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psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
April 05, 2017 - from errors to improve care, this retrospective analysis examined patient claims from an institution’s risk … The authors suggest that this method for analysis provides important opportunities for quality improvement … efforts, and continued collaboration among providers, risk managers, and institutional leadership will … Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … and opioid-patient suicide- and overdose-related events in the Veterans Health Administration.
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psnet.ahrq.gov/periodic-issue/periodic-issue-305
August 25, 2021 - Study
Implementing universal suicide risk screening in a pediatric hospital. … Improving screening for suicidal ideation is an important patient safety priority. … for suicide and to connect them with services. … positive for elevated risk. … patients to be put at risk for emotional, financial, or physical harm.
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psnet.ahrq.gov/issue/when-hospital-fires-bullet
February 03, 2016 - newspaper article and companion podcast report on the experience of a patient who disclosed a need for … March 11, 2020
How chaos at chain pharmacies is putting patients at risk. … June 12, 2019
Ireland investigates cervical cancer screening scandal. … September 16, 2015
An E.R. kicks the habit of opioids for pain. … April 28, 2010
Inpatient suicide: preventing a common sentinel event.
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psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care
March 11, 2020 - Resources From the Same Author(s)
Patient-related factors associated with an increased risk … Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. … August 17, 2022
Patient safety systems for case management. … June 23, 2009
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See More About The Topic
Risk Managers
Medical
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psnet.ahrq.gov/issue/national-emergency-department-safety-study-study-rationale-and-design
June 16, 2009 - May 10, 2023
Analysis of risk factors for patient safety events occurring in the emergency … December 1, 2016
Longitudinal trends in U.S. drug shortages for medications used in emergency … June 7, 2016
A prospective study of suicide screening tools and their association with … November 20, 2015
Redesigning surgical decision making for high-risk patients.
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psnet.ahrq.gov/periodic-issue/periodic-issue-327
February 23, 2022 - associated with low back pain that should prompt expedited evaluation, the importance of lung cancer screening … WebM&M Cases
Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary … The commentary discusses the challenges of screening for suicide risk and the importance of continuity … of care for patients at risk of self-harm and suicide. … how the unique circumstances surrounding care during the COVID-19 pandemic impacted patient safety risks
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psnet.ahrq.gov/issue/patient-safety-systems-case-management
December 22, 2008 - Patient safety systems for case management. … Patient safety systems for case management. … Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. … February 5, 2020
Patient-related factors associated with an increased risk of being a
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psnet.ahrq.gov/issue/2020-john-m-eisenberg-patient-safety-and-quality-awards
August 12, 2020 - Health Administration Rapid Naloxone Initiative, Washington, DC, and Northwestern Medicine Academy for … August 12, 2020
Implementing universal suicide risk screening in a pediatric hospital … January 11, 2017
American Hospital Association-McKesson Quest for Quality Prize.
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psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
March 18, 2020 - In this study set in the Netherlands, pediatric residents were asked to develop a contingency plan for … August 12, 2020
Implementing universal suicide risk screening in a pediatric hospital … December 8, 2021
Clinician distress and inappropriate antibiotic prescribing for acute … October 26, 2022
Safety of elderly fallers: identifying associated risk factors for 30 … April 20, 2022
Assessment of requests for medication-related follow-up after hospital
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psnet.ahrq.gov/issue/making-business-case-quality-and-safety
January 19, 2022 - Making the business case for quality and safety. … The authors discuss challenges for establishing a business case for safety and future directions. … Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. … View More
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Health Care Executives and Administrators
Risk
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psnet.ahrq.gov/issue/state-policies-prescription-drug-monitoring-programs-and-adverse-opioid-related-hospital
August 11, 2021 - Study
State policies for prescription drug monitoring programs and adverse opioid-related … Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. … Primers
Opioid Safety
December 15, 2024
Changes in early high-risk … May 15, 2019
Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal
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psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
August 18, 2021 - Commentary
Using an advanced practice nursing model for a rapid response team. … Using an advanced practice nursing model for a rapid response team. … Using an advanced practice nursing model for a rapid response team. … Citation
Related Resources From the Same Author(s)
Implementing universal suicide … risk screening in a pediatric hospital.
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psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network
October 19, 2022 - This study examined the prevalence and risk factors for COVID-19 infection among frontline healthcare … highlights the role that asymptomatic COVID-19 infections play and authors suggest that enhanced screening … April 12, 2023
Effect of an emergency department process improvement package on suicide … September 30, 2020
Expanding frontiers of risk management: care safety in nursing home … September 30, 2020
A blueprint for leadership during COVID-19.
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psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical
March 24, 2021 - surgical population identified a high rate of potential opioid-related adverse drug events (ORADEs); risk … Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. … February 8, 2023
Inappropriate prescribing of opioids for patients undergoing surgery … December 23, 2012
View More
See More About The Topic
Operating Room
Risk
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psnet.ahrq.gov/issue/identifying-psychiatric-diagnostic-errors-safer-dx-instrument
October 12, 2022 - the Safer Dx tool to evaluate errors in anxiety diagnoses and found that it has a high reliability for … December 7, 2022
Multilevel factors associated with time to biopsy after abnormal screening … October 6, 2021
Center for Innovations in Quality, Effectiveness and Safety. … treatment, and overdose or suicide deaths in US veterans: observational evaluation. … April 1, 2020
Patient-related factors associated with an increased risk of being a reported
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psnet.ahrq.gov/periodic-issue/periodic-issue-326
January 07, 2022 - The risk of death due to adverse event was higher for younger patients and Black patients. … The risk of death due to adverse event was higher for younger patients and Black patients. … This Month’s WebM&Ms
WebM&M Cases
Multiple Missed Opportunities for Suicide Risk … The commentary discusses the challenges of screening for suicide risk and the importance of continuity … of care for patients at risk of self-harm and suicide.
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psnet.ahrq.gov/periodic-issue/periodic-issue-325
January 07, 2022 - Study
Improving shared situation awareness for high-risk therapies in hospitalized … Previous research has raised concerns about safety risks associated with overlapping surgery, defined … This Month’s WebM&Ms
WebM&M Cases
Multiple Missed Opportunities for Suicide Risk … The commentary discusses the challenges of screening for suicide risk and the importance of continuity … of care for patients at risk of self-harm and suicide.
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psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture
December 24, 2008 - March 30, 2022
The business case for patient safety. … Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening … and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. … April 5, 2017
Patient-related factors associated with an increased risk of being a reported … May 30, 2018
Peer support for clinicians: a programmatic approach.
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psnet.ahrq.gov/issue/ambulatory-patient-safety-what-we-know-and-need-know
May 27, 2015 - October 27, 2021
Development and implementation of a suicide prevention checklist to … , 2020
Is the availability of hospital IT applications associated with a hospital's risk … adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. … November 28, 2018
Does employee safety matter for patients too? … April 24, 2018
Primary care collaboration to improve diagnosis and screening for colorectal
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psnet.ahrq.gov/issue/race-and-clinical-diagnosis-depression-new-primary-care-patients
October 21, 2020 - depression may be expressed differently based on the patient’s race or culture , and therefore be at risk … for mis- or under-diagnosis. … February 16, 2022
Clinician-identified problems and solutions for delayed diagnosis in … April 19, 2023
Analysis of suicides reported as adverse events in psychiatry resulted … July 21, 2021
Direct observation of depression screening: identifying diagnostic error