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effectivehealthcare.ahrq.gov/products/cultural-competence/research-protocol
July 08, 2014 - All studies identified as relevant by either investigator will undergo full-text screening. … For RCTs, questionnaires developed from the Cochrane Risk of Bias tool will be used. … 5.1.0. 7
We developed an instrument for assessing risk of bias for observational studies based on the … Two investigators will independently assess risk of bias for all included studies. … size, we will only assess strength of evidence for studies of low risk of bias.
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psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
May 16, 2012 - October 26, 2022
Analysis of reported suicide safety events among veterans who received … January 31, 2018
Operating at night does not increase the risk of intraoperative adverse … January 24, 2018
Risks in the analogue and digitally-supported medication process and … March 17, 2021
Risk factors associated with medication ordering errors. … February 13, 2019
Selected medication safety risks that can easily fall off the radar
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psnet.ahrq.gov/issue/baccalaureate-nursing-students-accounts-medical-mistakes-occurring-clinical-setting
July 14, 2010 - cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide … November 30, 2022
Adverse drug events caused by three high-risk drug-drug interactions … April 12, 2006
Defensive medicine among high-risk specialist physicians in a volatile … December 2, 2015
Effect of a postdischarge virtual ward on readmission or death for high-risk … July 8, 2015
Operating room to intensive care unit handoffs and the risks of patient
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psnet.ahrq.gov/issue/higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools
July 21, 2010 - October 17, 2018
Centers for Disease Control and Prevention Guideline for the Prevention … November 8, 2023
Adverse drug events caused by three high-risk drug-drug interactions … for postoperative complications. … April 6, 2022
Analysis of suicides reported as adverse events in psychiatry resulted … January 16, 2019
Selected medication safety risks that can easily fall off the radar
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psnet.ahrq.gov/issue/burnout-pediatric-residents-three-years-national-survey
November 16, 2022 - The survey found that risk of burnout was associated with reported stress, sleepiness, dissatisfaction … January 22, 2014
Risk factors for adverse events in emergency department procedural sedation … March 27, 2005
Direct observation of depression screening: identifying diagnostic error … April 25, 2018
Risk of wrong-patient orders among multiple vs singleton births in the … November 9, 2022
Ethical leadership supports safety voice by increasing risk perception
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psnet.ahrq.gov/issue/drug-related-hospitalizations-tertiary-care-internal-medicine-service-canadian-hospital
June 18, 2008 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … January 12, 2022
Adverse drug events caused by three high-risk drug-drug interactions … December 16, 2020
Risk of wrong-patient orders among multiple vs singleton births in … March 3, 2010
A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals … February 23, 2011
Dementia and risk of adverse warfarin-related events in the nursing
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-f.html
September 01, 2017 - screening, patient assessment, care planning, patient teaching, support of patient mobility in the hospital … Identified as a significant risk for falls.
Restraints.
Elopement risk. … Moderate to high risk for suicide. … once risk assessment has identified patient risk factors, care planning matches the identified risks. … plan addresses these risks.
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar03/logicmodelsl.html
July 01, 2013 - Available for download from pcmh.ahrq.gov. … Examples of logic models for the medical home. … Prevention and Early Intervention (e.g. stigma, suicide). … The Full Services Partnership addresses needs and risks. … Slide 32 Thank You for Attending!
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psnet.ahrq.gov/issue/how-would-final-year-medical-students-perform-if-their-skill-based-prescription-assessment
October 18, 2023 - March 2, 2011
Risk factors for clinically relevant deviations in patients' medication … Medication reconciliation performed by pharmacy technicians at the time of preoperative screening … March 10, 2021
Language barriers and patient safety risks in hospital care. … December 7, 2022
Adverse drug events caused by three high-risk drug-drug interactions … August 26, 2020
High-risk medication in home care nursing: a Delphi study.
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digital.ahrq.gov/sites/default/files/docs/20081118%20%20Using%20CDS%20to%20make%20Informed%20Pt%20Care%20Decisions_revised_cmc.pdf
January 01, 2010 - You notice, for example, the
mammogram screening health maintenance reminder- it shows you when the … their lipid screening test. … We can also show the results of the last
screening test for the use of the physician at the point of … These red alerts here include things like for this patient with diabetes is overdue for the foot
screening … For example, with
respect to diabetes, LDL, screening for cardiovascular disease and diabetes.
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
April 24, 2024 - which can delay diagnosis and treatment. 10 A study in Michigan found that patients at the greatest risk … . 1
Innovation Patient Safety Focus
The lack of necessary clinical follow-up after a key cancer screening … Without input from a primary care provider, they did not know other patient risk factors. … Without knowing all the risk factors, the team could not determine clinical necessity for follow-up testing … Related Resources
Patient Safety Innovations
Suicide
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-chronic-conditions-interventions_executive.pdf
August 01, 2012 - For most dichotomous outcomes,
we reported risk differences. … 1 study reported 1 suicide in the usual care group. … Its investigators had a goal not just of reducing
depression, but also controlling risk factors for … For example, investigators could
usefully explore whether effectively improving vascular
risk factors … Instead of the current
reductionist approach of screening for one mental health
condition at a time
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psnet.ahrq.gov/issue/ahrq-health-services-research-projects-making-health-care-safer-ambulatory-care-settings-and
October 10, 2021 - September 6, 2006
Request for comments on the proposed measures and 2020 targets for … root cause analysis and action: integrating human factors to create strong interventions and reduce risk … January 30, 2008
Safety considerations to mitigate the risks of misconnections with small-bore … , 2015
AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks … January 27, 2016
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach
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psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
August 01, 2018 - The authors provide a vision for the next five years with expectations for rapid change in adoption of … May 14, 2014
Journey to no preventable risk: The Baylor Health Care System patient safety … September 3, 2008
Suicide in the medical setting. … January 9, 2019
Selected medication safety risks that can easily fall off the radar screen—part … July 18, 2018
Latent risk assessment tool for health care leaders.
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psnet.ahrq.gov/web-mm/poor-prognosis
October 01, 2012 - Cancer screening in elderly patients: a framework for individualized decision making. … Study to understand prognoses and preferences for outcomes and risks of treatments. … December 16, 2015
Patient Safety in Private Hospitals: the Known and the Unknown Risk … Suicide Risk Assessment in Emergency and Primary Care Settings
January 7, 2022 … July 28, 2021
The risks of the prescribing cascade.
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effectivehealthcare.ahrq.gov/products/ptsd-adult-treatment/research-protocol
December 20, 2011 - women and 1.8 percent in men).4 Military personnel are at elevated risk for exposure to trauma and, … risk factor for crime, poor work performance and associated job losses, and familial discord. … the risk of bias being too high to provide valid and reliable evidence for the other KQs.‡
Case … risk of selection bias and confounding. … The psychological risks of Vietnam for U.S. veterans: a revisit with new data and methods.
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - Observations on RISKS and Risks. Communications of the ACM. 1997;40:22. … Pain pump study says patients at death risk. The Medical Post Web site. April 8, 2003. … 2008
WebM&M Cases
Direct Oral Anticoagulants are High-Risk … August 9, 2017
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and … July 31, 2019
End-to-end lung cancer screening with three-dimensional deep learning on
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - Institutional policies usually follow a logic of risk mitigation, and thus they can support clinical … The complexity of health care can be a source of risk or harm to patients in other ways as well. … Danger
May 1, 2005
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening … May 27, 2009
Patient Safety Innovations
Suicide Prevention … WebM&M Cases
Walking Out of a Hospital After Attempted Suicide
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psnet.ahrq.gov/issue/does-patients-payer-matter-hospital-patient-safety-study-urban-hospitals
November 05, 2008 - April 6, 2016
Unexpectedly long hospital stays as an indicator of risk of unsafe care … October 6, 2010
A checklist to identify inpatient suicide hazards in Veterans Affairs … January 27, 2021
Risk-adjusted cumulative sum for early detection of hospitals with excess … January 11, 2006
Listen carefully: the risk of error in spoken medication orders. … March 1, 2023
Targeting zero harm: a stretch goal that risks breaking the spring.
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psnet.ahrq.gov/issue/house-staff-team-workload-and-organization-effects-patient-outcomes-academic-general-internal
October 28, 2009 - February 17, 2010
Outpatient adverse drug events identified by screening electronic health … February 10, 2021
System factors affecting intraoperative risk and resilience: applying … December 5, 2018
Safety work and risk management as burdens of treatment in primary care … June 6, 2018
A framework for operationalizing risk: a practical approach to patient safety … February 21, 2018
Risk-adjusted survival for adults following in-hospital cardiac arrest