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Showing results for "risks".

9741. Computerized Provider Order Entry System | Digital Healthcare Research
      digital.ahrq.gov/technology/computerized-provider-order-entry-system
      January 01, 2023 - Indication Alerts in CPOE Systems Beyond mixed case lettering: Reducing the risk … Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems Risk … Risk factors associated with medication ordering errors.

9742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60611/psn-pdf
      June 24, 2020 - Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing June 24, 2020 … Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing. … https://psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex … Warfarin in high-risk patients with antiphospholipid syndrome. … The lost start date: an unknown risk of E-prescribing. Patient Safety Network. 

9743. Patient Safety in the United Kingdom: Evolution and Progress | PSNet
      psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
      May 01, 2007 - limited communication between risk managers and clinicians), in the United Kingdom and other countries … , risk management had a clinical orientation ("clinical risk management") from its inception. … varies from country to country, but the aims of clinical risk management and patient safety are the … Clinical Risk Management. London, England: BMJ Publications; 1995. 5. Department of Health. … It's simply looking at the environment of care and identifying the sources of risk.

9744. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - or too early to tell if harm has occurred, (3) patient discomfort or inconvenience, (4) increased risk … As previously stated, in describing the likelihood of clinical harm or future risk of clinical harm … in 165 events (27.1 percent), were more than three times as likely to be associated with increased risk … Attributes of errors related to harm (N = 608) Error type Error attributes [N (%)] Future risk … Adverse events in primary care identified from a risk- management database.

9745. Evidence Report on the (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/c-diff-infections_research-protocol.pdf
      May 24, 2010 - Prevention: Adults at risk for C. difficile infection. … At Risk for C. … Poor (high risk of bias). … Antimicrobial-associated risk factors for Clostridium difficile infection. … Meta-analysis to assess risk factors for recurrent Clostridium difficile infection.

9746. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
      December 22, 2020 - For example, what percentage of children who are at risk of dental caries actually get a sealant? … Introduction Similar to many other healthcare settings, dentistry carries with it inherent patient safety risks … Dental patients receive medications, tests, and procedures and many of the same patient safety risks … when harms are occurring, but to also recognize patterns in care and patient demographics that may be risk … As understanding of the causes and risk factors of AEs improves, next is furthering understanding of

9747. Adverse Events in Dentistry | PSNet
      psnet.ahrq.gov/perspective/adverse-events-dentistry
      December 22, 2020 - Introduction Similar to many other healthcare settings, dentistry carries with it inherent patient safety risks … Dental patients receive medications, tests, and procedures and many of the same patient safety risks … they provide a systematic way of alerting practices to patients who may have experienced- or may be at risk … As understanding of the causes and risk factors of AEs improves, next is furthering understanding of … For example, what percentage of children who are at risk of dental caries actually get a sealant?

9748. Methods Guide for Medical Test Reviews Chapter 6 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-applicability_methods.pdf
      July 01, 2012 - Bone density testing reported in relation to fracture risk reduction without consideration of prior … Secular Trends in Population Risk and Disease Prevalence Direct and indirect changes in the secular … Both conditions are associated with risk of type II diabetes. … For instance, if the goal of a review is to understand the risks and benefits of colposcopy and cervical … In the design and scoping phase for a review, consideration of the risks and advantages of restricting

9749. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
      psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
      January 01, 2015 - levels, to challenge traditions and assumptions, freewheel in thinking from time to time, manage the risks … Benefits of this approach include reducing the risk of falls, earlier mobilization following surgery, … Many of these elderly patients have multiple comorbid medical conditions and are at particular risk for … When people are afraid to come forward, we don't identify risks that would protect patients. … Ideally automation would help reduce the risk of errors and improve productivity.

9750. Screening for Chronic Obstructive Pulmonary Disease: Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/BhnZRA--TRpXdg9_tYmZ_M
      April 05, 2016 - used to select high-risk patients for screening spirometry, which as- signs scores for established risk … Possible scores range from 5 to 25, with lower scores associated with higher COPD risk. … long-acting muscarinic antagonist; OR, odds ratio; NA, not applicable; RCT, randomized clinical trial; RR, relative … risk. … Inhaled corticosteroids in COPD and the risk of serious pneumonia.

9751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38727/psn-pdf
      November 25, 2009 - fmea-team-performance-health-care-qualitative-analysis-team-member- perceptions Failure mode and effect analysis (FMEA), a tool that allows prospective risk … assessment, has been applied to learning about risk in large health systems.

9752. PEDS20152567 746..752 (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/s2xawZNAWVC5qgGyTT6r8m
      October 01, 2015 - Additional factors that may be associated with increased risk for iron deficiency in children include … Evidence on whether Hispanic ethnicity increases children’s risk for iron deficiency has been mixed, … with some studies showing an increased risk and others showing no increased risk. … tools to identify children who are at increased risk for iron deficiency anemia. … Some comments also requested separate analyses of certain high-risk populations.

9753. On-Time Pressure Ulcer Healing: Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/intro.html
      December 01, 2017 - nursing home EMR systems, staff generate reports that support earlier recognition of pressure ulcers at risk … and width dimensions), theBates-Jensen Wound Assessment Tool (BWAT) 2 score, and a pressure ulcer risk … may prefer having details about ulcers potentially experiencing delayed healing ( Pressure Ulcers at Risk … Reports Included in the Program Existing Pressure Ulcers Report Pressure Ulcers At Risk

9754. Improving Medication Management Practices and Care Transitions through Technology - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through/annual-summary/2012
      January 01, 2012 - The intervention tested an automated algorithm to identify high-risk patients and send an email alert … It also provided the nurse with medication decisionmaking support, including high-risk medication management … ’ use of CDS was associated with significantly more patients moving below the medication complexity risk … alert had complex medication regimens, it is possible that nurses were more concerned about patient risk

9755. eCare Plan Resources and Publications | Agency for Healthcare Research and Quality
      www.ahrq.gov/ecareplan/resources-publications/index.html
      May 01, 2025 - summary of the approaches and models of person-centered care planning (PCCP) for people living with or at risk … Rapid Scan: Measures of implementation of Person-Centered Care Planning for people at risk for or living … implementation of PCCP to help health systems and providers increase the uptake of PCCP for individuals at risk … collaborate with human and social service organizations to better address the needs of individuals at risk

9756. Learn From Defects Tool Worksheet: Central Line-Assoiated Bloodstsream Infection (CLABSI) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects-revised.pdf
      April 01, 2022 - happened, identify the factors that may have contributed to the CLABSI, and discuss how to reduce the risk … What can we do to reduce the risk of the CLABSI happening with a different person? … Action Plan Action Plan Owner Targeted Date Evaluation Plan: How will we know risk is reduced? … 7 days: Off 12 anything else contributed: Off Chemotherapy: Off Evaluation Plan How will we know risk

9757. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
      April 01, 2022 - happened, identify the factors that may have contributed to the CAUTI, and discuss how to reduce the risk … What can we do to reduce the risk of the CAUTI happening with a different person? … Action Plan Action Plan Owner Targeted Date Evaluation Plan: How will we know risk is reduced? … Action PlanRow1: Action Plan OwnerRow1: Targeted DateRow1: Evaluation Plan How will we know risk

9758. Health Systems Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/opioids/health-systems-research.html
      July 01, 2021 - approaches to improve the use of screening for unhealthy alcohol use, brief intervention for those at risk … opioids and other substance use disorders Toward Safer Opioid Prescribing for Chronic Pain in High Risk … Risk of Acute Asthma Associated With the Pediatric Use of Opioids. … Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations

9759. ICU-to-Ward Transitions | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions3.html
      June 01, 2023 - patients transferred from the ICU to the general ward face numerous obstacles, placing them at significant risk … structure written or verbal handoffs in the transition from the ICU to the ward despite it being a high-risk … including: Structures to facilitate patient discharge, Education programs to train providers, Risk … performance at the time of transitions of care. 30 In conclusion, the ICU-to-ward transition is a high-risk

9760. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
      September 01, 2021 - Research Agenda Conclusions and Next Steps References Delays in recognition of risk … deaths related to maternal hemorrhage, recognition of hemorrhage could be improved through awareness of risk … how deficiencies in multiple dimensions of the diagnostic process can lead to the escalation of a low-risk … Inappropriate or inadequate treatment, and Inadequate documentation (poor charting or failure to chart) of risk