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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
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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
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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.
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www.uspreventiveservicestaskforce.org/uspstf/document/modeling-study/breast-cancer-screening
April 30, 2024 - More intensive screening for women with greater risk of breast cancer diagnosis or death can maintain … recommendations for discussion between patients and their primary care clinicians about individual risks … Analyses were repeated for Black women and for strata according to density category, elevated relative … risk of breast cancer, or comorbidity level. … risk, with the same 3 screening strategies efficient for both elevated risk levels as for dense breasts
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psnet.ahrq.gov/node/867528/psn-pdf
January 15, 2025 - developing-and-evaluating-large-language-model-generated-emergency-
medicine-handoff-notes
Suboptimal handoffs are associated with increased risk … None of the LLM-generated handoff notes were considered a
critical patient safety risk.
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psnet.ahrq.gov/node/50676/psn-pdf
November 20, 2019 - J Patient Saf Risk Manag. 2019;25(1):22-28. doi:10.1177/2516043519882517. … significant psychological impacts on the providers involved and involvement in
medical errors can increase risk
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psnet.ahrq.gov/node/46115/psn-pdf
May 17, 2017 - association-between-concurrent-use-prescription-opioids-and-
benzodiazepines-and-overdose
Concurrent use of opioids and benzodiazepines increases risk … This retrospective
analysis of medical claims found that the risk of emergency department visit was
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psnet.ahrq.gov/node/47148/psn-pdf
June 25, 2018 - psnet.ahrq.gov/issue/electronic-surveillance-and-pharmacist-intervention-vulnerable-older-inpatients-high-risk … psnet.ahrq.gov/issue/electronic-surveillance-and-pharmacist-intervention-vulnerable-older-inpatients-high-risk
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psnet.ahrq.gov/node/850909/psn-pdf
June 21, 2023 - Context (e.g., patient characteristics, setting) can influence clinical reasoning and increase the risk … individual-, team-, and system-level contextual
factors impact reasoning, clinician performance and risk
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psnet.ahrq.gov/node/74211/psn-pdf
December 22, 2021 - Institute for Safe Medication Practices’ (ISMP) ‘Do Not
Crush List’ and found that many presented no risk … or low risk for crushing.
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psnet.ahrq.gov/node/61100/psn-pdf
November 04, 2020 - patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-
based-education
Insulin is a high-risk … common diabetes-related medication errors in primary care, identifying patients who may be at high risk
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psnet.ahrq.gov/node/73505/psn-pdf
July 21, 2021 - Patients in nursing homes are at increased risk for medication discrepancies due to complexity of care … medication-reconciliation
https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
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psnet.ahrq.gov/node/72590/psn-pdf
December 23, 2020 - effects-night-surgery-postoperative-mortality-and-morbidity-multicentre-cohort-
study
Prior research suggests that patients undergoing surgery at night are at greater risk … patients undergoing non-
cardiac surgery found that night surgery was associated with an increased risk
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psnet.ahrq.gov/node/73366/psn-pdf
June 09, 2021 - medicine-self-administration-errors-older-adult-population-systematic-review
Older adults are at increased risk … Additional research is needed into how community pharmacists can assist older
adults at risk of MSE.
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psnet.ahrq.gov/node/845302/psn-pdf
March 01, 2023 - reducing-preventable-adverse-events-obstetrics-improving-interprofessional-
communication
Safe obstetrical care can be compromised by a variety of controllable risk … psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
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psnet.ahrq.gov/node/46575/psn-pdf
December 13, 2017 - on reducing inappropriate polypharmacy in aged care facilities and the cost-
effectiveness of this risk … interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults
https://psnet.ahrq.gov/issue/polypharmacy
https://psnet.ahrq.gov/issue/underlying-risk-factors-prescribing-errors-long-term-aged-care-qualitative-study
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psnet.ahrq.gov/node/47495/psn-pdf
October 31, 2018 - developing-and-evaluating-clinical-leadership-interventions-frontline-healthcare-providers
https://psnet.ahrq.gov/issue/reducing-risk-maternity-optimising-teamwork-and-leadership-evidence-based-approach-save … https://psnet.ahrq.gov/primer/teamwork-training
https://psnet.ahrq.gov/issue/reducing-risk-maternity-optimising-teamwork-and-leadership-evidence-based-approach-save
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psnet.ahrq.gov/node/45698/psn-pdf
January 11, 2017 - of a mobile health application for patient safety managers to enable activities such as tracking
of risk … digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety
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psnet.ahrq.gov/node/865679/psn-pdf
October 10, 2015 - The study found that RNs were more likely to detect medication discrepancies in orders for
high-risk … such as metformin); no significant differences were detected between RNs and
LPNs with regard to low-risk
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psnet.ahrq.gov/node/50536/psn-pdf
October 16, 2019 - examined the impact of post-fall huddles on inpatient fall rates and found that huddles
may reduce the risk … of repeat falls and improve perceived safety culture around fall risk reduction.