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digital.ahrq.gov/2018-year-review/research-summary/supports-clinicians-work
January 01, 2018 - Scott Ryan Levin tested E-triage, a machine-learning algorithm, to predict the risk of adverse outcomes … E-triage improved identification of low-risk patients, allowing providers to focus their time and attention … on patients with greater risk.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Perinatal_Dashboard_Data_2025.xlsx
January 01, 2025 - aggregated data in this worksheet may include reports that were not included on the dashboard to avoid risk … aggregated data in this worksheet may include reports that were not included on the dashboard to avoid risk
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psnet.ahrq.gov/node/49840/psn-pdf
September 01, 2018 - 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 … 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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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024090-turchin-final-report-2019.pdf
January 01, 2019 - Logic in conjunction
with natural language processing can achieve higher prediction accuracy for the risk … Most commonly used techniques to assess a patient's mortality risk draw primarily on
administrative … Variable Definitions
As the risk of death for a given patient may change over their lifetime as their … Specifically, we evaluated the risk of death once a year, on January 1st. … Benchmark Methods
We utilized several benchmark methods analytical for prediction of risk of death.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/chronic-obstructive-pulmonary-disease-copd-screening-2008
March 15, 2008 - Risk Assessment
Risk factors for COPD include:
Current or past tobacco use. … defined as an FEV 1 -FVC ratio less than 0.70 with less than 12% reversibility, in association with risk … system) associated with screening for COPD using spirometry are large even in populations at higher risk … Risk factors for COPD include current or past tobacco use, exposure to occupational and environmental … Risk of over-diagnosis of COPD in asymptomatic elderly never-smokers.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/fNXdu3HGvWE-ovsuhNeANW
April 01, 2012 - For women classified as elevated risk (i.e., algorithm risk ≥1 in 5 after initial screening or
followup … the over 6,500 women who underwent the first screening
were initially categorized as intermediate risk … these women underwent up
to five additional followup blood tests before being returned to the low risk … There are two ongoing large trials that involve screening for ovarian cancer in average-risk
women: … Prospective study using the risk of ovarian cancer
algorithm to screen for ovarian cancer.
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - position allows gravity to lower any overlying bowel; some clinicians use this technique to further reduce risk … Four insertion techniques reduce the risk of PEG insertion. … Risk factors and complications following percutaneous endoscopic gastrostomy: a case series of 1041 patient … to Sepsis
October 1, 2016
WebM&M Cases
The Risks
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - transfer error.(3) Handoffs in surgical care often involve equipment transfers, which may
carry higher risk … remain undetected
for significant periods of time—as illustrated by this case—further compounds this risk … substantial part of human work involves making tradeoffs, for example, between safety and
efficiency or risk … FMEA) of
process
Safety checks built into
process
Prediction of future patient
needs and likely risks
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
July 01, 2023 - Probabilistic risk assessment.
Causal tree worksheet. … In the context of shoulder dystocia, this includes risk awareness for all patients, timely recognition … of transition communication techniques assures a shared mental model of plan of care and perceived risks … This procedure is considered a heroic measure due to the significant risk of brachial plexus injury associated
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-aug2025.pdf
September 01, 2025 - shared his personal experience with ambient scribes in the clinical setting, including the benefits,
risks … Risk Management and Patient Safety Resources
• On behalf of the Health Resources and Services Administration … (HRSA), ECRI is providing FREE Risk Management and Patient Safety
Resources, including email newsletters … Each edition includes hot
topics from clinical risk management and healthcare news and is
provided
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - "there are legitimate concerns that the widescale use of such an algorithm, particularly in the low-risk … In this way, health care mirrors the experience of other high-risk technological systems, such as self-driving … Trends in Machine Learning Research and Associated Short-, Medium-, and Long-Term Safety Risks.( 5 ) … Implementation of a discharge education program to improve transitions of care for patients at high risk
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effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
June 01, 2013 - “Overall, patients in the intervention group were less likely to attend an emergency department
(relative … intervention group
3
were more likely to report being highly satisfied with their healthcare episode (relative … risk 1.16,
1.09 to 1.23). … physical layout designed to maximize use of
available resources.51 However, this design poses many risks … Also, staff would need training on ways to engage
effectively with seniors to assess their needs and risks
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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
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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
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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
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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
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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?
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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
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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.
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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