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psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
July 14, 2021 - Health systems can exacerbate potential risk for patient harm due to clinician impairment and unprofessional … May 25, 2022
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … March 19, 2014
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.
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psnet.ahrq.gov/issue/care-and-oversight-deficiencies-related-multiple-homicides-louis-johnson-va-medical-center
February 10, 2021 - Suicide at the John Cochran Division of the VA St. … April 26, 2006
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose … October 16, 2019
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.
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psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
March 06, 2019 - Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk … 2018
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Suicide at the John Cochran Division of the VA St.
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psnet.ahrq.gov/issue/what-near-misses-tell-us-about-risk-and-safety-mental-health-care
October 19, 2022 - What near misses tell us about risk and safety in mental health care. … What near misses tell us about risk and safety in mental health care. … December 16, 2020
The harm susceptibility model: a method to prioritise risks identified … December 16, 2009
Outpatient adverse drug events identified by screening electronic health … August 4, 2021
Analysis of suicides reported as adverse events in psychiatry resulted
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psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering
August 25, 2021 - This study assessed the long-term risks of overdose and mental health crisis as a result of dose tapering … January 18, 2023
Quality measures for patients at risk of adverse outcomes in the Veterans … opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. … July 6, 2022
For-profit long-term care homes and the risk of COVID-19 outbreaks and resident … June 22, 2022
What is the medication iatrogenic risk in elderly outpatients for chronic
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psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
June 04, 2014 - September 6, 2006
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … August 25, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … July 23, 2014
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
November 28, 2012 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Suicide at the John Cochran Division of the VA St. … April 22, 2024
AI in Health: Huge Potential, Huge Risks. … August 23, 2023
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide
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psnet.ahrq.gov/issue/identifying-risk-use-tumor-markers-improve-patient-safety
March 09, 2022 - March 9, 2022
Surgery is in itself a risk factor for the patient. … July 27, 2022
Inappropriate hospital admission as a risk factor for the subsequent development … April 10, 2019
Suicide risk, changing jobs, or leaving the nursing profession in the … of sepsis and septic shock: 2016
March 3, 2017
The burden and risk factors for adverse … May 27, 2015
The PRONE score: an algorithm for predicting doctors' risks of formal patient
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psnet.ahrq.gov/issue/nursing-home-complaint-investigations
September 27, 2006 - Suicide at the John Cochran Division of the VA St. … April 10, 2024
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 23, 2014
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based
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psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
May 16, 2018 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Suicide at the John Cochran Division of the VA St. … June 4, 2014
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … Suicide at the John Cochran Division of the VA St.
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psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
November 25, 2009 - Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … May 25, 2022
Suicide risk, changing jobs, or leaving the nursing profession in the aftermath … October 6, 2021
Design and implementation of the infection prevention program into risk … September 13, 2017
Enhancing safety in high-risk operations: a multilevel analysis of … Suicide Risk Assessment in Emergency and Primary Care Settings
January 7, 2022
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psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy
September 02, 2020 - Routine depression screening by primary care providers is recommended to decrease risk of suicide … Depression screenings were completed more frequently up to one-year postintervention. … May 5, 2021
The physiology of failure: identifying risk factors for mortality in emergency … August 11, 2021
Use of artificial intelligence for image analysis in breast cancer screening … August 2, 2023
The impact of primary care providers' bias on depression screening for
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psnet.ahrq.gov/issue/possible-net-harms-breast-cancer-screening-updated-modelling-forrest-report
November 17, 2021 - cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide … November 28, 2018
Use of FMEA analysis to reduce risk of errors in prescribing and administering … opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. … March 18, 2020
Implementing universal suicide risk screening in a pediatric hospital. … June 19, 2019
Better Health for Mothers and Babies.
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psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
November 06, 2019 - July 14, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … 2015
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … February 10, 2021
System factors affecting intraoperative risk and resilience: applying
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psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
June 23, 2021 - Study
Combined proactive risk assessment: unifying proactive and reactive risk assessment … Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health … (CPRA) to identify risks not detected by one method on its own. … October 19, 2022
Implementing universal suicide risk screening in a pediatric hospital … May 11, 2022
Keeping patients at risk for self-harm safe in the emergency department:
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psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
August 15, 2012 - Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … August 8, 2012
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … Suicide at the John Cochran Division of the VA St.
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psnet.ahrq.gov/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare-beneficiaries
July 27, 2016 - Frail populations cared for in long-term care facilities are at high risk for adverse events . … August 25, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … September 24, 2014
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.
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psnet.ahrq.gov/web-mm/dangerous-detour
May 01, 2018 - One article on the epidemiology of suicide suggests that among the roughly 30,000 suicides occurring … No automated system or lab test can provide useful information about suicide risk. … suicide risk, the usual solution has been continuous observation by a “sitter,” as in this case. … Standard order sets would minimize risk to patients and serve as the basis for care guidelines. … A model for assessment of inpatient suicide potential.
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psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
November 22, 2017 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Suicide at the John Cochran Division of the VA St. … June 4, 2014
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … Suicide at the John Cochran Division of the VA St.
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psnet.ahrq.gov/issue/medication-errors-mental-healthcare-systematic-review
September 22, 2021 - March 7, 2018
The effectiveness and risks of long-term opioid therapy for chronic pain … May 12, 2010
Listen carefully: the risk of error in spoken medication orders. … June 23, 2010
Overdiagnosis in low-dose computed tomography screening for lung cancer … August 11, 2021
Suicide and suicide attempts on hospital grounds and clinic areas. … August 4, 2021
Analysis of suicides reported as adverse events in psychiatry resulted