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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Male
desirable for measures such as preventative screening. … shortness of breath decreased
Male
79.8
78.4
Achieved: 2% better
Adults ages 18-64 at high risk … Measure
Population
Estimate
Benchmark
Distance to Benchmark
Adults ages 18-64 at high risk … natural and semisynthetic opioids per 100,000 resident population
Male
4.3
1.9
128.7%
Low-risk … stays involving opioid-related diagnoses per 100,000 population
Male
285.3
102.9
177.4%
Suicide
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www.ahrq.gov/patient-safety/resources/advances/index.html
October 01, 2014 - Anthony, VK Chetty, Anand Kartha, Kathleen McKenna, Maria Rizzo DePaoli, Brian Jack Using Probabilistic Risk … with "Electronic Signatures" and High-risk Clinical Situations ( PDF File , 225 KB) Gabriel J. … Nozick Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers … Rask, Dorothy "Vi" Naylor, Linda Schuessler Suicide Risk Response: Enhancing Patient Safety Through Development … Akins Development of a Screening Tool for Safe Wheelchair Seating ( PDF File , 170 KB) Deborah Gavin-Dreschnack
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www.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - Risk
Diagnostic Failure: A Cognitive and Affective Approach ( PDF , 226 KB)
Pat Croskerry
Diagnosing … with "Electronic Signatures" and High-risk Clinical Situations ( PDF , 225 KB)
Gabriel J. … Nozick
Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure … Rask, Dorothy "Vi" Naylor, Linda Schuessler
Suicide Risk Response: Enhancing Patient Safety Through … Akins
Development of a Screening Tool for Safe Wheelchair Seating ( PDF , 170 KB)
Deborah Gavin-Dreschnack
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Hispanic
February 19, 2021 - desirable for measures such as preventative screening. … last 5 years
Hispanic, all races
89.4
82.3
Achieved: 9% better
Adults ages 18-64 at high risk … admissions with expected low-mortality
Hispanic, all races
0.4
0.4
Achieved: 5% better
Suicide … sores or irritation in the calendar year
Hispanic, all races
55.6
84.0
33.8%
Low-risk, … of date of renal failure
Hispanic, all races
10.2
23.7
56.9%
Adults ages 18-64 at high risk
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Asian
February 19, 2021 - desirable for measures such as preventative screening. … and over
Non-Hispanic, API
131.5
194.1
Achieved: 32% better
Adults ages 18-64 at high risk … department visit and then hospitalized
Non-Hispanic, Asian
7.5
8.9
Achieved: 15% better
Suicide … started getting home health care
Asian, single race
76.5
80.1
Achieved within: 4.5%
Low-risk … easy to understand in the last 2 months of care
Asian, single race
73.8
86.8
14.9%
High-risk
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www.ahrq.gov/research/findings/studies/index.html?page=39
January 01, 2024 - high-risk or complex patients with multimorbidity. … retrospective post-hoc analysis study was to evaluate variations in baseline depression and anxiety screenings … nurses, 4 clinical pharmacists, 3 pharmacy technicians, and 2 social workers) from 4 hospitals about ADE risks … Adjusting for multiple factors, White inpatients were at an increased risk of cefazolin use and decreased … risk of clindamycin use compared with Black inpatients.
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psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
May 25, 2022 - This commentary presents strategies to reduce the risk of criminal prosecution for pharmacists, including … May 5, 2021
New graduate registered nurses: Risk mitigation strategies to ensure safety … community hospital
August 25, 2021
Medication safety at the interface: evaluating risks … October 28, 2020
Six major steps to make investigations of suicide valuable for learning … November 17, 2021
Medication errors at hospital admission and discharge: risk factors
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psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients
August 04, 2021 - August 21, 2013
A radiation oncology-specific automated trigger indicator tool for high-risk … for Perinatal Care. … 2007
Comparison of internal medicine and general surgery residents' assessments of risk … April 20, 2016
Screening for adverse drug events: a randomized trial of automated calls … September 27, 2017
Mortality risks associated with emergency admissions during weekends
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psnet.ahrq.gov/issue/opportunities-improve-diagnosis-emergency-transfers-pediatric-intensive-care-unit
June 28, 2023 - Researchers found that MOID occurred in 29% of emergency transfer cases and it was associated with higher risk … November 22, 2017
Risk of wrong-patient orders among multiple vs singleton births in … December 16, 2020
Opioids prescribed after low-risk surgical procedures in the United … August 16, 2006
The effectiveness and risks of long-term opioid therapy for chronic pain … October 21, 2009
Use of temporary names for newborns and associated risks.
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psnet.ahrq.gov/issue/excess-dosing-antiplatelet-and-antithrombin-agents-treatment-non-st-segment-elevation-acute
June 03, 2015 - These excess doses lead to greater risks of bleeding; the investigators estimate that 15% of patients … The risks also seem directed at vulnerable populations such as elderly patients with specific comorbidities … August 24, 2011
Physician prescribing of opioids to patients at increased risk of overdose … February 7, 2024
Implications of the failure to identify high-risk electrocardiogram … February 12, 2020
WebM&M Cases
Abdominal Aortic Aneurysm Screening
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psnet.ahrq.gov/issue/exploring-attitudes-and-opinions-pharmacists-toward-delivering-prescribing-error-feedback
January 16, 2019 - May 23, 2018
Risk of wrong-patient orders among multiple vs singleton births in the neonatal … May 1, 2013
Failure to weigh patients in hospital: a medication safety risk. … December 7, 2005
Medication safety at the interface: evaluating risks associated with … November 3, 2021
Good for You, Good for Us, Good for Everybody. … November 14, 2018
Fixed-dose combination antihypertensives and risk of medication errors
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psnet.ahrq.gov/issue/complexity-and-safety
February 01, 2012 - September 15, 2021
Patient and consumer safety risks when using conversational assistants … August 12, 2020
Mitigating patient and consumer safety risks when using conversational … December 15, 2021
Patients who die by suicide: a study of treatment patterns and patient … October 28, 2020
Opportunities to mine EHRs for malpractice risk management and patient … May 25, 2016
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final
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psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept-implementation-10-steps
August 15, 2018 - Emergency manuals are employed in high-risk industries to guide teams during critical events . … for Perinatal Care. … cancer screening: a qualitative study. … June 13, 2007
Failure to weigh patients in hospital: a medication safety risk. … September 27, 2023
Anesthesia Risk Alert program: a proactive safety initiative.
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psnet.ahrq.gov/issue/about-politeness-face-and-feedback-exploring-resident-and-faculty-perceptions-how
June 03, 2020 - 2022
Prevalence of medication transfer errors in nephrology patients and potential risk … effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … September 26, 2018
Prospective risk analysis of health care processes: a systematic evaluation … May 30, 2007
Opioids and falls risk in older adults: a narrative review. … November 24, 2021
A dynamic risk management approach for reducing harm from invasive
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psnet.ahrq.gov/issue/crew-resource-management-training-clinicians-reactions-and-attitudes
November 29, 2006 - June 29, 2022
Keeping patients at risk for self-harm safe in the emergency department … December 2, 2020
Risk of wrong-patient orders among multiple vs singleton births in the … April 4, 2018
Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing … cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide … January 26, 2022
Risk factors associated with medication ordering errors.
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psnet.ahrq.gov/issue/decreasing-malpractice-claims-reducing-preventable-perinatal-harm
February 08, 2017 - safety provides an opportunity to reduce malpractice claims and associated costs, particularly in higher risk … 18, 2021
Use of unsolicited patient observations to identify surgeons with increased risk … July 29, 2020
Effect of an emergency department process improvement package on suicide … March 13, 2013
Patient complaints and malpractice risk. … March 9, 2022
Reducing the risk of adverse drug events in older adults.
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psnet.ahrq.gov/issue/patient-safety-event-reporting-critical-care-study-three-intensive-care-units
June 14, 2006 - August 16, 2006
Risk managers, physicians, and disclosure of harmful medical errors. … July 8, 2009
Identifying critically ill patients at risk for inappropriate antibiotic … readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … May 13, 2009
Multilevel factors associated with time to biopsy after abnormal screening … Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk
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psnet.ahrq.gov/issue/intravenous-smart-pump-drug-library-compliance-descriptive-study-44-hospitals
July 31, 2019 - July 31, 2019
Unintended patient safety risks due to wireless smart infusion pump library … December 19, 2018
Association of overlapping surgery with increased risk for complications … Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted … devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk … April 10, 2019
Unintended patient safety risks due to wireless smart infusion pump library
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psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and-policymakers
February 04, 2009 - Risk-adjusted rates of 13 AHRQ Patient Safety Indicators (PSIs) were measured. … March 6, 2005
Adverse events after screening and follow-up colonoscopy. … January 4, 2006
Adverse drug events caused by three high-risk drug-drug interactions … effect of computerised decision support alerts tailored to intensive care on the administration of high-risk … April 3, 2019
Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal
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psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
June 17, 2009 - root cause analysis and action: integrating human factors to create strong interventions and reduce risk … December 7, 2022
Incidence, duration and risk factors associated with delayed and missed … May 13, 2015
The experiences of risk managers in providing emotional support for health … May 8, 2024
Effect of an emergency department process improvement package on suicide … November 25, 2015
Evidence-based guidelines for fatigue risk management in emergency