-
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.
-
psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - You need that person out in the community doing that education, doing the home screening, reinforcing … We know we can’t use opioids for chronic pain without the risk of creating addiction and overdose, so … These solutions may include initial screenings for symptoms of chronic health conditions, such as high … Related Resources
Patient Safety Innovations
Suicide … Hospital Readmissions and Improve Health Outcomes
March 29, 2023
Reducing risks
-
psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
March 22, 2023 - March 22, 2023
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical … August 17, 2022
Skin cancer is a risk no matter the skin tone. … October 19, 2022
Multilevel factors associated with time to biopsy after abnormal screening … October 10, 2021
Promoting Patient Safety Through Effective Health Information Technology Risk … 2023
A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk
-
psnet.ahrq.gov/issue/hospital-costs-associated-adverse-events-gynecological-oncology
March 09, 2022 - August 29, 2007
Adverse drug events caused by three high-risk drug-drug interactions … August 11, 2021
Primary care collaboration to improve diagnosis and screening for colorectal … 30, 2016
Use of unsolicited patient observations to identify surgeons with increased risk … March 15, 2017
Potentially inappropriate medication use is associated with increased risk … May 3, 2017
Risk factors for adverse events in emergency department procedural sedation
-
psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020
March 25, 2020 - September 23, 2020
Retrospective analysis of reported suicide deaths and attempts on … December 2, 2020
Physician task load and the risk of burnout among US physicians in a … February 22, 2023
Expanding frontiers of risk management: care safety in nursing home … September 16, 2020
The risks of the prescribing cascade. … August 31, 2022
Risk reduction strategy to decrease incidence of retained surgical items
-
psnet.ahrq.gov/issue/ethics-empowering-patients-partners-healthcare-associated-infection-prevention
April 29, 2015 - This commentary recommends providing patients with information about infection risks and hospital policies … October 21, 2020
Accuracy of interpretation of preparticipation screening electrocardiograms … July 21, 2021
Association of opioid consumption profiles after hospitalization with risk … high-risk patients: a randomized clinical trial. … Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks
-
psnet.ahrq.gov/issue/management-changing-errors-recall-radiologic-results-pilot-study
March 27, 2005 - effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … February 14, 2024
Adverse drug events caused by three high-risk drug-drug interactions … Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted … 2005
Prevalence of medication transfer errors in nephrology patients and potential risk … July 17, 2019
End-to-end lung cancer screening with three-dimensional deep learning on
-
psnet.ahrq.gov/issue/nurses-medication-day
October 21, 2009 - December 16, 2009
Conducting an efficient proactive risk assessment prior to CPOE implementation … July 26, 2023
Effect of an emergency department process improvement package on suicide … August 16, 2023
Risk reduction strategy to decrease incidence of retained surgical items … October 2, 2013
It's always something: hospital nurses managing risk. … January 17, 2018
Randomized trial of reducing ambulatory malpractice and safety risk:
-
psnet.ahrq.gov/issue/s-teams-truly-multiprofessional-course-focusing-nontechnical-skills-improve-patient-safety
November 25, 2015 - January 13, 2021
Detecting and assessing suicide ideation during the COVID-19 pandemic … patients at risk of medicine-related harm: a qualitative evaluation. … December 9, 2009
Interruptions during the delivery of high-risk medications. … May 16, 2007
Transparent and open discussion of errors does not increase malpractice risk … root cause analysis and action: integrating human factors to create strong interventions and reduce risk
-
psnet.ahrq.gov/issue/studying-technical-work-emergency-care
August 09, 2006 - October 24, 2012
Probabilistic risk assessment of accidental ABO-incompatible thoracic … 2008
In situ simulation: detection of safety threats and teamwork training in a high risk … December 16, 2020
Do written disclosures of serious events increase risk of malpractice … Related Resources
Patient Safety Innovations
Suicide … April 7, 2021
Delayed flow is a risk to patient safety: a mixed method analysis of emergency
-
psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
March 03, 2017 - February 18, 2009
Probabilistic risk assessment of accidental ABO-incompatible thoracic … April 30, 2014
Screening for adverse drug events: a randomized trial of automated calls … July 20, 2016
Risk factors for i.v. compounding errors when using an automated workflow … February 22, 2012
Physician prescribing of opioids to patients at increased risk of overdose … August 29, 2018
Design for patient safety: a systems-based risk identification framework
-
digital.ahrq.gov/sites/default/files/docs/citation/pccds-ln-opioid-action-plan-2019.pdf
January 01, 2019 - selecting pain
management strategies, and screening tools to
detect patients at high OUD risk. … The OUD screening
module within the assessment tool
detects that the patient is at OUD risk
(19 … for OUD based
on assessment for risk factors such as a
previous diagnosis of OUD, substance use … risk (17). … https://www.healthdatamanagement.com/news/ehr-tool-to-assess-patient-risks-for-opioid-abuse
https://
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-adults-trauma-interventions_disposition-comments.pdf
April 02, 2013 - Reasons for high
risk of bias ratings are presented in the
appendix of the report. … Our criteria for rating the risk of bias are
based on established guidance by the
AHRQ Evidence-based … suicide or by medication toxicity, for
example) would be a key AE to monitor. … criterion would be relevant only
perhaps for universal screening interventions. … Universal intervention may be most useful as a way of identifying those at
greatest risk (screening)
-
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
-
psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
January 18, 2017 - July 8, 2015
Operating room traffic as a modifiable risk factor for surgical site infection … cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide … Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. … June 19, 2019
Strategies to identify patient risks of prescription opioid addiction when … March 13, 2019
Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal
-
psnet.ahrq.gov/issue/associations-between-self-reported-healthcare-disruption-due-covid-19-and-avoidable-hospital
September 23, 2020 - November 10, 2010
Mortality risks associated with emergency admissions during weekends … June 21, 2017
Evidence-based guidelines for fatigue risk management in emergency medical … March 14, 2018
Risk of wrong-patient orders among multiple vs singleton births in the … 2006
Are more experienced clinicians better able to tolerate uncertainty and manage risks … June 22, 2022
Risk from delayed or missed care and non-COVID-19 outcomes for older patients
-
pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - Disease-specific clinical screening and treatment in primary care. … Management of multi-morbidities and complex, high-risk patients. … pain, opioids, suicide, and aging, and priorities of the VHA system to address access to care and coordination … They commented that ICs organized to address specific diseases or body systems tend to focus on screening … , such as pain management, suicide prevention and other types of mental and behavioral health care, trauma
-
pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - Disease-specific clinical screening and treatment in primary care. … Management of multi-morbidities and complex, high-risk patients. … pain, opioids, suicide, and aging, and priorities of the VHA system to address access to care and coordination … They commented that ICs organized to address specific diseases or body systems tend to focus on screening … , such as pain management, suicide prevention and other types of mental and behavioral health care, trauma
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - Disease-specific clinical screening and treatment in primary care. … Management of multi-morbidities and complex, high-risk patients. … pain, opioids, suicide, and aging, and priorities of the VHA system to address access to care and coordination … They commented that ICs organized to address specific diseases or body systems tend to focus on screening … , such as pain management, suicide prevention and other types of mental and behavioral health care, trauma
-
nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Elderly_Adults
desirable for measures such as preventative screening. … soon as they need from hospice care team
85 and over
76.9
82.3
Achieved within: 6.6%
Low-risk … age 65 and over who ever received pneumococcal vaccination
Total
69.0
78.7
12.3%
High-risk … residents whose ability to move independently worsened
85 and over
26.2
20.7
26.6%
Low-risk … home patients experiencing one or more falls with major injury
85 and over
0.8
0.4
83.7%
Suicide