risk at the … View More
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Hospitals
Health Care Providers
Risk
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psnet.ahrq.gov/issue/do-my-feelings-fit-diagnosis-avoiding-misdiagnoses-psychosomatic-consultation-services
March 18, 2020 - J Healthc Risk Manag. 2021;41(2):9-17. doi:10.1002/jhrm.21456. … J Healthc Risk Manag . 2021; 41 (2) :9-17 .
View more articles from the same authors. … J Healthc Risk Manag. 2021;41(2):9-17. doi:10.1002/jhrm.21456. … Author(s)
How does the WHO Surgical Safety Checklist fit with existing perioperative risk
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psnet.ahrq.gov/issue/investigating-safety-medication-administration-adult-critical-care-settings
June 01, 2022 - This review describes how an organizational safety model developed for high-risk industries might translate … June 10, 2020
Probabilistic risk assessment of accidental ABO-incompatible thoracic organ … September 24, 2016
Perceptions of risk to patient safety in the pediatric ICU, a study … Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk
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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/insurers-care-transition-program-emphasizes-medication-reconciliation-reduces-readmissions
November 08, 2017 - Compared to similar-risk patients who did not receive the intervention, those who had medication reconciliation … April 5, 2013
Implementation of a specialized pharmacy team to monitor high-risk medications … January 30, 2013
Hospital discharge documentation and risk of rehospitalisation. … 2009
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See More About The Topic
Hospitals
Pharmacists
Risk
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psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
September 26, 2016 - This study found that skill and knowledge deficiencies contribute to the higher risk and severity associated … Related Resources From the Same Author(s)
Association of interruptions with an increased risk … August 28, 2024
Risk factors associated with medication administration errors in children … September 27, 2016
Association of interruptions with an increased risk and severity of
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psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
January 23, 2019 - readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … July 31, 2008
Comparison of potential risk factors for medication errors with and without … June 16, 2019
Don't underestimate the impact of change on risk potential. … September 27, 2016
Association of interruptions with an increased risk and severity of
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psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications
July 20, 2016 - cohort study applied the American College of Surgeons National Surgical Quality Improvement Program's risk … The authors suggest that identifying patients at risk for both readmissions and complications prospectively … September 9, 2011
Redesigning surgical decision making for high-risk patients. … View More
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Hospitals
Health Care Providers
Risk
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psnet.ahrq.gov/issue/impact-pharmacist-involvement-transitional-care-high-risk-patients-through-medication
August 25, 2011 - Review
Impact of pharmacist involvement in the transitional care of high-risk patients … Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation … Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation … Related Resources From the Same Author(s)
Hospital discharge documentation and risk
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psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
April 24, 2018 - Commentary
Just-in-time training for high-risk low-volume therapies: an approach … Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. … Risk of error is increased when health care facilities offer procedures that they rarely perform . … Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety.
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psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained
February 08, 2012 - Commentary
Current surgical instrument labeling techniques may increase the risk … Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign … Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign … October 17, 2012
Risk factors associated with incorrect surgical counts.
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digital.ahrq.gov/principal-investigator/blecker-saul-b
January 01, 2023 - Seasonal variation in readmission risk for patients hospitalized with cardiopulmonary conditions. … Seasonal variation in readmission risk for patients hospitalized with cardiopulmonary conditions. … Effect of hospital readmission reduction on patients at low, medium, and high risk … Effect of hospital readmission reduction on patients at low, medium, and high risk of readmission in
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www.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - Risk-adjustment methods—mathematical models that correct for differing characteristics within a population … However, the science of risk adjustment is still evolving. … Experts acknowledge that better risk-adjustment methods are needed to minimize the reporting of misleading
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/hugheshalbert.pdf
December 19, 2014 - breast
cancer prevention on psychological and behavioral
outcomes including: knowledge of breast cancer
risk … seen
in the proportion of women who had correct knowledge
about physical activitiy and breast cancer risk … At
baseline, 61% of women reported that being physically
inactive increases risk of developing breast
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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