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psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
June 21, 2016 - point-of-care analyzer results were systematically biased toward normal measurements, putting patients at risk … 2011
Prevalence of medication transfer errors in nephrology patients and potential risk … devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk … February 23, 2011
Heparin: improving treatment and reducing risk of harm.
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psnet.ahrq.gov/issue/how-prevalent-are-hazardous-attitudes-among-orthopaedic-surgeons
March 14, 2018 - Related Resources From the Same Author(s)
Evidence-based guidelines for fatigue risk … July 6, 2011
Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals … June 17, 2014
Risk managers, physicians, and disclosure of harmful medical errors. … December 2, 2015
Unplanned return to theater: a quality of care and risk management index
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psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and-analysis-adverse
March 15, 2017 - Study
Patient safety in external beam radiotherapy—guidelines on risk assessment … Patient safety in external beam radiotherapy - guidelines on risk assessment and analysis of adverse … Patient safety in external beam radiotherapy - guidelines on risk assessment and analysis of adverse … September 9, 2010
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See More About The Topic
Hospitals
Risk
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psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors
December 02, 2020 - J Patient Saf Risk Manag. 2022;27(5):229-233. doi:10.1177/25160435221123464. … J Patient Saf Risk Manag . 2022; 27 (5) :229-233 . … J Patient Saf Risk Manag. 2022;27(5):229-233. doi:10.1177/25160435221123464. … Citation
Related Resources From the Same Author(s)
Keeping patients at risk
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psnet.ahrq.gov/issue/problem-root-cause-analysis
August 28, 2024 - RIS
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Related Resources From the Same Author(s)
Risk … August 28, 2024
Learning from high risk industries may not be straightforward: a qualitative … study of the hierarchy of risk controls approach in healthcare. … root cause analysis and action: integrating human factors to create strong interventions and reduce risk
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psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement
August 11, 2010 - Resources From the Same Author(s)
Development and pilot testing of guidelines to monitor high-risk … clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk … February 23, 2011
Dementia and risk of adverse warfarin-related events in the nursing … View More
See More About The Topic
Hospitals
Health Care Providers
Risk
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psnet.ahrq.gov/issue/systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying
July 20, 2022 - Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk … Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk … Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk … May 24, 2023
Intervening in interruptions: what exactly is the risk we are trying to
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psnet.ahrq.gov/issue/randomised-controlled-trial-effect-continuous-electronic-physiological-monitoring-adverse
August 04, 2021 - trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk … trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk … trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk … See More About The Topic
General Hospitals
Facility and Group Administrators
Risk
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psnet.ahrq.gov/issue/factors-associated-workarounds-barcode-assisted-medication-administration-hospitals
January 23, 2019 - barcode-assisted medication administration , the authors of this study sought to identify potential risk … Potential risk factors identified include the timing of medication rounds, the route of administration … Future quality improvement measures could focus on modifiable risk factors including nurse workload and … March 26, 2015
Differences in medication knowledge and risk of errors between graduating
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psnet.ahrq.gov/issue/algorithm-based-smartphone-apps-assess-risk-skin-cancer-adults-systematic-review-diagnostic
July 29, 2020 - Review
Classic
Algorithm based smartphone apps to assess risk … Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic … systematic review examined whether smartphone-based apps can assist patients in assessing skin cancer risk … Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2023_Intervention_Content_T2DM_Part_Two_Counseling.xlsx
January 01, 2023 - Prediabetes and Type 2 Diabetes: Part 2, Counseling
DISPLAY notification to patient: You may be at risk … to get) prediabetes or type 2 diabetes based upon your high blood sugar test results and additional risk … Additional risk factors include being 35 years or older; being overweight or obese; having a parent, … CDC website that provides risk information https://www.cdc.gov/prediabetes/risktest/index.html? … : Under the ACA, insurance must cover counseling for people with risk for heart disease.
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/ny14.jsp
September 01, 2014 - hospitals about their approaches to treating patients requiring coronary revascularization and the risk-adjusted … Because comparisons of risk-adjusted clinical outcomes require sufficient numbers of cases to achieve … Because provider-specific risk-adjusted clinical outcomes are relatively stable from year to year, reports … Clinical measures will include:
Inpatient and 30-day risk-adjusted post-procedure mortality rates … Because emergency ST segment elevation myocardial infarction (STEMI) is a risk factor in the statistical
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - • Describe the risk factors of tracheostomy complications, specifically tracheal
fistula. … tracheostomy tube choice and sizing, as well knowledge
of different tracheostomy brands can decrease the risk … in a timely manner to avoid tissue
breakdown from ischemia.
9
INDICATIONS, COMPLICATIONS AND
RISK … FACTORS OF TRACHEOSTOMY
10
Indications, Complications and Risk Factors of Tracheostomy (1)
• The … Laryngotracheal stenosis: risk factors for tracheostomy dependence and dilation interval.
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - of this educational activity, participants should be able to:
Identify the importance of hemorrhage risk … The emergent nature of the patient’s cesarean delivery increased her risk for
complications including … This artery is at risk for damage with extension of the uterine incision when delivering the fetal head … This patient was at high risk for
uterine atony, as she was in labor prior to her emergency cesarean … Disparities in mortality among high risk pregnant women in
Illinois: a population based study.
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www.ahrq.gov/sites/default/files/2024-10/landrigan3-report.pdf
January 01, 2024 - Final Progress Report: Developing a Risk Index of Healthcare Provider Alertness To Improve Safety
Developing … a Risk Index of Healthcare Provider
Alertness to Improve Safety
Final Progress Report – May 31, 2011 … Grant Award Number: R03 HS17357
Structured Abstract
Purpose: To develop a risk index and schedule … Scope
Studies have demonstrated that physician sleep deprivation can result in an increased risk
of … medical errors and increased risk of injuries to medical residents and others (e.g., car
accidents,
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www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
January 01, 2024 - Risk assessment on
admission
3. Any risk assessment
4. … Patients at risk for
pressure ulcer
Percentage of patients with pressure
ulcers who received this … Prior fall risk assessment.
2. … Patient deemed at risk for
fall
Percentage of patients with falls who
received this intervention in … and patients deemed at risk for falls were higher in rural units.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication
January 29, 2019 - Currently, there are no risk-based tools for screening pregnant women and no studies examining the use … of risk-based vs universal prophylaxis. … Another area for research is whether risk-based prophylaxis of newborns, based on maternal risk factors … Comments also supported risk-based prophylaxis as an alternative strategy for prevention. … the use of risk-based vs universal prophylaxis.
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Longer shifts and working overtime have also been linked to increased risk of error, including in one … Nurses who commit errors are also at risk of becoming second victims of the error, a well-documented … phenomenon that is associated with an increased risk of self-reported error and leaving the nursing … The multiple factors discussed including the high-risk nature of the work, increased stress caused by … workload and interruptions, and the risk of burnout due to involvement in errors, the second victim
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www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
January 01, 2024 - Our results confirm that many OTCs pose
potential preventable ADE risks for older adults, that participants … Despite their advantages, OTCs carry significant risks. … Among the risks are preventable
adverse drug events (ADEs) (1). … Older adults are at a higher risk of ADEs than younger people (6-13). … Given the risks associated with improper OTC use, the critical importance of labeling for these
products
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/carotid-artery-stenosis-screening
November 14, 2019 - revascularization
KQs 1, 2: Physical examination for carotid bruit; carotid intima-media thickness for CVD risk … stroke, mortality, myocardial infarction, cranial nerve injuries)
KQs 1, 2: Diagnostic accuracy; CVD risk … The USPSTF received comments regarding the selection of outcomes, the importance of high-risk populations … The USPSTF recognizes the importance of assessing the benefits and harms of screening in high-risk populations