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Showing results for "harm".

141. Chasing Zero: Winning the War on Healthcare Harm. | PSNet
     psnet.ahrq.gov/issue/chasing-zero-winning-war-healthcare-harm
     May 18, 2012 - Audiovisual Chasing Zero: Winning the War on Healthcare Harm. … Citation Text: Chasing Zero: Winning the War on Healthcare Harm. … Cite Citation Citation Text: Chasing Zero: Winning the War on Healthcare Harm

142. 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

143. 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.

144. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. | PSNet
     psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool
     December 18, 2013 - Study Measuring adverse events and levels of harm in pediatric inpatients with the … Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. … In this retrospective chart review study, the Global Trigger Tool identified a higher rate of harm (2 … Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. … December 18, 2013 A trigger tool to detect harm in pediatric inpatient settings.

145. Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. | PSNet
     psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
     August 10, 2022 - Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm … Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. … Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. … August 10, 2022 Development of an electronic pediatric all-cause harm measurement tool … July 19, 2018 A trigger tool to detect harm in pediatric inpatient settings.

146. 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.

147. First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet
     psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical
     March 03, 2021 - Commentary First do no harm: practitioners' ability to 'diagnose' system weaknesses … First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and improve safety is a critical … First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and improve safety is a critical … Download Citation Related Resources From the Same Author(s) How to do no harm … Can routinely collected data be repurposed to predict avoidable patient harm?

148. How to do no harm: empowering local leaders to make care safer in low-resource settings. | PSNet
     psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
     March 03, 2021 - Commentary How to do no harm: empowering local leaders to make care safer in low-resource … How to do no harm: empowering local leaders to make care safer in low-resource settings. … How to do no harm: empowering local leaders to make care safer in low-resource settings. … Download Citation Related Resources From the Same Author(s) First do no harm … Can routinely collected data be repurposed to predict avoidable patient harm?

149. 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

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866589/psn-pdf
     August 28, 2024 - Developing a process to measure actual harm from medication errors in paediatric inpatients: from design … Developing a process to measure actual harm from medication errors in paediatric inpatients: from design … Measuring the incidence and severity of potential or actual harm is an ongoing challenge in patient … and direct observation of medication administration, the multidisciplinary panel identified actual harm … in 89 cases, with three-quarters of actual harm occurring in medication administration cases.

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866992/psn-pdf
     May 29, 2024 - Harm Reduction Strategies to Improve Safety for People Who Use Substances October 30, 2024 Salisbury-Afshar … Harm Reduction Strategies to Improve Safety for People Who Use Substances . … , and empowerment, is central to the harm reduction philosophy. … Harm Reduction Strategies and Evidence A range of tactics and approaches can be characterized as harm … Integrating harm reduction into outpatient opioid use disorder treatment settings: harm reduction in

152. Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
     November 16, 2022 - initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm … initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm … Download Citation Related Resources From the Same Author(s) Toward zero harm … Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm … Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm

153. 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.

154. 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).

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48172/psn-pdf
     July 31, 2019 - Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic … Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic … care-settings The extent of harm due to patient safety problems varies across studies. … for significant proportions of preventable harm. … A related editorial calls for improving measurement of preventable harm.

156. Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? | PSNet
     psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
     November 16, 2022 - How can nurses help prevent patient harm? Citation Text: Barras MA, Hughes D, Ullner M. … How can nurses help prevent patient harm? … How can nurses help prevent patient harm? … 2018 Scoping review of studies evaluating frailty and its association with medication harm … June 22, 2022 Patient harm from cardiovascular medications.

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866816/psn-pdf
     September 25, 2024 - Patient harm events and associated cost outcomes reported to a patient safety organization. … Patient harm events and associated cost outcomes reported to a patient safety organization. … https://psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety … trigger tool, researchers in this study evaluated financial impacts among patients who experienced harm … who did not experience harm despite similarities in demographics and comorbidities in the two patient

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837972/psn-pdf
     September 01, 2022 - Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. … Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. … Striving for “zero harm” in healthcare has been advocated as a patient safety goal. … /issue/zero-harm-health-care https://psnet.ahrq.gov/issue/harms-promoting-zero-harm https://psnet.ahrq.gov … /perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60801/psn-pdf
     August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the spring. … Targeting zero harm: a stretch goal that risks breaking the spring. … https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring This article describes … the evolution of the “zero harm” campaign, challenges in measuring preventable harm, and potential … /issue/harms-promoting-zero-harm

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837804/psn-pdf
     August 10, 2022 - Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method … Nurses' harm prevention practices during admission of an older person to the hospital: a multi? … https://psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital- … multi-method Frontline care providers such as nurses play an important role in reducing preventable harm … https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals https://psnet.ahrq.gov/issue/barriers-and-enablers-nurses-use-harm-prevention-strategies-older-patients-hospital-cross