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Showing results for "harm".

121. When medical care leads to harm—difficulty finding words: a teachable moment. | PSNet
     psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
     September 23, 2017 - Commentary When medical care leads to harm—difficulty finding words: a teachable … When medical care leads to harm- difficulty finding words: a teachable moment. … To illustrate the potential for harm associated with overuse of medical care, this commentary describes … When medical care leads to harm- difficulty finding words: a teachable moment. … October 6, 2021 Deferral of care for serious non-COVID-19 conditions: a hidden harm of

122. Innovative use of the electronic health record to support harm reduction efforts. | PSNet
     psnet.ahrq.gov/issue/innovative-use-electronic-health-record-support-harm-reduction-efforts
     July 31, 2013 - Study Innovative use of the electronic health record to support harm reduction efforts … Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. … Researchers describe how they were able to reduce harm resulting from hospital-acquired conditions at … Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. … February 14, 2017 A trigger tool to detect harm in pediatric inpatient settings.

123. Preventable adverse drug events among inpatients: a systematic review. | PSNet
     psnet.ahrq.gov/issue/preventable-adverse-drug-events-among-inpatients-systematic-review
     February 22, 2019 - Across all studies, most errors were minor and did not result in patient harm. … Use of health information technology was associated with less harm. … February 22, 2019 Developing a process to measure actual harm from medication errors … January 18, 2023 Standardising the classification of harm associated with medication … errors: the Harm Associated with Medication Error Classification (HAMEC).

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866846/psn-pdf
     September 24, 2024 - Point Zero Harm Goals Contribute to Improving Patient Safety Zero harm goes beyond simply declaring … Statistically, patient harm is rare enough that reliably assessing whether a harm is preventable or … Skeptics of zero harm suggest that it is impossible to measure preventable harm reliably and that the … Does a zero harm goal contribute to reducing preventable harm, or does it exploit unreliable metrics … avoidable harm.

125. Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. | PSNet
     psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association
     August 07, 2013 - errors during patient transitions into nursing homes: characteristics and association with patient harm … errors during patient transitions into nursing homes: characteristics and association with patient harm … Notably, the transition-related errors were also associated with higher odds of patient harm. … errors during patient transitions into nursing homes: characteristics and association with patient harm … medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm

126. Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. | PSNet
     psnet.ahrq.gov/issue/medication-related-harm-older-adults-following-hospital-discharge-development-and-validation
     May 15, 2013 - Study Medication-related harm in older adults following hospital discharge: development … Medication-related harm in older adults following hospital discharge: development and validation of a … This study sought to develop a tool (PRIME) to predict the risk of post-discharge medication-related harm … requiring healthcare utilization and 699 individuals who did not experience a medication-related harm … Medication-related harm in older adults following hospital discharge: development and validation of a

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866847/psn-pdf
     September 25, 2024 - What is zero harm? … In the early 2000s, preventing harm was focused primarily on physical harm to patients and slips, … In a learning organization, an event of harm creates a zero harm gap that we yearn to close. … not experience preventable harm. … with zero harm as the goal.

128. Communication about harm reduction with patients who have opioid use disorder. | PSNet
     psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
     January 02, 2017 - Commentary Communication about harm reduction with patients who have opioid use disorder … Communication about harm reduction with patients who have opioid use disorder. … Harm reduction strategies can optimize the safety of people with opioid use disorder (OUD). … Communication about harm reduction with patients who have opioid use disorder. … June 16, 2019 Reducing patient harm from opiates.

129. Measuring adverse events in hospitalized patients: an administrative method for measuring harm. | PSNet
     psnet.ahrq.gov/issue/measuring-adverse-events-hospitalized-patients-administrative-method-measuring-harm
     December 17, 2014 - Measuring adverse events in hospitalized patients: an administrative method for measuring harm … Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm. … The authors conclude that the administrative harm measurement tool can detect adverse events accurately … enough for internal quality improvement purposes, but the tool is insufficient to compare harm across … Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm.

130. Comparison of potential risk factors for medication errors with and without patient harm. | PSNet
     psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm
     March 04, 2011 - Comparison of potential risk factors for medication errors with and without patient harm … Comparison of potential risk factors for medication errors with and without patient harm. … This case-control study attempted to identify factors that predicted whether patient harm resulted from … Comparison of potential risk factors for medication errors with and without patient harm. … , 2009 Comparison of methods for identifying patients at risk of medication-related harm

131. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. | PSNet
     psnet.ahrq.gov/issue/sleep-deprivation-and-starvation-hospitalised-patients-how-medical-care-can-harm-patients
     September 27, 2017 - Sleep deprivation and starvation in hospitalised patients: how medical care can harm … Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. … The authors advocate for designing more patient-centered hospital systems to prevent this type of harm … Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. … September 27, 2017 Medical harm: patient perceptions and follow-up actions.

132. Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm. | PSNet
     psnet.ahrq.gov/issue/technical-rationality-and-decentring-patients-and-care-delivery-critique-unavoidable-context
     October 08, 2016 - the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm … the decentring of patients and care delivery: A critique of 'unavoidable' in the context of patient harm … Lack of consensus regarding whether some types of health care–acquired harm are unavoidable influences … This commentary spotlights concerns that normalizing harm as unavoidable can hinder investigation of … the decentring of patients and care delivery: A critique of 'unavoidable' in the context of patient harm

133. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. | PSNet
     psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events
     January 23, 2017 - Study The reliability of AHRQ Common Format Harm Scales in rating patient safety … The reliability of AHRQ Common Format Harm Scales in rating patient safety events. … AHRQ's Common Format Harm Scale. … They found modest interrater reliability for harm. … The reliability of AHRQ Common Format Harm Scales in rating patient safety events.

134. Artificial intelligence in health care: accountability and safety. | PSNet
     psnet.ahrq.gov/issue/artificial-intelligence-health-care-accountability-and-safety
     December 20, 2023 - They discuss moral accountability for harm to patients and safety assurances to protect patients against … such harm, and examine these issues from both a clinician and patient perspective. … Patients as teachers: a randomised controlled trial on the use of personal stories of harm … October 23, 2024 View More Related Resources A "Do No Harm" novel … May 20, 2019 Intensive care medicine in 2050: preventing harm.

135. Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. | PSNet
     psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
     November 30, 2016 - Book/Report Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis … Citation Text: Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving … help uncover process weaknesses and ensure improvements are implemented before patients experience harm … May 8, 2019 Communicating After Harm in Healthcare. … September 8, 2010 Harm to Healing - Partnering with Patients Who Have Been Harmed.

136. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. | PSNet
     psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
     October 27, 2010 - Study A comprehensive patient safety program can significantly reduce preventable harm … A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and … that emphasized safety culture resulted in a sustained decrease in different types of preventable harm … A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and … January 5, 2011 The Preventable Harm Index: an effective motivator to facilitate the

137. Adverse Events Toolkit: Medical Record Review Methodology. | PSNet
     psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
     July 19, 2023 - Medical record review is a primary tactic to identify health care actions that contribute to patient harm … process used in the 2018 report  Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm … It is a companion toolkit to the Clinical Guidance for Identifying Harm publication. … September 20, 2011 Hospital Incident Reporting Systems Do Not Capture Most Patient Harm … August 9, 2024 Adverse Events Toolkit: Clinical Guidance for Identifying Harm July

138. Information gaps in newborn care and their potential for harm. | PSNet
     psnet.ahrq.gov/issue/information-gaps-newborn-care-and-their-potential-harm
     September 14, 2022 - Study Information gaps in newborn care and their potential for harm. … Information gaps in newborn care and their potential for harm. … Information gaps in newborn care and their potential for harm. … July 31, 2024 To do no harm - and the most good - with AI in health care.

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866848/psn-pdf
     September 25, 2024 - What is zero harm when it is used in literature? … harm.” … value not to harm patients. … Sarah Mossburg:  What types of harm does “zero harm” apply to, either as a value or a goal? … You could use the term “harm” in that context.

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47995/psn-pdf
     July 24, 2019 - Standardising the classification of harm associated with medication errors: the Harm Associated with … Standardising the Classification of Harm Associated with Medication Errors: The Harm Associated with … https://psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm- associated-medication … of existing harm classification tools. … https://psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication