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psnet.ahrq.gov/node/72743/psn-pdf
February 17, 2021 - Preventable medication harm across health care settings:
a systematic review and meta-analysis. … Preventable medication harm across health care settings: a
systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review … -
and-meta-analysis
Medication errors represent a significant source of preventable harm. … , and more
than one-quarter of this harm is considered severe or life-threatening.
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psnet.ahrq.gov/node/854832/psn-pdf
October 25, 2023 - Achieving a successful patient safety program with
implementation of a harm reduction strategy. … https://psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction … -
strategy
Zero harm, while a laudable goal, has been shown to have unintended consequences. … a morally neutral approach to human error, an elimination of blame in favor of a just culture, and
harm … https://psnet.ahrq.gov/issue/harms-promoting-zero-harm
https://psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience
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psnet.ahrq.gov/node/47976/psn-pdf
July 20, 2019 - Reducing avoidable medication-related harm: what will it
take?
July 20, 2019
Tetteh EK. … Reducing avoidable medication-related harm: What will it take? … https://psnet.ahrq.gov/issue/reducing-avoidable-medication-related-harm-what-will-it-take
This commentary … introduces the World Health Organization effort to improve medication safety: Medication
Without Harm … /issue/medication-without-harm-whos-third-global-patient-safety-challenge
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/867343/psn-pdf
December 11, 2024 - Communication about harm reduction with patients who
have opioid use disorder. … Communication about harm reduction with patients who have opioid use
disorder. … https://psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder … Harm reduction strategies can optimize the safety of people with opioid use disorder (OUD). … https://psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
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psnet.ahrq.gov/issue/identifying-hot-spots-harm-and-blind-spots-across-care-pathway-patient-complaints-about
May 04, 2022 - Study
Identifying hot spots for harm and blind spots across the care pathway from … Identifying hot spots for harm and blind spots across the care pathway from patient complaints about … Identifying hot spots for harm and blind spots across the care pathway from patient complaints about … Patient-related factors associated with an increased risk of being a reported case of preventable harm … Patient-related factors associated with an increased risk of being a reported case of preventable harm
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psnet.ahrq.gov/node/60050/psn-pdf
March 18, 2020 - Zero harm in health care.
March 18, 2020
Gandhi TK, Feeley D, Schummers D. … Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2).
doi:10.1056/cat.19.1137. … https://psnet.ahrq.gov/issue/zero-harm-health-care
Health systems are encouraged to strive for zero … preventable harm, but achieving this goal requires a
comprehensive, systems-focused effort. … https://psnet.ahrq.gov/issue/zero-harm-health-care
https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
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psnet.ahrq.gov/node/74758/psn-pdf
February 09, 2022 - Emotional harm in the radiology department: analysis of
an underrecognized preventable error. … Emotional harm in the radiology department: analysis of an
underrecognized preventable error. … https://psnet.ahrq.gov/issue/emotional-harm-radiology-department-analysis-underrecognized-preventable … -
error
Adverse events can contribute to physical, financial, or emotional harm. … https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-preventable-harm
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/840141/psn-pdf
November 16, 2022 - Toward zero harm: Mackenzie Health's journey toward
becoming a high reliability organization and eliminating … avoidable harm. … avoidable harm. … https://psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability … -
organization-and
Achieving zero preventable harm is an ongoing goal for health systems.
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psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
June 01, 2016 - Commentary
"Never events" and the quest to reduce preventable harm. … "Never events" and the quest to reduce preventable harm. … "Never events" and the quest to reduce preventable harm. … Resources
Interview
In Conversation with Eric Thomas about Zero Harm … Interview
In Conversation with Carole Stockmeier about Zero Harm
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psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
September 06, 2011 - Multi-use Website
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring … Citation Text:
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). … Copy URL
Cite
Citation
Citation Text:
Focus on HARM
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psnet.ahrq.gov/node/50933/psn-pdf
February 26, 2020 - Medication-related harm in older adults following hospital
discharge: development and validation of … Medication-related harm in older adults following hospital discharge:
development and validation of … 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 … the PRIME tool can accurately
identify older at-risk patients and may help reduce medication-related harm
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psnet.ahrq.gov/node/837598/psn-pdf
June 29, 2022 - Visitor behaviors can influence the risk of patient harm:
an analysis of patient safety reports from … Visitor behaviors can influence the risk of patient harm: an analysis of
patient safety reports from … https://psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety … in
36% of cases and decreased the risk of harm in the remaining 64% of cases. … Other
behaviors, such as communicating with healthcare staff, decreased patient harm.
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psnet.ahrq.gov/node/864862/psn-pdf
March 20, 2024 - Global Burden of Preventable Medication-related Harm in
Health Care: A Systematic Review. … https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic … -
review
The Medication Without Harm initiative focuses on the world-wide challenges of safe medication … accompanying policy brief examine the frequency, severity, and characteristics of
medication-related harm … https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
https
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project. … https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health … This Canadian initiative
developed a measure to track unintended harm in acute care hospitals, a toolkit … https://psnet.ahrq.gov/issue/hospital-harm-project
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm … https://psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/50904/psn-pdf
February 19, 2020 - The harms of promoting 'Zero Harm'.
February 19, 2020
Thomas EJ. … The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-
009703. … https://psnet.ahrq.gov/issue/harms-promoting-zero-harm
Achieving “zero harm” has been advocated as a … This editorial proposes that the
conversation shift from striving to achieve absolute safety (Zero Harm … https://psnet.ahrq.gov/issue/harms-promoting-zero-harm
https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
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psnet.ahrq.gov/node/865880/psn-pdf
May 15, 2024 - Racial and ethnic harm in patient care is a patient safety
issue. … Racial and ethnic harm in patient care is a patient safety issue. … https://psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue
Racism is a pervasive … This article discusses the relationship between racial and
ethnic harm (e.g., racism, health disparities … marginalized patients, such as antiracism education and
addressing harm promptly when it occurs.
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psnet.ahrq.gov/node/60023/psn-pdf
March 11, 2020 - Patient-related factors associated with an increased risk
of being a reported case of preventable harm … Patient-related factors associated with an increased risk of
being a reported case of preventable harm … While differences in income,
education, and foreign background had some association with preventable harm … , researchers found that
psychiatric illness nearly doubled the risk of preventable harm among both … emergency and primary care
patients, with nearly half (46%) of harm attributable to diagnostic errors
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - It’s similar for harm reduction services. … Could elaborate on the
concept of harm reduction? … programs, which are specific harm reduction services. … So how do we work to embed harm reduction philosophies? … care is a piece of harm reduction as well.
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psnet.ahrq.gov/node/857446/psn-pdf
December 06, 2023 - Community Health Systems’ ongoing journey to zero
preventable harm. … Community Health Systems’ ongoing journey to zero preventable harm. … https://psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm
Achieving … zero preventable harm is an ongoing goal for healthcare organizations. … /issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
https://psnet.ahrq.gov/issue/zero-harm-health-care
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psnet.ahrq.gov/node/60176/psn-pdf
April 01, 2020 - Health and social care-associated harm amongst
vulnerable children in primary care: mixed methods
analysis … Health and social care-associated harm amongst vulnerable children in
primary care: mixed methods analysis … https://psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary … ) were considered ‘low harm.’ … Children with protection-related vulnerabilities
experienced harm from unsafe care more frequently