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psnet.ahrq.gov/issue/patient-safety-papers
July 03, 2013 - highlights Canadian experiences in several safety-related areas: culture shift in support of safety, risk … Resources
Patient Safety Innovations
Combined Proactive Risk … View More
See More About The Topic
Facility and Group Administrators
Risk
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psnet.ahrq.gov/issue/mind-power-gap-how-hierarchical-leadership-healthcare-risk-patient-safety
February 26, 2025 - Commentary
Mind the power gap: how hierarchical leadership in healthcare is a risk … Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. … Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety.
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psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - August 9, 2017
Fires during surgeries a bigger risk than thought. … May 7, 2018
More than half a million heart surgery patients at risk of a dangerous infection … November 29, 2016
Misdiagnoses: a hidden risk of genetic testing.
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psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
May 24, 2017 - steps of the HFMEA process, and how to apply the technique to address the Joint Commission proactive risk … Resources
Patient Safety Innovations
Combined Proactive Risk … Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk
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psnet.ahrq.gov/issue/hospitals-study-when-apologize-patients
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought. … April 25, 2016
Why empathy may be the best risk management strategy. … , 2013
View More
See More About The Topic
Hospitals
Physicians
Risk
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psnet.ahrq.gov/issue/hospitals-cutting-nurses-long-shifts
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought. … December 20, 2006
Infants at risk: when nurse fatigue jeopardizes quality care. … View More
See More About The Topic
Hospitals
Nurses
Nurse Managers
Risk
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psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
August 05, 2020 - The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk … and to promote the rapid adoption of risk reduction strategies. … January 27, 2010
View More
See More About The Topic
Risk Managers
Quality
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psnet.ahrq.gov/issue/socio-cultural-perspective-patient-safety
August 06, 2016 - July 22, 2019
Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation … August 24, 2016
Patient Safety and Managing Risk in Nursing. … June 17, 2014
Patient Safety and Managing Risk in Nursing.
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digital.ahrq.gov/ahrq-funded-projects/leveraging-health-information-technology-avoid-unnecessary-asymptomatic-carotid-revascularization/citation-1
January 01, 2023 - Outcomes of carotid endarterectomy versus stenting in comparable medical risk patients. … Outcomes of carotid endarterectomy versus stenting in comparable medical risk patients.
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psnet.ahrq.gov/node/41387/psn-pdf
May 18, 2012 - surfing-healthcare-tsunami-bring-your-best-board
The second in a series, this documentary focuses on learning from other high-risk … /chasing-zero-winning-war-healthcare-harm
https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - and systematic reviews, an initial list of seven PSPs was developed: staff
education and training, risk … Patients who are at a
high risk of deterioration are usually admitted to a critical
care setting or … However, there was a significant decrease in mortality among patients with low
mortality risk. … 2.2.3.1.2 Cardiac Arrest Rate
In their meta-analysis in 2010, Chan et al.4 determined the pooled relative … an RRT was
associated with a 33.8% reduction in rates of
cardiopulmonary arrest outside the ICU
(relative
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psnet.ahrq.gov/node/40111/psn-pdf
December 14, 2012 - Journal of healthcare risk management : the journal of the American Society for Healthcare Risk
Management
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hcup-us.ahrq.gov/reports/methods/2011_05.pdf
January 01, 2011 - Adj
Rate
Risk Adj
Rate
%
Change
Risk Adj
Rate
Risk Adj
Rate
%
Change
(W/
POA) (No … Adj
Rate
Risk Adj
Rate
%
Change
Risk Adj
Rate
Risk Adj
Rate
%
Change
(W/
POA) (No … Age Groupings for Risk Adjustment
Table 4. … Age Groupings for Risk Adjustment
Table 4. … Age Groupings for Risk Adjustment
Table 4.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/recombinant-factor-viia_clinician.pdf
October 01, 2010 - . ���
Increased risk for arterial thromboembolic
events, particularly at doses >40 µg/kg of
patient … surgery No effect on mortality, RBC transfusion requirements, or ICU
length of stay. ���
Increased risk … Explanations include: 1) bleeding control by itself is not enough to influence direct outcomes, or 2) the risk … In-Hospital, Off-Label Use of rFVIIa
TE Events/Total Patients
(%)
Risk Difference Summary
Effect Size … 170
(4.7)
0.053
(0.01 to 0.096)
Increase with
rFVIIa ���
Additional Details Regarding Increased Risk
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/kidney-stone-imaging_consumer.pdf
July 01, 2016 - Radiation raises the
risk of getting cancer. … If you have had a kidney stone, talk with your
health care professional about your risk of
getting … Ask your health care
professional what steps you can take to lower
your risk of getting another kidney … - Does not change the risk of having serious side effects or complications
from kidney stones. … - Does not change the risk of having to go back to the emergency
department or stay in the hospital
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-7.html
July 01, 2022 - High-Risk Situations for Medication Reconciliation
Previous Page Next Page
Table of Contents … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … Patients with limited health literacy and/or cognitive impairment are high risk for medication reconciliation … errors that can result in an ADE if this risk is not identified by the clinician. … often do not understand prescription instructions and warning labels, and they may be at increased risk
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/oral-cancer-screening-2004
February 04, 2004 - good-quality evidence that screening for oral cancer leads to improved health outcomes for either high-risk … adults (i.e., those over the age of 50 who use tobacco) or for average-risk adults in the general population … Tobacco use in all forms is the biggest risk factor for oral cancer. … Alcohol abuse combined with tobacco use increases risk. … Patients should be encouraged to not use tobacco and to limit alcohol use in order to decrease their risk
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
June 01, 2023 - · Yes
· No
· N/A
Preoperative medical assessment and risk counseling (can include diabetes manangment … [Fill in risk assessment information, mechanical prophylaxis, chemoprophylaxis medications, and any other … considerations for VTE prophylaxis, based on your pathway]
N/A if patient is at high risk of bleeding … [Fill in risk assessment information, mechanical prophylaxis, chemoprophylaxis medications and any other … considerations for VTE prophylaxis, based on your pathway]
N/A if patient at high risk of bleeding
-
www.ahrq.gov/patient-safety/settings/hospital/match/chapter-7.html
July 01, 2022 - High-Risk Situations for Medication Reconciliation
Previous Page Next Page
Table of Contents … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … Patients with limited health literacy and/or cognitive impairment are high risk for medication reconciliation … errors that can result in an ADE if this risk is not identified by the clinician. … often do not understand prescription instructions and warning labels, and they may be at increased risk
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digital.ahrq.gov/location/usa-co-aurora
January 01, 2023 - HS024738
Principal Investigator(s)
Gance-Cleveland, Bonnie
Surgical Risk … Assessment System
Description
This project developed a patient-centric tool called the Surgical Risk … Preoperative Assessment System to estimate the risk of adverse operative outcomes.