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psnet.ahrq.gov/node/44968/psn-pdf
January 23, 2017 - The authors suggest that further research is needed to
enhance accuracy of risk-adjusted mortality and … medicares-policy-not-pay-treating-hospital-acquired-conditions-impact
https://psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
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psnet.ahrq.gov/node/45166/psn-pdf
May 25, 2016 - Inappropriate antibiotic prescribing increases the risk of antibiotic-resistant infections and is a recognized … patient safety risk.
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psnet.ahrq.gov/node/41155/psn-pdf
March 06, 2012 - medications
Elderly patients with dementia who were prescribed more than five medications were at greater risk … medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/node/50424/psn-pdf
September 04, 2019 - psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety
The perioperative setting is a high-risk … This article discusses strategies to reduce risk of perioperative error, such as
standardization and
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psnet.ahrq.gov/node/45341/psn-pdf
July 27, 2016 - outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death
https://psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized … https://psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
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psnet.ahrq.gov/node/836992/psn-pdf
April 27, 2022 - cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https://psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows … https://psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use
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psnet.ahrq.gov/node/848092/psn-pdf
April 26, 2023 - concerns about abdominal
pain during her pregnancy were not thoroughly evaluated; clinicians also missed risk … factors placing her at
risk of spontaneous preterm birth.
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psnet.ahrq.gov/node/837070/psn-pdf
May 11, 2022 - J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503. … The
author suggests strategies to identify patients at high risk for falls, improve fall-related training
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psnet.ahrq.gov/node/838644/psn-pdf
October 19, 2022 - mistake with hypertension and antiplatelet medications that
could result in dose omissions or bleeding risk … more-can-be-done-alleviate-errors-associated-pharmaceutical-product-labeling-and-packaging
https://psnet.ahrq.gov/web-mm/bleeding-risk
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psnet.ahrq.gov/node/37859/psn-pdf
June 25, 2008 - patient safety from information
sources within an acute hospital: a step on the ladder of
integrated risk … patient safety from information sources within
an acute hospital: a step on the ladder of integrated risk
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psnet.ahrq.gov/node/60233/psn-pdf
April 15, 2020 - identifying-safety-hazards-associated-intravenous-vancomycin-through-
analysis-patient-safety
Intravenous vancomycin is an antibiotic with known medication safety risk … organizational knowledge, medication
administration activities and health information technology as a risk
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psnet.ahrq.gov/node/837694/psn-pdf
July 20, 2022 - root cause analysis and action: integrating
human factors to create strong interventions and reduce
risk … root cause analysis and action: integrating human factors to
create strong interventions and reduce risk
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-rapid-review-appendix-c.xlsx
January 01, 2018 - J Patient Saf Risk Manage. 2018;23(1):13-8.
Mello, 2014 Mello MM, Senecal SK, Kuznetsov Y, et al. … Lambert, 2016 2000 to 2013 US Interrupted time series Administrative, safety, and risk management data … NA NA Experienced risk managers with clinical backgrounds to lead investigations and care quality is … Risk manager initiates support services to patient/family Risk manager initiates support services to … Risk managers record data on each case in real time using a custom-built, online platform.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoporosis-vibration-therapy_technical-brief.pdf
January 01, 2020 - alternative osteoporosis prevention interventions that may have higher adherence rates and lower
risks … Additionally, there is no clear evidence for individuals with different
risks for osteoporosis or severity … number of participants, studies should focus on benefits and harms for
individuals with different risks … Subgroups with differing risks for osteoporotic fracture, severity of osteoporosis,
and contraindications … Bisphosphonates and risk of atrial
fibrillation: a meta-analysis.
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psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care-unit
January 27, 2012 - View More
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psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
December 02, 2015 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … February 14, 2024
Adverse drug events caused by three high-risk drug-drug interactions … More
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psnet.ahrq.gov/issue/surgeon-age-and-operative-mortality-united-states
August 02, 2015 - The investigators analyzed the relationship between surgeon age and operative risk and conclude that, … in general, surgeon age was not an important risk factor for patient mortality. … 2008
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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - March 6, 2005
The physiology of failure: identifying risk factors for mortality in emergency … "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk … April 19, 2011
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psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
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psnet.ahrq.gov/issue/underdiagnosis-hypertension-children-and-adolescents
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