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psnet.ahrq.gov/node/44564/psn-pdf
October 14, 2015 - https://psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
Patients at high risk for falls can … This commentary describes how a hospital employed "spotters" to watch and
interact with patients at risk
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-x-factors-consider-when-recommending-screening-intervals
July 01, 2017 - Whether the incidence rate of the risk factor or target condition remains stable or varies markedly over … time according to parameters such as age, particular behaviors, other risk factors, or other medical
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psnet.ahrq.gov/node/34801/psn-pdf
February 10, 2011 - analyzed nearly 290,000 medication orders during a 1-year study period to determine the rates
and risk … The authors conclude that medication errors pose a significant safety risk in
teaching hospitals and
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psnet.ahrq.gov/node/72641/psn-pdf
January 13, 2021 - The authors found it to be a safe care modality for
low-risk patients receiving low-risk procedures.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
September 22, 2010 - quality improvement initiatives
Must balance the need for data to support
accurate measurement of risk-adjusted … Screens high-risk conditions, elective surgical
procedures, and inpatient childbirth. … ICD-9-CM Codes
• Coma
• Severe Malnutrition
Abstracted Key Clinical Findings
The Bottom Line
Risk-Adjusted … U
pp
er
T
hr
es
ho
ld
Observed vs Predicted Rates of True Complications
Bias Due to Failure to Risk-Adjust … PSI Models
Vital Signs, Other Lab Data, Scores
Abstracted Key Clinical Findings
Slide Number 42
Risk-Adjusted
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/alternative-payment-models-protocol.pdf
December 16, 2024 - (e.g. pay-for-performance) and so-called “advanced APMs” which incorporate
shared savings, shared risk … on the risk of bias that may distort effect estimates reported in the
study. … The risk of bias results will be
used to identify high and low risk of bias studies for sensitivity … Risk of bias in model-based economic
evaluations: the ECOBIAS checklist. … Chapter 25: Assessing risk of bias in a non-
randomized study.
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psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
December 02, 2020 - November 17, 2021
Subtherapeutic heparin infusions: is your organization at risk of bypassing … November 18, 2015
Any new process poses a risk for errors: learning from 4 months of … June 24, 2020
Preventing errors with high-risk medications.
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psnet.ahrq.gov/issue/care-delivery-within-community-mental-health-teams
April 26, 2023 - This report examines a suicide incident that identified problems with risk assessment and identification … Copy Citation
Related Resources From the Same Author(s)
Safety Risk of Air … April 1, 2019
Investigation into Management of Venous Thromboembolism Risk in Patients
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psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error
May 11, 2016 - existing evidence and guidelines for error disclosure are modeled around physicians, nurses, and risk … Download Citation
Related Resources From the Same Author(s)
The experiences of risk … May 11, 2016
Risk managers' descriptions of programs to support second victims after
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psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
September 26, 2016 - May 7, 2018
View More
Related Resources
Risk Evaluation and Mitigation … Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk … Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk
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psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-awards
March 20, 2019 - August 7, 2012
Combined proactive risk assessment: unifying proactive and reactive risk … February 10, 2010
Risk, Safety and Reliability Special Issue.
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psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety
August 11, 2008 - April 3, 2019
Patient Safety and Managing Risk in Nursing. … November 6, 2019
The growing role of the Patient Safety Officer: implications for risk … July 3, 2013
Different roles, same goal: risk and quality management partnering for patient
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psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin
September 06, 2023 - Newspaper/Magazine Article
Skin cancer is a risk no matter the skin tone. … Citation Text:
Skin cancer is a risk no matter the skin tone. … Copy URL
Cite
Citation
Citation Text:
Skin cancer is a risk
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psnet.ahrq.gov/issue/will-my-patient-fall
March 13, 2013 - The authors assessed the literature to determine risk factors for falls that can be identified to help … March 6, 2005
Quality measures for patients at risk of adverse outcomes in the Veterans … January 2, 2008
View More
See More About The Topic
Risk Managers
Epidemiology
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psnet.ahrq.gov/issue/patient-survival-handbook
February 22, 2006 - This book recommends actions for patients and families to reduce risk of error during their primary … Copy Citation
Related Resources From the Same Author(s)
Risk of medication … November 16, 2015
Patient safety and quality improvement: reducing risk of harm.
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psnet.ahrq.gov/issue/amc-pso-resource-center
November 17, 2021 - trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk … December 16, 2008
Risk of medication errors at hospital discharge and barriers to problem … View More
See More About The Topic
Facility and Group Administrators
Risk
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
November 13, 2018 - Resources
Patient Safety Innovations
Combined Proactive Risk … April 12, 2023
Health care risk managers' consensus on the management of inappropriate … View More
See More About The Topic
Facility and Group Administrators
Risk
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psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
February 28, 2024 - 2023
View More
Related Resources
New graduate registered nurses: Risk … Medication errors missed by risk management, clinical staff, and surveyors. … 9, 2010
View More
See More About The Topic
Health Care Providers
Risk
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psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
October 02, 2013 - June 20, 2014
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … March 20, 2018
Improving the Measurement of Surgical Site Infection Risk Stratification … October 7, 2015
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit
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psnet.ahrq.gov/issue/wrong-site-surgery
March 13, 2013 - July 28, 2010
'Balancing risk, that is my life': The politics of risk in a hospital operating … View More
See More About The Topic
Operating Room
Physicians
Nurses
Risk