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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - 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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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Assessing patient risk for adverse events after discharge : BOOST uses the 8Ps Risk Assessment to screen … risk-specific interventions to reduce risk, and communicate risk and ongoing interventions to the subsequent … The eight risk factors for readmission (8Ps) include (1) problems with medications, (2) psychological … Results
Identify patients at risk for readmission: A retrospective cohort study using manual case … review found that the BOOST risk assessment tool correctly predicted over 90% of readmissions. 11 A
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/incident-user-design_research.pdf
May 01, 2012 - The risk of myocardial infarction associated
with antihypertensive drug therapies. … COX-2 selective non-steroidal anti-
inflammatory drugs and risk of serious
coronary heart disease. … The
risk of infection associated with TNF
antagonists: making sense of epidemiologic
evidence. … Risks and benefits
of estrogen plus progestin in healthy post-
menopausal women. … Lipid-
lowering agents and the risk of hip fracture
in a Medicaid population.
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www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
January 01, 2025 - Understanding emotional influences, especially in high-risk practices like
emergency medicine, is essential … clinical judgments and behaviors is particularly
important in medical specialties that carry a high risk … factors that were unique to the pandemic (e.g., medical
uncertainty surrounding COVID-19, fear and risk … assess whether physicians’ emotion coping strategies during COVID-19 were effective in mitigating
risks … 2), it is clear that stigma against this patient
population is a significant concern and presents risks
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-comments.pdf
March 28, 2019 - The Cochrane Risk of Bias tool was
used to assess the risk of bias for each
included RCT. … Each domain was rated
as “high”, “low” or “unclear” risk of bias. … be less
compelling because older individuals might be expected to
experience different or greater risks … For example, depression
in an of itself in older adults a risk for falls. … that the studies were not designed or powered to detect
harm, further statements that balances the risks
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digital.ahrq.gov/ahrq-funded-projects/individualized-drug-interaction-alerts/citation/risk
January 01, 2023 - Risk of bleeding with exposure to warfarin and nonsteroidal anti-inflammatory drugs: a systematic review … Risk of bleeding with exposure to warfarin and nonsteroidal anti-inflammatory drugs: a systematic review
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psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives
November 28, 2018 - April 16, 2018
Latex: a lingering and lurking safety risk. … April 4, 2018
Use of color-coded patient wristbands creates unnecessary risk. … April 17, 2017
Perioperative medication errors: uncovering risk from behind the drapes
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VA.pdf
January 01, 2014 - Missed opportunities in the referral of high-
risk infants to early intervention. … Missed opportunities in the referral of high-
risk infants to early intervention. … Parent-reported quality of preventive care for children at-risk for
developmental delay.
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - diabetes, having some or all versus no diabetes medications reconciled was associated with a lower risk … Clinical decision support tools may help identify at-risk patients and there is emerging evidence that … Geriatric patients with multiple medical morbidities and high-risk medications, such as anticoagulants … At our institution, an EHR-based risk stratification tool is used to identify high-risk patients on admission … March 9, 2022
Medication errors at hospital admission and discharge: risk factors and
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-sepsis.pdf
July 01, 2023 - Risk of Bias (Quality) Assessment
For studies that address Review Question 5 about the effectiveness … of PSPs, the
primary reviewer will use the Cochrane Collaboration’s tool for assessing the risk of … bias of
randomized controlled trials (RCTs) or the ROBINS-I tool for assessing the Risk Of Bias In … The Cochrane Collaboration's tool for assessing risk
of bias in randomised trials. … ROBINS-I: a tool for assessing risk of bias in non-
randomised studies of interventions.
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - But to fundamentally rethink the way they deliver health care—the 1% to
2% financial risk hasn't been … Let's put 5% or 10% at risk. … If you look
at risk-adjusted mortality rates for instance, safety-net hospitals have marginally worse … Academic hospitals tend to have lower risk-adjusted
mortality rates. … Given what we know about the safety risk of delivering health care using paper-based
records, to me
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - Choose the Model To Assess VTE and Bleeding Risk
Chapter 5. … Hold the Gains, and Spread the Results
References
Appendix A: Tools and Resources
Appendix B: Risk … risk-appropriate prophylactic options. … How successful were previous VTE risk assessments? Why? Were they integrated into order sets? … assessment, linked to a menu of appropriate VTE prophylaxis options for each level of risk.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - Choose the Model To Assess VTE and Bleeding Risk
Chapter 5. … Hold the Gains, and Spread the Results
References
Appendix A: Tools and Resources
Appendix B: Risk … risk-appropriate prophylactic options. … How successful were previous VTE risk assessments? Why? Were they integrated into order sets? … assessment, linked to a menu of appropriate VTE prophylaxis options for each level of risk.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-chapter-4.pdf
July 01, 2019 - ► To examine for an interaction between baseline risk and treatment effects:23,24
− Create scatter … plot of treatment effect (RR or OR) and baseline risk, to graphically assess
for association … The population risk as an explanatory variable in research synthesis of clinical trials. … Investigating underlying risk as a source of heterogeneity in meta-analysis. … The population risk as an explanatory variable in research synthesis of clinical trials.
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - 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 … changed from admission to delivery, with a higher hemorrhage risk at the time of delivery due to her … 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.uspreventiveservicestaskforce.org/uspstf/recommendation/asymptomatic-bacteriuria-adults-screening-1996
January 01, 1996 - for preterm delivery and low birth weight about 1.5-2-fold, and may also increase the risk of fetal … and perinatal mortality. 15-23
The risk of acquiring bacteriuria varies with age and sex. … elderly women, treatment of asymptomatic bacteriuria did not significantly reduce mortality (adjusted relative … risk 0.92, 95% confidence interval, 0.57 to 1.57), although wide confidence intervals do not exclude … Bacteriuria in pregnancy: frequency and risk of acquisition.
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psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
March 11, 2017 - Toolkit
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory … Citation Text:
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. … Cite
Citation
Citation Text:
Toolkit to Engage High-Risk
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www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
January 01, 2025 - Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries
Title … Page
Title of Project: Reducing the risk of preventable postpartum lower extremity nerve
injuries … Yet, little progress has been made to reliably identify
at-risk women or to develop interventions to
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psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events
November 16, 2022 - Study
Classic
Opioid medication discontinuation and risk … Opioid medication discontinuation and risk of adverse opioid-related health care events. … Opioid medication discontinuation and risk of adverse opioid-related health care events.
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digital.ahrq.gov/program-overview/research-stories/decision-precision-increasing-lung-cancer-screening-risk-patients
January 01, 2023 - Decision Precision+: Increasing Lung Cancer Screening for At-Risk Patients
Theme:
Supporting … Interoperability Resources (FHIR) app that pulls data from the EHR to enable providers to have an individualized risk-benefit … discussion with at-risk patients on whether lung cancer screening is right for them.