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psnet.ahrq.gov/node/74121/psn-pdf
November 30, 2021 - many women are delaying
childbearing until later in their reproductive life, which can increase the risk … Increasing maternal age is
strongly correlated with increased risk of maternal death; 27% of maternal … cognition, they
should be less influenced by the patient’s race/ethnicity, helping to minimize the risks … Manufacturers set the sensitivity high to avoid the risk of missing a critical signal, but the specificity … The strategies to address
these problems are multifold and include appropriate responses in high-risk
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effectivehealthcare.ahrq.gov/sites/default/files/study-eligibility-criteria.ppt
January 01, 2000 - Population type (adult, community-dwelling females)
Intervention (screening tool to identify depression risk … be appropriate for a narrow research question
May reduce applicability of the review and sometimes risks … Example: the use of studies of twin pregnancies in a review of preterm labor management for low-risk … is the efficacy of home uterine activity monitoring for preventing preterm birth among women at low risk … “efficacy” (which suggests the inclusion of randomized controlled trials only) and on women at low risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - NICU) experience at least one episode of BSI.2
• Low-birth-weight infants with BSIs are at increased risk … Factors
Identify the risk factors that are most common among neonates
for bloodstream infection and … Recommended Practice: Assess neonatal patients for risk factors
• Assess all neonatal NICU patients … Risk factors for neonatal BSI include2-5:
○ Gestational age at birth <32 weeks or birth weight <1,500 … extremities or the scalp (in neonates or young infants) can be used as
an insertion site.11
○ The risks
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - In weighing these arguments it is important to keep in mind that what we know about the benefits and risks … 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.
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Risk-based prioritization is an important part of RCA 2 . … To adapt RCA 2 to this, ambulatory care organizations can use the risk-based prioritization tool to … areas, the risk levels they want to see, and potentially modify the risk-based prioritization tool to … For example, some organizations may start by only implementing the risk prioritization framework and … This proactive approach helps organizations identify potential risks before they result in actual harm
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - mandated its use for investigating sentinel events—serious incidents that result in patient harm or risk … For example, some organizations may start by only implementing the risk prioritization framework and … This proactive approach helps organizations identify potential risks before they result in actual harm … Risk-based prioritization is an important part of RCA 2 . … areas, the risk levels they want to see, and potentially modify the risk-based prioritization tool to
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - Given the profound prognostic ramifications that delirium episodes are known to carry (independent risk … Strong evidence suggests that increasing doses and duration of exposure raises the risk of delirium in … Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patients … Reducing iatrogenic risks: ICU-acquired delirium and weakness - crossing the quality chasm. … Perspective
Related Resources From the Same Author(s)
Reducing iatrogenic risks
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/main-apps-surv-report-2-acute-pain.pdf
May 01, 2022 - nonsteroidal anti-inflammatory drug; QoL = quality of life; RCT =
randomized controlled trial; RR = relative … Preoperative education included information on the opioid epidemic, risks of opioids, safe use of
opioids … at less than 1 day
(12 trials), increased likelihood of rescue or repeat medication use (9 trials, relative … Risk Assessment/
20. Risk Factors/
21. Proportional Hazards Models/
22. … Risk Assessment/
20. Risk Factors/
21. Proportional Hazards Models/
22.
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - acceptable response to other antipsychotics. 9-10 Both chlorpromazine and thioridazine carry cardiac risks … chlorpromazine. 12
As presented above, the patient had very complex clinical picture with various risk … agents to cause QT prolongation and additive effects with unintended thioridazine further increased her risk … enhancements made to the clinical decision-making support system for this medication to highlight the cardiac risk … Safety-II Principles
August 28, 2024
Perspective
Risk
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www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
January 01, 2004 - Finally, for this analysis we included “increased future risk of
clinical harm” to the patient or others … It is important to note that an analysis based on the relative risk of an error
causing harm does not … of immediate or future harm,9 we are skeptical that
reporters are likely to be good judges of the risk … Risk Management Foundation of the Harvard Medical
Institutions (RMF). Effective Solutions. … Organizing patient safety
research to identify risks and hazards.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - Finally, for this analysis we included “increased future risk of
clinical harm” to the patient or others … It is important to note that an analysis based on the relative risk of an error
causing harm does not … of immediate or future harm,9 we are skeptical that
reporters are likely to be good judges of the risk … Risk Management Foundation of the Harvard Medical
Institutions (RMF). Effective Solutions. … Organizing patient safety
research to identify risks and hazards.
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psnet.ahrq.gov/node/50859/psn-pdf
January 31, 2020 - For risk-assessment triage, we are very early in this
phase of development. … We are using
deep learning to study patterns of mammograms to predict breast cancer risk. … We can then combine all of
this information and data to provide patients with their real risk of breast … cancer, not just a very superficial
risk that we may get from the NCI [National Cancer Institute] website … KH: What are some of the risks associated with using AI or increasingly relying on it?
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www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
February 01, 2017 - Say:
Mechanically ventilated patients are at risk from their many comorbidities as well as from mechanical … Patients on mechanical ventilation are at risk for conditions such as ARDS, atelectasis, and pulmonary … We know that respiratory deterioration in previously stable patients is definitely a risk factor for … The special approaches listed here may have risks associated with their use, but they may have their … However, it may not decrease the VAP risk in noncardiac surgery patients.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Dofv_5wDUQYVkoSDbX6Zse
May 25, 2021 - counseling interventions to promote healthy
weight gain in pregnancy are associated with decreased risk … physical activity for cardiovascular disease preven-
tion in adults with and without cardiovascular risk … of gestational diabetes mellitus
(43 trials; relative risk [RR], 0.87 [95% CI, 0.79 to 0.95]; I2 = 16.4% … ;
absolute risk difference [ARD], −1.6% [95% CI, −2.5% to −0.7%]) and
emergency (unscheduled) cesarean … American College of Obstetricians and Gynecologists recom-
mends that clinicians provide counseling on the risks
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/adhd-heart-disease-children_research.pdf
January 01, 2023 - While not an established risk factor, if an ADHD diagnosis itself is related to risk of
cardiovascular … and
adolescents between the ages of 3 and 20 years (hazard ratio=1.2; 95% CI 1.0-1.4)11 and that
risks … Drug Safety
and Risk Management Advisory Committee
Meeting. … Use of disease risk
scores in pharmacoepidemiologic studies. … Prediction of coronary heart disease using
risk factor categories.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-natriuretic-peptide_research-protocol.pdf
December 20, 2011 - Based on
this review BNP was shown to be consistently associated with an increased relative risk (RR … Exclusion: Adults at risk of coronary artery disease (CAD), with CAD, other
adults at risk of HF without … factors; BNP or NT-proBNP
concentrations at baseline and other time points, including change values; relative … risk
(RR), all groups reported. … risk of bias and ‘yes’ corresponds to a low risk of
bias.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/mHfCYrWoEdSr95bCUSfSEz
September 21, 2021 - 752; relative risk [RR], 0.87 [95% CI, 0.79 to 0.95]; absolute risk difference [ARD],
−1.6%) and emergency … Bartsch E, Medcalf KE, Park AL, Ray JG; High
Risk of Pre-eclampsia Identification Group. … Risks associated with obesity in pregnancy, for
the mother and baby: a systematic review of
reviews. … Risk
factors for childhood obesity in the first 1,000 days:
a systematic review. … Effect of physical activity and/or healthy eating on
GDM risk: the DALI lifestyle study.
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psnet.ahrq.gov/node/41677/psn-pdf
September 26, 2012 - medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/medication-errors-critical-care-risk-factors-prevention-and-disclosure … https://psnet.ahrq.gov/issue/medication-errors-critical-care-risk-factors-prevention-and-disclosure
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - Anticoagulants, such as warfarin, reduce this risk but pose an
increased risk of bleeding. … Pressure Ulcers
Low-risk short-stay and high-risk long-stay nursing home
residents who have pressure … Antipsychotic
medication use is associated with increased risks of adverse events such as movement … Safety concerns with antipsychotic medication
use in older adults also include the risks of hyperprolactinemia … enhancements:
Growth in patient safety organizations, which assist providers in detecting and reducing
risks
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psnet.ahrq.gov/node/50781/psn-pdf
January 08, 2020 - J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. … hospital that analyzed its medical malpractice claims to
identify practice or policy changes to reduce risk