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psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
November 17, 2021 - J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503. … J Healthc Risk Manag . 2022; 42 (1) :9-14 .
View more articles from the same authors. … The author suggests strategies to identify patients at high risk for falls, improve fall-related training … J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503.
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psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability
April 03, 2019 - Resources
Patient Safety Innovations
Combined Proactive Risk … December 21, 2014
Framework for analysing risk and safety in clinical medicine. … October 16, 2012
Integration of prospective and retrospective methods for risk analysis … June 22, 2009
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Hospitals
Risk Managers
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psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit
April 28, 2021 - Intensive care units (ICU) are high-risk environments. … April 28, 2021
System factors affecting intraoperative risk and resilience: applying … June 16, 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/vestibular-syndromes-diagnosis-and-diagnostic-errors-patients-dizziness-presenting-emergency
May 17, 2023 - Author(s)
Effects of a multimodal transitional care intervention in patients at high risk … September 23, 2020
Risk factors for wrong-patient medication orders in the emergency … Hindsight is 20/20: Thrombolytics for Alcohol Intoxication
April 10, 2024
Risk … May 3, 2017
Redesigning surgical decision making for high-risk patients.
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psnet.ahrq.gov/issue/successful-implementation-department-veterans-affairs-national-surgical-quality-improvement
March 28, 2012 - RIS
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Related Resources From the Same Author(s)
Risk-adjusted … Related Resources
Patient Safety Innovations
Risk … Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review … May 25, 2011
Did duty hour reform lead to better outcomes among the highest risk patients
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
March 01, 2011 - This prospective multicenter observational study sought to quantify the risk of procedural sedation in … participating institutions voluntarily submitted data on more than 30,000 encounters and found that the overall risk … March 1, 2011
Risk factors for adverse events in emergency department procedural sedation … View More
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General Hospitals
Children's Hospitals
Risk
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psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
July 27, 2023 - View More
Related Resources
System factors affecting intraoperative risk … August 17, 2018
Operating at night does not increase the risk of intraoperative adverse … July 1, 2017
Risk factors for retained surgical items: a meta-analysis and proposed risk
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psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices
May 08, 2019 - Following a 2022 Food and Drug Administration safety communication regarding risk of strangulation … researchers sought to determine if pediatric healthcare providers and caregivers were aware of the risk … of medical line entanglement, and what, if any, type of education was provided to reduce the risk. … Most providers were aware of the risk of entanglement, and 90% of caregivers reported their child had
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psnet.ahrq.gov/issue/visual-acuity-literacy-and-unintentional-misuse-nonprescription-medications
November 26, 2014 - Prior research has shown that patients with limited health literacy are at increased risk for misunderstanding … In this study, researchers examined the risk of nonprescription acetaminophen misuse among 500 English-speaking … Both reduced visual acuity and lower health literacy were independent risk factors for dosing errors … RIS
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Related Resources From the Same Author(s)
Risk
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psnet.ahrq.gov/issue/effective-program-reduce-malpractice-claims-and-payments-large-orthopaedic-practice
June 27, 2018 - Of the 42 physicians and physician assistants who were identified by PARS as at-risk for patient complaints … Author(s)
Use of unsolicited patient observations to identify surgeons with increased risk … April 12, 2019
Patient complaints and malpractice risk. … March 21, 2017
Risk managers, physicians, and disclosure of harmful medical errors.
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psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational-prospective-study
September 30, 2010 - Intensive care unit (ICU) patients are generally considered to be at increased risk for medication … study, conducted at hospitals in 27 countries, fused voluntary error reports to attempt to quantify the risk … April 5, 2017
Risk factors for adverse events in emergency department procedural sedation … September 7, 2011
Risk and pharmacoeconomic analyses of the injectable medication process
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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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psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event
December 03, 2014 - 24, 2018
Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk … August 15, 2013
Implementation of a specialized pharmacy team to monitor high-risk medications … December 22, 2010
Potential risk of medication discrepancies and reconciliation errors … View More
See More About The Topic
Hospitals
Health Care Providers
Risk
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psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised
August 18, 2010 - Citation
Related Resources From the Same Author(s)
Comparison of potential risk … June 2, 2019
Comparison of methods for identifying patients at risk of medication-related … January 19, 2011
Frequency of and risk factors for preventable medication-related hospital … readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk
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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/next-step-learning-sentinel-events-healthcare
June 12, 2024 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … April 20, 2022
Adverse drug events caused by three high-risk drug-drug interactions in … safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk … Resources
Patient Safety Innovations
Combined Proactive Risk
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psnet.ahrq.gov/issue/medication-errors-intensive-care-units-umbrella-review-control-measures
February 09, 2022 - Medication errors are a global patient safety concern, particularly in high-risk areas like the intensive … April 7, 2021
Risk of medication errors and nurses' quality of sleep: a national cross-sectional … March 26, 2008
Patient-related factors associated with an increased risk of being a reported … intensive care unit healthcare workers: a systematic review and meta-analysis on types, prevalence, risk
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psnet.ahrq.gov/issue/information-handoff-and-outcomes-critically-ill-patients-transferred-between-hospitals
July 18, 2016 - Patients are at risk for adverse events when they are transferred from one acute care hospital to another … April 7, 2021
Risk management and patient safety in the artificial intelligence era: … March 27, 2024
Risk of medication errors and nurses' quality of sleep: a national cross-sectional … November 7, 2012
Risk of unintentional overdose with non-prescription acetaminophen products