-
psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
September 02, 2020 - Most unintentionally dispensed prescriptions were high-risk medications, such as anticoagulants, insulin … patients at high risk of medication errors. … July 18, 2012
Centers for Disease Control and Prevention Guideline for the Prevention … May 10, 2017
Fatigue risk management: the impact of anesthesiology residents' work schedules … March 15, 2023
Pharmacists reducing medication risk in medical outpatient clinics: a
-
psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
September 07, 2011 - December 20, 2006
Risk factors for adverse events in patients with breast, colorectal … May 23, 2018
Preventable and mitigable adverse events in cancer care: measuring risk … January 16, 2008
The harm susceptibility model: a method to prioritise risks identified … August 4, 2021
Suicide in the medical setting. … September 9, 2015
Evidence-based guidelines for fatigue risk management in EMS: formulating
-
psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - I'm on the FDA's Drug Safety and Risk Management Committee, which gives me some input there. … Pharmacists will be responsible for order screening. I think pharmacy has a very bright future. … As pharmacists take on additional roles in health screening, education, and chronic disease management … Challenges
April 24, 2024
Patient Safety Innovations
Suicide … Improve Patient Safety in Acute Hospital Care Units
April 26, 2023
Safety Risk
-
psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practice
September 01, 2021 - June 14, 2023
Targeting zero harm: a stretch goal that risks breaking the spring. … for education and training in health care. … clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk … Implications for decision support and error reduction. … Related Resources
Patient Safety Innovations
Suicide
-
psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
October 05, 2016 - Thinking About Learning for Improvement in Health Care. … November 9, 2016
Misdiagnoses: a hidden risk of genetic testing. … June 16, 2021
Her husband died by suicide. … September 25, 2013
Potentially inappropriate medications according to STOPP-J criteria and risks … November 18, 2020
Bracing for the storm: one health care system's planning for the COVID
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/ptsd-adult-treatment_research-protocol.pdf
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. … to the risk of bias being too high to
provide valid and reliable evidence for the other KQs.‡
• Case … high risk of selection bias and confounding. … The psychological risks of Vietnam
for U.S. veterans: a revisit with new data and methods.
-
psnet.ahrq.gov/issue/beyond-clinical-team-evaluating-human-factors-oriented-training-non-clinical-professionals
February 02, 2022 - for Perinatal Care. … November 21, 2018
Patient safety risks associated with telecare: a systematic review … September 20, 2023
Double reading in breast cancer screening: cohort evaluation in the … February 7, 2024
What can safety cases offer for patient safety? … Related Resources
Patient Safety Innovations
Suicide
-
psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
October 31, 2018 - April 24, 2019
Is it time for safeguards in the adoption of robotic surgery? … 2016
Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks … cancer screening: a qualitative study. … April 1, 2020
Spreading a strategy to prevent suicide after psychiatric hospitalization … Strategy for Postoperative PCA Patients.
-
nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Older_Adults
desirable for measures such as preventative screening. … of treatment within 1 year of initiation of treatment
65 and over
88.0
95.4
7.8%
Low-risk … patients whose management of oral medications improved
85 and over
54.7
66.2
17.4%
High-risk … residents whose ability to move independently worsened
85 and over
26.1
20.7
26.1%
Low-risk … home patients experiencing one or more falls with major injury
85 and over
0.8
0.4
79.1%
Suicide
-
psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - The ‘Laboratory Risk Indicator for Necrotizing Fasciitis’ (LRINEC) score is a risk stratification score … Identifying Risks to Patient Safety
In the presented case, there were undoubtedly multiple failures … The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing … November 21, 2018
Risk and Event Assessment. … WebM&M Cases
Walking Out of a Hospital After Attempted Suicide
-
psnet.ahrq.gov/issue/were-not-taken-seriously-describing-experiences-perceived-discrimination-medical-settings
August 26, 2020 - November 18, 2020
Risk factors for clinically relevant deviations in patients' medication … September 14, 2022
The physiology of failure: identifying risk factors for mortality … September 1, 2021
The threat within: mitigating the risk of medical error. … February 9, 2022
Keeping patients at risk for self-harm safe in the emergency department … July 27, 2022
Multilevel factors associated with time to biopsy after abnormal screening
-
psnet.ahrq.gov/issue/nurses-source-system-level-resilience-secondary-analysis-qualitative-data-study-intravenous
July 22, 2020 - COVID-19 related negative emotions and emotional suppression are associated with greater risk … March 31, 2021
Situation awareness and the mitigation of risk associated with patient … September 22, 2021
Visitor behaviors can influence the risk of patient harm: an analysis … April 28, 2021
Follow-up of abnormal screening mammograms among low-income ethnically … , 2021
Is the availability of hospital IT applications associated with a hospital's risk
-
psnet.ahrq.gov/issue/modifications-medical-emergency-team-activation-criteria-and-implications-patient-safety
October 14, 2020 - September 21, 2022
New graduate registered nurses: Risk mitigation strategies to ensure … patients at risk of medicine-related harm: a qualitative evaluation. … November 18, 2020
The physiology of failure: identifying risk factors for mortality in … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening … August 11, 2021
Patient and consumer safety risks when using conversational assistants
-
psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
June 15, 2022 - Common high-risk medications such as antiplatelets and non-steroidal anti-inflammatory drugs (NSAIDs … of an existing intervention to support safer prescribing in general practice to improve safe high-risk … November 16, 2022
For-profit long-term care homes and the risk of COVID-19 outbreaks … August 4, 2021
Multilevel factors associated with time to biopsy after abnormal screening … patients at risk of medicine-related harm: a qualitative evaluation.
-
psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnostic-question
June 24, 2020 - June 8, 2011
Planning for a pandemic: mitigating risk to radiation therapy service delivery … August 12, 2020
What is the medication iatrogenic risk in elderly outpatients for chronic … June 8, 2022
I-PASS illness diversity identifies patients at risk for overnight clinical … treatment, and overdose or suicide deaths in US veterans: observational evaluation. … March 23, 2022
Risk from delayed or missed care and non-COVID-19 outcomes for older patients
-
psnet.ahrq.gov/issue/quality-and-safety-outcomes-hospital-merger-following-full-integration-safety-net-hospital
June 22, 2022 - March 2, 2022
Quality measures for patients at risk of adverse outcomes in the Veterans … June 8, 2022
Long-term risk of overdose or mental health crisis after opioid dose tapering … December 14, 2022
Hospital-readmission risk--isolating hospital effects from patient … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening … August 25, 2021
Process failures that increase the risk of infection through respiratory
-
psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities
June 02, 2021 - January 25, 2023
Multilevel factors associated with time to biopsy after abnormal screening … September 1, 2021
Intensive care unit nurse staffing and the risk for complications after … November 17, 2021
Keeping patients at risk for self-harm safe in the emergency department … December 2, 2020
Risk factors associated with medication ordering errors. … August 12, 2020
Patient-related factors associated with an increased risk of being a
-
psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
April 15, 2015 - the weekend effect to demonstrate that current weekend hospital conditions are associated with higher risk … January 18, 2012
The physiology of failure: identifying risk factors for mortality in … January 13, 2010
Did duty hour reform lead to better outcomes among the highest risk … September 28, 2023
Analysis of reported suicide safety events among veterans who received … November 30, 2022
Opioid dependence and overdose after surgery: rate, risk factors, and
-
psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
December 02, 2020 - October 21, 2020
Association of opioid consumption profiles after hospitalization with risk … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening … December 14, 2022
Risk of medication errors and nurses' quality of sleep: a national … September 30, 2020
For-profit long-term care homes and the risk of COVID-19 outbreaks … June 28, 2023
A call for safety: anticipating and mitigating risk across an obstetrics
-
psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
March 05, 2008 - August 5, 2009
Evidence-based guidelines for fatigue risk management in emergency medical … February 22, 2017
Risk managers' descriptions of programs to support second victims after … May 13, 2015
The experiences of risk managers in providing emotional support for health … 30, 2017
Use of unsolicited patient observations to identify surgeons with increased risk … March 1, 2017
Effect of an emergency department process improvement package on suicide