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digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-improving-quality-through-clinician-use
January 01, 2023 - R18)
Factors associated with ordering laboratory monitoring of high-risk … Factors associated with ordering laboratory monitoring of high-risk medications. … Electronic Health Record (EHR)-based Clinical Decision Support and Feedback
Risk … Risk factors for unexplained medication discrepancies during transitions in care.
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psnet.ahrq.gov/issue/use-artificial-intelligence-optimize-medication-alerts-generated-clinical-decision-support
May 26, 2021 - readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … 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 … August 19, 2020
Comparison of potential risk factors for medication errors with and without
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psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-perceptions
January 14, 2011 - hand-rub solutions was associated with adherence, high workload and activities associated with high risk … for transmission were risk factors for poor adherence. … authors discuss the challenges with promoting effective hand hygiene practices and suggest targeting high risk … Related Resources From the Same Author(s)
The effect of workload on infection risk
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psnet.ahrq.gov/issue/components-pharmacist-led-medication-reviews-and-their-relationship-outcomes-systematic
November 16, 2022 - during a hospital stay, a patient may receive a medication review with a pharmacist to reduce the risk … mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk … June 16, 2019
Impact of pharmacist involvement in the transitional care of high-risk … Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk
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psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
March 10, 2021 - The emergency department (ED) is a complex and high-risk environment. … February 22, 2023
Balancing safety, comfort, and fall risk: an intervention to limit … January 11, 2023
The physiology of failure: identifying risk factors for mortality in … April 27, 2022
Analysis of risk factors for patient safety events occurring in the emergency
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psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
May 06, 2020 - Since older patients are typically prescribed more medications, they are at higher risk for adverse … About 15% of participants were at risk for a major drug–drug interaction, demonstrating the need to systematically … July 29, 2020
Evaluation of the extended-release/long-acting opioid prescribing Risk … March 30, 2022
Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal
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psnet.ahrq.gov/issue/higher-incidence-adverse-events-isolated-patients-compared-non-isolated-patients-cohort-study
June 01, 2022 - consequences for patients (e.g., less attention, suboptimal documentation and communication , higher risk … Citation
Related Resources From the Same Author(s)
Surgery is in itself a risk … September 2, 2020
Inappropriate hospital admission as a risk factor for the subsequent … November 25, 2020
Expanding frontiers of risk management: care safety in nursing home
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psnet.ahrq.gov/issue/nationwide-study-july-effect-concerning-postpartum-hemorrhage-and-its-risk-factors-teaching
September 25, 2019 - A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk … A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching … Using national inpatient stay data from 2018, this study found that the risk of postpartum hemorrhage … A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching
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psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
February 16, 2022 - Safe obstetrical care can be compromised by a variety of controllable risk factors, such as communication … Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk … May 21, 2009
Patient-related factors associated with an increased risk of being a reported … Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk
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psnet.ahrq.gov/issue/incidence-duration-and-risk-factors-associated-delayed-and-missed-diagnostic-opportunities
May 19, 2021 - Study
Incidence, duration and risk factors associated with delayed and missed diagnostic … Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related … Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related … April 22, 2011
Patient race and opioid misuse history influence provider risk perceptions
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psnet.ahrq.gov/issue/enhancing-safety-high-risk-operations-multilevel-analysis-role-mindful-organising-translating
January 26, 2022 - Study
Enhancing safety in high-risk operations: a multilevel analysis of the role … Enhancing safety in high-risk operations: a multilevel analysis of the role of mindful organising in … Enhancing safety in high-risk operations: a multilevel analysis of the role of mindful organising in … October 20, 2021
Expanding frontiers of risk management: care safety in nursing home
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psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full
December 19, 2011 - Improved information about risk, determination of risk, and methods to modify prescribing behavior will … June 23, 2010
Development and pilot testing of guidelines to monitor high-risk medications … mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk
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psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults
February 02, 2022 - with intellectual or developmental disabilities (IDD) may experience poor quality care and are at risk … for adverse events, but less is known about risk among adults with IDD. … compared with the general adult population and found that adults with IDD were at a significantly greater risk … June 24, 2020
Incidence, duration and risk factors associated with delayed and missed
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psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients
January 13, 2010 - Study
Did duty hour reform lead to better outcomes among the highest risk patients … Did duty hour reform lead to better outcomes among the highest risk patients? … significant harm or benefit to patients with higher-severity illness compared with those with lower risk … Did duty hour reform lead to better outcomes among the highest risk patients?
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psnet.ahrq.gov/issue/stroke-hospitalization-after-misdiagnosis-benign-dizziness-lower-specialty-care-general
May 12, 2021 - A missed or delayed diagnosis of stroke increases the risk of permanent disability or death. … August 25, 2021
Risk assessment of the acute stroke diagnostic process using failure … May 3, 2023
Incidence, duration and risk factors associated with delayed and missed diagnostic … August 3, 2022
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Risk assessment of the
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psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness
August 18, 2021 - March 2, 2011
Surgical glove perforation and the risk of surgical site infection. … November 29, 2023
Identifying hospitalized patients at risk for harm: a comparison of … nurse perceptions vs. electronic risk assessment tool scores. … Patient reported receipt of medication instructions for warfarin is associated with reduced risk
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psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans
February 10, 2021 - Opioids are known to be high-risk medications, and unsafe prescribing practices are common. … Veterans Affairs medical centers used an electronic dashboard to provide feedback to clinicians about high-risk … Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk … Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk
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psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
December 21, 2014 - indicate that more comprehensive discharge interventions may be necessary in order to reduce the risk … Related Resources
Impact of pharmacist involvement in the transitional care of high-risk … August 22, 2012
Hospital discharge documentation and risk of rehospitalisation. … Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk
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psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
September 29, 2017 - Overprescribing of opioids for acute pain (such as post-surgical pain) can increase the risk for long-term … Related Resources
Patient Safety Innovations
Risk … Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review … ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
April 22, 2015 - Classic
Potentially inappropriate medications defined by STOPP criteria and the risk … Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in … Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in … July 29, 2020
Strategies to reduce the risk of iatrogenic illness in complex older adults