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psnet.ahrq.gov/node/837037/psn-pdf
May 04, 2022 - Humanizing harm: using a restorative approach to heal
and learn from adverse events. … Humanizing harm: Using a restorative approach to heal and learn
from adverse events. … https://psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events … Harm resulting from patient safety incidents can be compounded if investigating responses ignore the … https://psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
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psnet.ahrq.gov/node/60349/psn-pdf
May 20, 2020 - Health care provider factors associated with patient-
reported adverse events and harm. … Health care provider factors associated with patient-reported
adverse events and harm. … /psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-
harm … between patient-reported contributory factors and patient-reported physical, emotional or
financial harm … These patient-reported contributory factors increased the likelihood of reporting any type of harm.
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psnet.ahrq.gov/node/72804/psn-pdf
March 03, 2021 - 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. … https://psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-
settings … https://psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings … https://psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
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psnet.ahrq.gov/node/50650/psn-pdf
November 13, 2019 - Identifying 'avoidable harm' in family practice: a
RAND/UCLA Appropriateness Method consensus study. … Identifying 'avoidable harm' in family practice: a
RAND/UCLA Appropriateness Method consensus study. … https://psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method … about
safety in primary care settings and there is no clear definition of patient safety incidents and harm … The authors convened a panel of family physicians and used a consensus method to
define “avoidable harm
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psnet.ahrq.gov/node/72637/psn-pdf
January 13, 2021 - Identifying factors leading to harm in English general
practices: a mixed-methods study based on patient … Identifying Factors Leading to Harm in English
General Practices: A Mixed-Methods Study Based on Patient … https://psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods … across primary care clinics
in England explored the main factors contributing to patient-reported harm … https://psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods-study-based-patient
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psnet.ahrq.gov/node/836916/psn-pdf
April 13, 2022 - Implementing a robust process improvement program in
the neonatal intensive care unit to reduce harm … Implementing a robust process improvement program in the
neonatal intensive care unit to reduce harm … psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-
unit-reduce-harm … improvement tools to support staff skill development and identify sustainable improvements) to
reduce harm … psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
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psnet.ahrq.gov/node/72803/psn-pdf
March 03, 2021 - 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 … https://psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and- … https://psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings … /psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature-harm-patients
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psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
April 11, 2011 - intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm … intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm … intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm … October 13, 2010
A trigger tool to detect harm in pediatric inpatient settings. … March 6, 2013
Preventable harm occurring to critically ill children.
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psnet.ahrq.gov/node/853968/psn-pdf
January 01, 2024 - When work harms: how better understanding of avoidable
employee harm can improve employee safety, patient … When work harms: how better understanding of avoidable employee harm
can improve employee safety, patient … https://psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-
improve-employee-safety … This article
proposes a definition of “avoidable employee harm” (e.g., retaliation for speaking up about … https://psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
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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/
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psnet.ahrq.gov/node/73536/psn-pdf
July 28, 2021 - Epidemiology of healthcare harm in New Zealand general
practice: a retrospective records review study … https://psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective- … records-review-study
In this retrospective study, researchers examined patient records to describe patient harm … https://psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study … https://psnet.ahrq.gov/issue/incidence-nature-and-causes-avoidable-significant-harm-primary-care-england-retrospective
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psnet.ahrq.gov/node/72566/psn-pdf
January 01, 2021 - Incidence, nature and causes of avoidable significant
harm in primary care in England: retrospective … Incidence, nature and causes of avoidable significant harm in primary
care in England: retrospective … https://psnet.ahrq.gov/issue/incidence-nature-and-causes-avoidable-significant-harm-primary-care-
england-retrospective … Their
analysis identified three primary types of avoidable harm in primary care – problems with diagnoses … The authors suggest several methods to reduce
avoidable harm in primary care, including optimizing existing
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psnet.ahrq.gov/node/73066/psn-pdf
March 24, 2021 - Patient harm resulting from medication reconciliation
process failures: a study of serious events reported … Patient harm resulting from medication reconciliation process failures: a
study of serious events reported … https://psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study- … The most
common process failures contributing to patient harm occurred during order entry/transcription … prescribed
medications, and adding anticonvulsants to processes for medication with high risk for harm
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psnet.ahrq.gov/node/867449/psn-pdf
March 13, 2025 - Medication Related Harm.
March 13, 2025
Medication Related Harm. … Health Services Safety Investigations Body. 2024-2025
https://psnet.ahrq.gov/issue/medication-related-harm … Omitted or delayed medication therapy can contribute to patient discomfort, stress, and harm. … https://psnet.ahrq.gov/issue/medication-related-harm
https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
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psnet.ahrq.gov/node/73158/psn-pdf
April 21, 2021 - Better understanding the downsides of low value
healthcare could reduce harm. … Better understanding the downsides of low value healthcare could reduce
harm. … https://psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
Overuse … of healthcare services can result in financial, physical, and emotional harm to the patient. … Research is needed to quantify harm resulting from overuse of healthcare services,
including the number
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psnet.ahrq.gov/node/854987/psn-pdf
January 01, 2024 - Frequency, type, and degree of potential harm of adverse
safety events among pediatric emergency medical … Frequency, type, and degree of potential harm of adverse safety events
among pediatric emergency medical … https://psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-
pediatric-emergency … More than 20% of encounters contained at least one ASE, although most were unlikely to cause
harm (e.g … https://psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-pediatric-emergency
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psnet.ahrq.gov/node/847724/psn-pdf
April 19, 2023 - Defining avoidable healthcare-associated harm in
prisons: a mixed-method development study. … Defining avoidable healthcare-associated harm in prisons: a
mixed-method development study. … https://psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-
development-study … article
describes structures and processes within prison systems that may contribute to avoidable harm … https://psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
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psnet.ahrq.gov/node/867642/psn-pdf
February 26, 2025 - Patient-reported harm following cancellation of planned
surgery at a Danish university hospital: a cross-sectional … Patient-reported harm following cancellation of planned surgery at a
Danish university hospital: a cross-sectional … https://psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-
university-hospital-cross … https://psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross … https://psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross
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psnet.ahrq.gov/node/866694/psn-pdf
September 11, 2024 - What's the harm? … What’s the harm? … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system- … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and
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psnet.ahrq.gov/node/860715/psn-pdf
January 17, 2024 - Development of prescribing indicators related to opioid-
related harm in patients with chronic pain … Development of prescribing indicators related to opioid-related
harm in patients with chronic pain in … https://psnet.ahrq.gov/issue/development-prescribing-indicators-related-opioid-related-harm-patients- … Fifteen out of the 21 scenarios were rated as inappropriate (i.e., could result in harm to
patients) … https://psnet.ahrq.gov/issue/development-prescribing-indicators-related-opioid-related-harm-patients-chronic-pain-primary