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Showing results for "harm".

181. Psn-Pdf (pdf file)
     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

182. Psn-Pdf (pdf file)
     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

183. 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

184. Psn-Pdf (pdf file)
     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

185. Psn-Pdf (pdf file)
     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

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72524/psn-pdf
     January 01, 2021 - Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. … Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. … https://psnet.ahrq.gov/issue/keeping-patients-risk-self-harm-safe-emergency-department-protocolized- … approach Patient suicide, attempted suicide, or self-harm are considered ‘never events.’ … Implementation of the protocol was correlated with lower rates of self-harm.  

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837068/psn-pdf
     May 11, 2022 - Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a … Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a … https://psnet.ahrq.gov/issue/barriers-and-enablers-nurses-use-harm-prevention-strategies-older-patients … - hospital-cross Nurses play a critical role in reducing preventable harm among inpatients. … intentions, perceived consequences, optimism, and professional role) to implementing comprehensive harm

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837191/psn-pdf
     May 25, 2022 - Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. … https://psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm- october … the Office of the Inspector General (OIG) found 13.5% of hospitalized Medicare patients experience harm … This OIG report has updated the proportion of hospitalized Medicare patients who experienced harm and … Reviewers determined 43% of harm events could have been prevented and resulted in significant costs

189. 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.

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865514/psn-pdf
     April 10, 2024 - Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence … Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence … https://psnet.ahrq.gov/issue/drug-drug-interactions-and-actual-harm-hospitalized-patients-multicentre … Only one-quarter of pDDI were clinically relevant, and actual harm was less than 1% in both timeframes … Given the low prevalence of actual harm and the decreased likelihood of co-administration of drugs even

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46806/psn-pdf
     January 01, 2020 - Examining the relationship of an all-cause harm patient safety measure and critical performance measures … Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures … https://psnet.ahrq.gov/issue/examining-relationship-all-cause-harm-patient-safety-measure-and-critical … Researchers at a large community hospital developed a robust trigger tool to measure all-cause patient harm … and assessed what predicted lower all-cause harm at the unit level.

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73435/psn-pdf
     June 30, 2021 - Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record … Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record … Diagnostic error continues to be a source of preventable patient harm. … undertook a retrospective review of primary care consultations to identify incidence, origin and avoidable harm … Just over one third resulted in moderate to severe avoidable patient harm.

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836871/psn-pdf
     April 06, 2022 - The spectrum of harm associated with modern medicine. April 6, 2022 Schattner A. … The spectrum of harm associated with modern medicine. … https://psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine Interest in harm resulting from … This commentary discusses changes in medical harm over time and shares five areas of focus to drive … https://psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856589/psn-pdf
     January 01, 2024 - Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication … Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication … https://psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing … must balance costs associated with pharmacist medication reconciliation (e.g., salary) with prevented harm … https://psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing-discharge

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73631/psn-pdf
     August 25, 2021 - Patient harm from cardiovascular medications. … Patient harm from cardiovascular medications. … https://psnet.ahrq.gov/issue/patient-harm-cardiovascular-medications Adverse drug events are a common … source of harm in both inpatient and ambulatory patients. … Medications to treat high blood pressure and arrhythmias were the most common cause of medication harm

196. Psn-Pdf (pdf file)
     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.

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47529/psn-pdf
     January 21, 2019 - Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide … Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide … Older adults frequently encounter medication-related harm, which may result in preventable hospitalizations … This post-hoc analysis of the intervention found that most medication-related harm occurred in the community … (70%) rather than the hospital and that the intervention successfully reduced community-acquired harm

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73685/psn-pdf
     September 08, 2021 - Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence … Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence … https://psnet.ahrq.gov/issue/obstetric-iatrogenesis-united-states-spectrum-unintentional-harm-disrespect … management plans, labor and delivery interventions, and informed consent – contribute to iatrogenic harm … https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866280/psn-pdf
     July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital … Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital … https://psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm- … examined the relationship between visitor restrictions during the COVID-19 pandemic and falls with harm … https://psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851658/psn-pdf
     July 26, 2023 - The spectrum of hospitalization-associated harm in the elderly. July 26, 2023 Schattner A. … The spectrum of hospitalization-associated harm in the elderly. … vulnerable to harm during hospitalization. … This article summarizes potential patient harm that can occur during hospitalization for older adults … https://psnet.ahrq.gov/issue/spectrum-hospitalization-associated-harm-elderly https://psnet.ahrq.gov/