-
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.
-
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.
-
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.
-
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
-
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
-
psnet.ahrq.gov/issue/after-harm-medical-error-and-ethics-forgiveness
July 24, 2019 - Book/Report
After Harm: Medical Error and the Ethics of Forgiveness. … Citation Text:
After Harm: Medical Error and the Ethics of Forgiveness. Berlinger N. … Linkedin
Copy URL
Cite
Citation
Citation Text:
After Harm
-
psnet.ahrq.gov/issue/repeat-medication-errors-nursing-homes-contributing-factors-and-their-association-patient
August 07, 2013 - Repeat medication errors in nursing homes: contributing factors and their association with patient harm … Repeat medication errors in nursing homes: Contributing factors and their association with patient harm … While the absolute harm rates were small, repeat errors were twice as likely to be harmful to patients … Repeat medication errors in nursing homes: Contributing factors and their association with patient harm … medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm
-
psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital
June 05, 2013 - Study
Visitor restrictions during the COVID-19 pandemic and increased falls with harm … Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital … examined the relationship between visitor restrictions during the COVID-19 pandemic and falls with harm … Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital … Improving Diagnostic Safety and Quality
April 26, 2023
Toward zero harm
-
psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings
December 07, 2016 - Study
Classic
A trigger tool to detect harm in pediatric … A trigger tool to detect harm in pediatric inpatient settings. … In a retrospective chart review across six academic children's hospitals, the tool identified harm in … A trigger tool to detect harm in pediatric inpatient settings. … December 18, 2013
Measuring adverse events and levels of harm in pediatric inpatients
-
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.
-
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
-
psnet.ahrq.gov/issue/guideline-order-set-patient-harm
October 10, 2017 - Commentary
From guideline to order set to patient harm. … From Guideline to Order Set to Patient Harm. … From Guideline to Order Set to Patient Harm.
-
psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - Newspaper/Magazine Article
First, protect the patient from harm: applying adult learning … Citation Text:
First, protect the patient from harm: applying adult learning principles to patient … This piece describes how education can reduce patient harm by promoting attitude and behavior changes … Cite
Citation
Citation Text:
First, protect the patient from harm … Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.
-
psnet.ahrq.gov/issue/iatrogenesis-pediatrics
April 24, 2024 - Articles in this special issue explore cases involving iatrogenic harm in pediatric care as learning … Topics covered include psychological harm following a neonatal intensive care unit stay and the etiology … May 27, 2020
Inequity and Iatrogenic Harm. … August 31, 2022
How cisgender clinicians can help prevent harm during encounters with … Diagnostic Safety and Quality
April 26, 2023
Protecting children from iatrogenic harm
-
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.
-
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.
-
psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider
March 22, 2023 - Intent to harm is a primary factor in the criminalization of patient injury. … current approaches to avoid the use of prosecutorial methods to hold those involved accountable for harm … January 2, 2001
Perspectives on patient and family engagement with reduction in harm: … September 28, 2022
Criminal liability for nursing and medical harm. … 8, 2020
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm
-
psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
December 16, 2015 - Commentary
When work harms: how better understanding of avoidable employee harm can … When work harms: how better understanding of avoidable employee harm can improve employee safety, patient … This article proposes a definition of “avoidable employee harm” (e.g., retaliation for speaking up … December 16, 2015
Incidence, nature and causes of avoidable significant harm in primary … February 8, 2018
Health and social care-associated harm amongst vulnerable children in
-
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
-
psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
September 22, 2021 - EMERGING INNOVATIONS
Implicit bias and patient care: mitigating bias, preventing harm. … Implicit bias and patient care: mitigating bias, preventing harm. … 3) communicate with both the resident and family to diffuse the situation and prevent any potential harm … Implicit bias and patient care: mitigating bias, preventing harm.