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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - The ‘Laboratory Risk Indicator for Necrotizing
Fasciitis’ (LRINEC) score is a risk stratification score … Identifying Risks to Patient Safety
In the presented case, there were undoubtedly multiple failures … overall have particularly high rates of burnout, and the EGS
population is likely at even greater risk … structure and working odd hours and more nights than
other surgeons.9,10 EGS surgeons also face the risk … The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis)
score: a tool for distinguishing necrotizing
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psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
August 15, 2017 - In the emergency department, the physician suspected a stroke given the patient's risk factors and the … this population was 0.5%, far lower than in patients with stroke.( 3 ) The primary reason for the low risk … care systems to favor expeditious treatment over a confirmatory diagnosis, citing the relatively low risk … It is reasonable to preliminarily suspect stroke in a patient with risk factors and an acute change in … resources, foster the unnecessary administration of medications, and, as in this case, expose patients to risks
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - Objectives
Discuss the importance of miscommunication in radiology as a contributor to medical malpractice
risk … eventually become significant after time
Incidental or unexpected findings
Findings with increased risk … The advent of direct release of reports to patients should also decrease the risk for communication errors … multiple systems-based changes, using both e-methods
and more traditional approaches, could decrease risks … The Malpractice Liability of Radiology Reports: Minimizing the risk.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hospital-length-of-stay-disposition-comments_0.pdf
September 20, 2021 - The findings that
high-risk and vulnerable populations are frequently excluded from
research studies … In addition, we state in the last bullet
point of the Key Messages section
that average-risk patients … These patients are typically at greater
risk for adverse events during and
after hospitalization. … Additionally, KIs had
first-hand experience of working with
high-risk and vulnerable populations
at … Additionally, KIs had
first-hand experience of working with
high-risk and vulnerable populations
at
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - Nonetheless, such treatments come at a significant risk of adverse effects. … However, debate remains about the intrinsic risk from corticosteroids alone, as opposed to the risk associated … Importantly, these risk factors are not unique to corticosteroids. … Infection risk and safety of corticosteroid use. Rheum Dis Clin N Am. 2016;42:157-176. … Identifying high-risk medication: a systematic literature review.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-surgical-report-cards.pdf
July 01, 2023 - The current ACS
NSQIP collects prospective, clinical data that provides risk-adjusted assessments of … We will not endorse any specific toolkit.
8
Risk of Bias (Quality) Assessment
For studies … of bias found
in randomized controlled trials (RCTs) or the ROBINS-I tool for assessing the Risk Of … The Cochrane Collaboration's tool for assessing
risk of bias in randomised trials. … ROBINS-I: a tool for assessing risk of bias in non-
randomised studies of interventions.
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - diabetes, having some or all versus no
diabetes medications reconciled was associated with a lower risk … Clinical decision support tools may
help identify at-risk patients and there is emerging evidence that … Geriatric patients with
multiple medical morbidities and high-risk medications, such as anticoagulants … At our institution, an EHR-based risk stratification tool is used to identify high-risk patients
on … Hypoglycemia among patients with
Type 2 diabetes: epidemiology, risk factors, and prevention strategies
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - issues, coupled with the
patient’s age and transfer to an unfamiliar location, placed him at high risk … and maintenance can be an unpleasant experience for
patients, resulting in increased agitation and risk … as they may help to prevent removal of
equipment or falls, but they are associated with increased risk … prevent the transmission of infectious
agents, but their use has been associated with an increased risk … However,
this procedure – blind insertion of an NGT – is not free of risk.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - She was deemed high-risk for COVID-19, but a second test was also negative. … First, the patient’s age and co-morbid conditions put her at high risk for infectious complications. … available, her mobility and peripheral sensation were reduced by her multiple sclerosis, while the risk … She was at risk for skin breakdown and pulmonary atelectasis secondary to her immobility. … High-risk patients or, arguably, any patient sick enough to be admitted to a hospital, warrant complete
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - How will you know the risk is reduced? … Describe how you will know if you have reduced the risk of a defect repeating. … How will you know the risk is reduced? … How will you know the risk is reduced? … How will you know the risk is reduced?
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
April 01, 2017 - What can we do to reduce the risk of it happening again? … How will we know risk is reduced?
Were the above action plans effectively carried out?
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn19.pdf
June 21, 2014 - Your Hospital gains
Comparative Analysis
Compare your risk-adjusted
outcomes to other hospitals … Decompensated
Heart Failure (ADHF)
Framework for other priority
initiatives such as: pay for
performance, risk-adjusted
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psnet.ahrq.gov/node/47863/psn-pdf
May 22, 2019 - dangers-ignoring-beers-criteria-prescribing-cascade
https://psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/node/36900/psn-pdf
April 18, 2011 - consequences-running-more-operating-theatres-anaesthetists-staff-them-
stochastic-simulation
This study used a mathematical simulation model to estimate the risk … The risk of system failure was
significantly higher when one anesthesiologist was required to cover
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psnet.ahrq.gov/node/41606/psn-pdf
February 01, 2019 - https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals
Opioid pain medications are considered high-risk … psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/web-mm/miscalculated-risk
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-cds-connect/citation/risk
January 01, 2023 - Implementation guide: longitudinal ASCVD risk assessment tool for shared decision making. … Implementation guide: longitudinal ASCVD risk assessment tool for shared decision making.
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digital.ahrq.gov/principal-investigator/mahler-simon
January 01, 2023 - Mahler, Simon A
Risk of delayed percutaneous coronary intervention for … Risk of delayed percutaneous coronary intervention for STEMI in the Southeast United States. medRxiv
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/sDqbgrKcUkE2J9uCJnH_q7
September 01, 2023 - While it is known that risk continues into the immediate postpartum period, there is little evidence … and infant morbidity and perinatal mortality than other racial and ethnic groups and are at greater risk … low-dose aspirin (81 mg/d) as preventive medication after 12 weeks of
gestation in persons at high risk
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digital.ahrq.gov/2020-year-review/research-summary/it-is-not-just-sci-fi-using-artificial-intelligence-identify-kidney-disease
January 01, 2020 - They are developing an EHR-based algorithm to estimate AKI risk and flag patients at high risk for AKI … can leverage the information that we've gained over time, to identify patients who are at really high risk
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psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
June 12, 2013 - analysis was informed by not only medical evidence but also the expertise and experience of other high-risk … August 24, 2016
Report 6: Managing Risk and Minimising Mistakes in Services to Children … September 1, 2011
Report 6: Managing Risk and Minimising Mistakes in Services to Children