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psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
March 08, 2017 - Commentary
Just-in-time training for high-risk low-volume therapies: an approach … Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. … Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. … Related Resources
Patient Safety Innovations
Suicide … January 30, 2019
Selected medication safety risks that can easily fall off the radar
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psnet.ahrq.gov/issue/impact-reduction-working-hours-doctors-training-postgraduate-medical-education-and-patients
November 10, 2010 - August 4, 2021
Medication safety at the interface: evaluating risks associated with discharge … March 27, 2005
Risk of wrong-patient orders among multiple vs singleton births in the … February 2, 2022
Implications of the failure to identify high-risk electrocardiogram … September 9, 2015
Weekend hospitalization and additional risk of death: an analysis of … Use of administrative data to find substandard care: validation of the complications screening
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
September 28, 2016 - December 12, 2012
Is it possible to identify risks for injurious falls in hospitalized … July 6, 2022
Inappropriate hospital admission as a risk factor for the subsequent development … for analysis of health care risks and specific measures for improvement. … screening: a qualitative study. … June 29, 2022
What is the medication iatrogenic risk in elderly outpatients for chronic
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psnet.ahrq.gov/issue/assessing-impact-teaching-patient-safety-principles-medical-students-during-surgical
October 10, 2012 - March 26, 2008
International evaluation of an AI system for breast cancer screening. … January 9, 2013
Tackling ambulatory safety risks through patient engagement: what 10,000 … 2023
Are more experienced clinicians better able to tolerate uncertainty and manage risks … August 23, 2023
Effect of an emergency department process improvement package on suicide … WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks
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psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
October 19, 2022 - November 20, 2019
Patient perspectives on the use of artificial intelligence for skin … cancer screening: a qualitative study. … benefits and risks. … July 18, 2018
Physician engagement in malpractice risk reduction: a UPHS case study. … WebM&M Cases
Walking Out of a Hospital After Attempted Suicide
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psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
July 02, 2008 - Newspaper/Magazine Article
Benefits and risks of including patients on RCA teams. … November 18, 2020
Survey shows room for improvement with three new best practices for … January 27, 2021
Selected medication safety risks to manage in 2016 that might otherwise … December 14, 2022
Any new process poses a risk for errors: learning from 4 months of … October 5, 2022
Shared understanding of resilient practices in the context of inpatient suicide
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psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
July 08, 2020 - July 29, 2020
Patient-related factors associated with an increased risk of being a reported … December 9, 2020
Physician task load and the risk of burnout among US physicians in a … July 22, 2020
The emergency department trigger tool: a novel approach to screening for … A machine learning-based clinical decision support system to identify prescriptions with a high risk … July 8, 2020
Development and implementation of a suicide prevention checklist to create
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psnet.ahrq.gov/issue/why-need-reduce-medical-errors-not-obvious
January 23, 2019 - September 19, 2018
Report 6: Managing Risk and Minimising Mistakes in Services to Children … February 24, 2016
Managing risk at the point-of-care: preventing errors. … July 23, 2014
Risks are high at low-volume hospitals. … March 8, 2006
Insulin treatment as a tracer for identifying latent patient safety risks … Related Resources
Patient Safety Innovations
Suicide
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - high-risk conditions. … That's even without any of risks associated with the exposure to coronavirus. … inside them to reduce the use of personal protective equipment, a mobile triage unit to provide COVID-19 screenings … Prenatal care can be done digitally, which is something we’ve done for many years with high-risk pregnancy … WebM&M Cases
Walking Out of a Hospital After Attempted Suicide
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psnet.ahrq.gov/issue/patient-pharmacist-communication-during-post-discharge-pharmacist-home-visit
April 01, 2015 - November 6, 2019
Adverse drug events caused by three high-risk drug-drug interactions … January 3, 2007
Is it rational to pursue zero suicides among patients in health care? … January 4, 2006
Estimation of breast cancer overdiagnosis in a U.S. breast screening … February 22, 2006
High-risk medication in home care nursing: a Delphi study. … February 10, 2021
The risks of the prescribing cascade.
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psnet.ahrq.gov/issue/do-patients-disruptive-behaviours-influence-accuracy-doctors-diagnosis-randomised-experiment
October 06, 2010 - April 23, 2014
Risk factors for clinically relevant deviations in patients' medication … August 29, 2007
Comparison of potential risk factors for medication errors with and without … March 30, 2011
Validation of hospital administrative dataset for adverse event screening … March 8, 2017
Frequency of and risk factors for preventable medication-related hospital … Patient Safety 101
September 7, 2019
Strategies to identify patient risks
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
April 24, 2024 - 20 independent housing buildings, finding that only 47 percent of residents could pass a cognitive screening … Monthly team meetings focused on high-risk and nearing risk residents: The program team meets monthly … As the team members who often care for these high-risk residents, the visiting nurse and area agency … fell by 19 percentage points (46 at-risk residents the year before implementation, 34 a year later) … Related Resources
Patient Safety Innovations
Suicide
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - Risk mitigation measures, such as urine toxicology screening, patient contracts, and risk assessment … While there are no perfect risk assessment instruments, universal screening and triaging of chronic opioid … The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National … February 28, 2007
Measured response to identified suicide risk and violence: what you … April 25, 2018
Latent risk assessment tool for health care leaders.
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psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
November 16, 2016 - The patient gave verbal consent for this. … References
Related Resources From the Same Author(s)
Misdiagnoses: a hidden risk … February 28, 2007
Medical Liability: New Ideals for Making the System Work Better for … August 9, 2017
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and … 2023
WebM&M Cases
Challenging Case of Multiple Suicide
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psnet.ahrq.gov/issue/simple-strategies-avoid-medication-errors
June 08, 2016 - Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk … November 19, 2014
Quantifying and monitoring overdiagnosis in cancer screening: a systematic … Use of administrative data to find substandard care: validation of the complications screening … 2, 2011
Use of unsolicited patient observations to identify surgeons with increased risk … March 1, 2017
Primary care collaboration to improve diagnosis and screening for colorectal
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - A fear of infection has prevented patients from seeking routine medical care and screenings, 13 , 14 … missed due to the pandemic. 15 The pandemic has also been attributed to delays in preventive cancer screenings … Additionally, as providers are also at high risk for substance misuse/substance use disorders, resources … the prevalence of comorbid conditions, as well as behavioral health outcomes, such as overdose and suicide … The coronavirus and the risks to the elderly in long-term care.
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psnet.ahrq.gov/issue/two-words-can-soothe-patients-who-have-been-harmed-were-sorry
July 26, 2017 - June 29, 2011
Shifting the risks at night. … October 7, 2020
COVID Risk In Hospitals. … August 17, 2022
Skin cancer is a risk no matter the skin tone. … January 17, 2018
Artificial intelligence is rushing into patient care - and could raise risks … April 4, 2018
Broken, fragmented health-care system failed daughter who died by suicide
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psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
March 12, 2014 - Laboratory test ordering and results management systems: a qualitative study of safety risks … March 28, 2018
Root cause analyses of suicides of mental health clients. … April 10, 2013
Repeat prescribing of medications: a system-centred risk management model … November 29, 2017
Repeat prescribing of medications: a system-centred risk management … June 7, 2017
Primary care collaboration to improve diagnosis and screening for colorectal
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psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals
March 07, 2012 - November 12, 2014
Hospital discharge documentation and risk of rehospitalisation. … February 8, 2012
Emergency departments are higher-risk locations for wrong blood in tube … May 1, 2013
Improving adverse drug event detection in critically ill patients through screening … 2011
Are more experienced clinicians better able to tolerate uncertainty and manage risks … September 21, 2016
Estimating breast cancer overdiagnosis after screening mammography
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psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
October 01, 2014 - June 1, 2016
Digital health technology-specific risks for medical malpractice liability … December 15, 2021
Opioid prescribing after childbirth and risk for serious opioid-related … patients at high risk of medication errors. … screening: a qualitative study. … February 29, 2012
Latent risk assessment tool for health care leaders.