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psnet.ahrq.gov/issue/effect-pharmacy-based-centralized-intravenous-admixture-service-prevalence-medication-errors
December 01, 2021 - readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … May 26, 2021
Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk … August 4, 2021
Epidural-IV route mix-ups: reducing the risk of deadly errors. … July 26, 2011
Heparin: improving treatment and reducing risk of harm.
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psnet.ahrq.gov/issue/closer-look-associations-between-hospital-leadership-walkrounds-and-patient-safety-climate
December 31, 2012 - A closer look at associations between hospital leadership walkrounds and patient safety climate and risk … A closer look at associations between hospital leadership walkrounds and patient safety climate and risk … leadership walkrounds participation was strongly associated with positive safety climates and greater risk … A closer look at associations between hospital leadership walkrounds and patient safety climate and risk
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psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
July 03, 2016 - They vetted 108 possible trigger tools that can indicate an incipient safety risk, including use of reversal … agents for high-risk medications and diagnosis of health care–associated infections . … February 8, 2023
Improving shared situation awareness for high-risk therapies in hospitalized … January 19, 2022
Assessing frequency and risk of weight entry errors in pediatrics.
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress
June 01, 2022 - Anticipate challenges and encourage the development of relapse prevention strategies to lower the risk … Topics
Prevention and Response to Recurrence of Use
Overdose Risk
Collecting … Individuals With OUD
Co-Occurring Behavioral Health Conditions
Suicidality
Risk … Plans for Recurrence of Use
Prevention and Response to Recurrence of Use
Overdose Risk
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psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and
July 12, 2010 - Study
Classic
Risk-adjusted morbidity in teaching hospitals … Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration … outcomes in surgical patients, and found no clear relationship between perceived safety culture and risk-adjusted … Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration
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psnet.ahrq.gov/issue/patient-factors-associated-new-prescribing-potentially-inappropriate-medications-multimorbid
August 18, 2021 - older, diagnosed with heart disease, and have an increased number of ambulatory visits were most at risk … June 12, 2019
Alternative medications for medications in the Use of High-Risk Medications … January 22, 2016
Reducing the risk of adverse drug events in older adults. … June 22, 2009
Risk of medication errors at hospital discharge and barriers to problem
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psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
October 09, 2024 - patient safety from information sources within an acute hospital: a step on the ladder of integrated risk … patient safety from information sources within an acute hospital: a step on the ladder of integrated risk … patient safety from information sources within an acute hospital: a step on the ladder of integrated risk … August 2, 2010
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See More About The Topic
Hospitals
Risk Managers
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - hospital were analyzed to identify if disparities exist and to create a model for identifying patients at risk … Race/ethnicity was not associated with the risk of experiencing an NSI. … readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … 2024
The impact of adding a 2-way video monitoring system on falls and costs for high-risk
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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - Resources
Patient Safety Innovations
Combined Proactive Risk … Improving Diagnostic Safety and Quality
April 26, 2023
Safety work and risk … trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk … More
See More About The Topic
Hospitals
Facility and Group Administrators
Risk
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psnet.ahrq.gov/issue/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction
April 27, 2022 - discusses the results of a failure mode and effects analysis to identify and eliminate or reduce the risk … root cause analysis and action: integrating human factors to create strong interventions and reduce risk … October 20, 2021
Medication errors at hospital admission and discharge: risk factors … December 23, 2020
New graduate registered nurses: Risk mitigation strategies to ensure
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - Study
Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent … Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors … Risk factors for consent and schedule errors included low health literacy and nonstandardized forms … Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors
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digital.ahrq.gov/type-care/self-management
January 01, 2023 - Researchers will use patient-reported outcomes and calculate a Respiratory Symptoms Risk Score using … Intervention INC: An Interactive Family-Centered mHealth Tool to Reduce Obesity Risk … family-centered, interactive, health promotion tool, and evaluate its effectiveness on reducing childhood obesity risk … records to engage individuals with multiple chronic conditions to improve understanding of individualized risk
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www.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
November 01, 2022 - the delivery of heart healthcare in four important areas:
Counseling on aspirin use among high-risk … support provided to mostly small, rural practices in North Carolina reduced 10-year cardiovascular risk … for patients at high risk of a stroke or heart attack by using a risk-stratified, population management
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digital.ahrq.gov/principal-investigator/field-terry
January 01, 2023 - SNF) to Home
Factors associated with ordering laboratory monitoring of high-risk … Factors associated with ordering laboratory monitoring of high-risk medications. … Facilities (SNF) to Home
Development and pilot testing of guidelines to monitor high-risk … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting
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psnet.ahrq.gov/issue/unprofessional-behaviors-among-tomorrows-physicians-review-literature-focus-risk-factors
January 31, 2018 - Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk … Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature With a Focus on Risk Factors … Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature With a Focus on Risk Factors … November 26, 2014
Identification of doctors at risk of recurrent complaints: a national
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-bloodstream-infections-related-central
March 30, 2022 - March 3, 2010
Quality measures for patients at risk of adverse outcomes in the Veterans … November 22, 2017
WebM&M Cases
High-Risk Medications, … High-Risk Transfers
October 1, 2017
A hybrid methodology for modeling risk
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psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations
January 19, 2022 - elderly patients in Ireland found that they were frequently prescribed medications that increased their risk … December 21, 2022
Opioids and falls risk in older adults: a narrative review. … 2020
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Related Resources
Initiative to deprescribe high-risk … November 2, 2022
What is the medication iatrogenic risk in elderly outpatients for chronic
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
September 28, 2016 - Elderly patients are at greater risk of experiencing adverse drug events than the adult population … The risk of potentially inappropriate prescribing increased after hospital discharge, even when using … July 10, 2019
Fixed-dose combination antihypertensives and risk of medication errors. … December 14, 2022
What is the medication iatrogenic risk in elderly outpatients for chronic
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psnet.ahrq.gov/issue/influencing-organisational-culture-improve-hospital-performance-care-patients-acute
February 21, 2018 - improvement intervention changed organizational culture, adherence to evidence-based practices, and risk-adjusted … hospitals, 6 demonstrated improvements in culture, and these same hospitals reduced their AMI mortality risk … The hospitals without culture change also had no significant change in AMI mortality risk. … The study did not have a concurrent control group to account for secular trends in AMI mortality risk
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psnet.ahrq.gov/issue/stepped-wedge-cluster-rct-assess-effects-electronic-medication-system-medication
August 28, 2024 - no significant impact on medication errors with potential for serious harm or errors involving high-risk … August 28, 2024
Risk factors associated with medication administration errors in children … January 18, 2023
Child age and risk of medication error: a multisite children's hospital … Accurate Weight: A Case of Subtherapeutic Insulin Therapy
August 28, 2024
Risk