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Showing results for "risks".

9881. Workplace Safety in Health Care | PSNet
      psnet.ahrq.gov/perspective/workplace-safety-health-care
      January 01, 2017 - Download Citation Perspective The patient safety movement has highlighted the risks … But, importantly, workers face risks as well.( 1,2 ) Although debate continues regarding whether worker … we were really at the top of our game in health care, we would say to people "Do not put yourself at risk … And so I said to him, "That means 22% of the time people are at risk." Is that okay? … June 11, 2014 Miscount incidents: a novel approach to exploring risk factors for unintentionally

9882. In Conversation With… Mark Graban, MS, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
      January 01, 2015 - 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. … 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

9883. Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
      January 01, 2025 - is underutilized in patients with a physician diagnosis of COPD and/or asthma, leading to increased risk … misdiagnosed with asthma and/or COPD receive unnecessary respiratory pharmacotherapy, which can pose serious risks … pneumonia, cardiovascular events, and mortality.33-53 In the setting of DE, these are considered avoidable risks … MD MPH, Characteristics of patients at high risk of diagnostic error for COPD and/or asthma from an … A mixed methods study to compare models of spirometry delivery in primary care for patients at risk

9884. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/034-importance-mrsa-prevention-slides.pptx
      October 01, 2024 - Increases the risk of HAIs, including CLABSI, VAP, and SSIs. … Medical devices and procedures can increase the risk of MRSA infection. … is common in healthcare settings, affecting around 7 percent of patients upon hospital admission.9 Risk … Risk factors for developing clinical infection with methicillin-resistant Staphylococcus aureus (MRSA … Risk factors for nosocomial bacteremia due to methicillin-resistant Staphylococcus aureus.

9885. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
      August 01, 2022 - sound standardized recommended process.” 2 A review of medical records, focus groups with families and risk … This planning grant demonstrated that risk might be minimized with solutions that integrate medication … risk management efforts into transitional care models. … continuity of care; and the top three clinical factors were delay or lack of diagnosis or treatment, risk … favorably, with 100 percent of respondents reporting being “very satisfied” or “satisfied” with the risk

9886. Failure to Rescue | PSNet
      psnet.ahrq.gov/primer/failure-rescue
      September 15, 2024 - 11,12 These studies and others have highlighted the importance of carefully selecting appropriate risk … In most cases, socioeconomic factors are omitted from these risk adjustment models to better highlight … quality hospitals are better able to prevent death after complications, even when they serve higher risk … surgery (e.g., trauma or burn surgery, organ transplants, intracranial hemorrhage) and very low-risk … This new measure, retitled as “Thirty-day Risk-Standardized Death Rate among Surgical Inpatients with

9887. Archived: Evidence Summary: Speech and Language Delay and Disorders in Children Age 5 and Younger: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary30/speech-and-language-delay-and-disorders-in-children-age-5-and-younger-screening-july-2015
      July 07, 2015 - risk factors exist that clinicians could use to identify children at highest risk for speech and language … Furthermore, they need to be implemented with little risk of bias. … Risk factors for speech delay of unknown origin in 3-year-old children. … Risk factors for speech disorders in children. … Developmental delay in moderately preterm-born children with low socioeconomic status: risks multiply

9888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60790/psn-pdf
      February 23, 2022 - Some dental procedures may lead to aerosol generation, further increasing transmission risk to dental … assessments in order to reduce risk,19 and with applying Standard Precautions for minimizing spread … Risk Anal. 2020;40(5):902-907. … J Patient Saf and Risk Manag. 2020;25(2):49-54. [Free full text] 67. … J Patient Saf Risk Manag. 2020;25(2):49-54. [Free full text] 70.

9889. Module 5: Situation Monitoring
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
      January 10, 2022 - Cross-Monitoring Cross-monitoring is a process of ongoing monitoring of the care environment to recognize risks … and advocating or asserting a position or corrective action when the plan and actions differ or when risk … cross-monitoring should have been used but was not.] 8 Slide A process of ongoing monitoring to recognize risk

9890. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
      January 10, 2022 - Slide 8 Cross-Monitoring A process of ongoing monitoring to recognize risk or unfolding error … Cross‐monitoring  is  a  process  of  ongoing  monitoring  of  the  care  environment  to   recognize  risks …  asserting  a  position  or  corrective  action  when  the  plan  and   actions  differ  or  when  risk

9891. Rapidresponse Facguide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
      May 01, 2017 - manage a maternity patient who has deteriorated physiologically; and be able to intervene to minimize risk … Discovery Form Root Cause Analysis Eindhoven Model Failure Mode and Effects Analysis Probabilistic Risk … of transition communication techniques to ensure a shared mental model of plan of care and perceived risks

9892. One Dose, Fifty Pills | PSNet
      psnet.ahrq.gov/web-mm/one-dose-fifty-pills
      January 13, 2021 - Despite this seeming risk, comparative studies actually report better quality of care for most conditions … demonstrates that residents often have gaps in knowledge and experience that may place patients at risk … WebM&M Cases Wandering Off the Floors: Safety and Security Risks

9893. Pharmacotherapy for Adults With Alcohol-Use Disorders in Outpatient Settings: Systematic Review Update (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/alcohol-pharma-final-protocol.pdf
      January 01, 2023 - for whom acamprosate and oral naltrexone are not suitable or prefer disulfiram and understand the relative … risks of taking the drug; and (3) to have specialist and competent staff administer pharmacological … Assessment of Methodological Risk of Bias of Individual Studies—To assess the risk of bias (i.e., internal … A study assessed as high risk of bias has significant risk of bias (e.g., stemming from serious issues … For binary outcomes (e.g., adverse events), we will calculate risk differences between groups or risk

9894. C97Uqjxbuhjnuondkvchzu (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/c97uqjXbUHjNuoNDkvChZu
      August 01, 2013 - excessive drinking and delivering a brief intervention, which provides personalized feedback about the risks … vehicle crash resulting in injury or death increased sharply after attainment of a BAC of about 0.08% (relative … risk ranged from about 2 to 4 at a BAC of 0.08% compared with a BAC of 0.00%, with sharper increases … A meta-analysis of alcohol consumption and the risk of 15 diseases. Prev Med. 2004;38:613-9. … Brief physician advice for high- risk drinking among young adults. Ann Fam Med. 2004;2:474-80.

9895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866370/psn-pdf
      July 31, 2024 - Objectives At the conclusion of this educational activity, participants should be able to: Describe the risk … Patients with a previous history of awareness during general anesthesia are also at increased risk. … Intravenous anesthesia comes with the inherent risks of disconnection at a Luer lock, tissue infiltration … prevent bolus administration when giving other fluids through the same line, and to eliminate the risk … The risk of awareness is reduced with benzodiazepines.

9896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45453/psn-pdf
      November 02, 2016 - creating-highly-reliable-health-care-how-reliability-enhancing-work-practices- affect-patient High reliability organizations are those within high-risk … creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient https://psnet.ahrq.gov/primer/high-reliability https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations

9897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47953/psn-pdf
      January 01, 2021 - impact-medication-reviews-delivered-community-pharmacist-elderly-patients- polypharmacy-meta Polypharmacy among older patients can increase the risk … medication reviews performed by community pharmacists among older patients with polypharmacy reduced the risk

9898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45783/psn-pdf
      March 25, 2017 - year-end-resident-clinic-handoffs-narrative-review-and-recommendations- improvement Year-end handoffs in residency training settings are a known patient safety risk … enhance the safety of year-end transitions, including standardizing written and verbal signout for high-risk

9899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46970/psn-pdf
      June 27, 2018 - using-drug-knowledgebase-information-distinguish-between-look-alike-sound- alike-drugs Look-alike, sound-alike drugs are a known safety risk … with prior research, this study suggests that drug indication data may be helpful in reducing the risk

9900. Version-3-Immunity-After-Covid-19-Appendix-Table-B-1 (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/version-3-immunity-after-COVID-19-appendix-table-B-1.xlsx
      January 24, 2022 - and healthcare workers with clinical or radiological suspicion of infection, cancer patients at high risk … of SARS-CoV-2 reinfection and an 87% lower risk of hospitalization compared to no immunity for up to … diagnoses at baseline (yes or no; reported as adjusted [a]HR) Nyberg 2022 Comparative analysis of the risks … doi.org/10.1016/S0140-6736(22)00462-7 Characterise omicron severity relative to delta by assessing the relative … risk of hospital attendance, hospital admission, or death in a large national cohort.