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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
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psnet.ahrq.gov/node/851665/psn-pdf
July 26, 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. … -2018
https://psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october … -2018
https://psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
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psnet.ahrq.gov/node/60757/psn-pdf
August 05, 2020 - Identifying no-harm incidents in home healthcare: a
cohort study using trigger tool methodology. … Identifying no-harm incidents in home healthcare: a cohort study
using trigger tool methodology. … https://psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool … -
methodology
This study used a trigger tool to retrospectively identify and characterize no-harm incidents … https://psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool-methodology
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psnet.ahrq.gov/node/60201/psn-pdf
April 08, 2020 - Misdiagnosis, mistreatment, and harm - when medical
care ignores social forces. … Misdiagnosis, mistreatment, and harm - when medical care ignores
social forces. … https://psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces … This article discusses the risk of misdiagnosis, mistreatment and iatrogenic harm when healthcare … https://psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces
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psnet.ahrq.gov/node/845357/psn-pdf
March 29, 2023 - Reducing hospital harm: establishing a command centre
to foster situational awareness. … Reducing hospital harm: establishing a command centre to foster situational awareness. … https://psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational … and real-time data to support early identification and real-time
management of patients at risk of harm … in 2019, researchers have identified an association between CC2 tiles and
lower rates of hospital harm
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psnet.ahrq.gov/issue/failures-respectful-care-critically-ill-patients
December 19, 2018 - Emotional and psychological harm are understudied but common preventable adverse events . … care providers and the lasting psychological impact of safety hazards both contribute to emotional harm … This large, prospective study explored emotional harm among 1559 family members of intensive care unit … A WebM&M commentary discussed the utility of family-centered care to preventing harm in the intensive … May 20, 2020
Intensive care medicine in 2050: preventing harm.
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psnet.ahrq.gov/node/866321/psn-pdf
July 17, 2024 - Impact of pharmacist-led discharge medication
reconciliation on error and patient harm prevention at … led discharge medication reconciliation on error
and patient harm prevention at a large academic medical … /psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-
harm-prevention … ://psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention … ://psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention
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psnet.ahrq.gov/node/864372/psn-pdf
March 13, 2024 - To do no harm - and the most good - with AI in health
care. … To do no harm - and the most good - with AI in health care. … https://psnet.ahrq.gov/issue/do-no-harm-and-most-good-ai-health-care
Artificial intelligence (AI) is … https://psnet.ahrq.gov/issue/do-no-harm-and-most-good-ai-health-care
https://psnet.ahrq.gov/perspective … psnet.ahrq.gov/issue/diagnostic-errors-health-disparities-and-artificial-intelligence-combination-health-or-harm
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psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Study
Classic
Temporal trends in rates of patient harm … Temporal trends in rates of patient harm resulting from medical care. … Temporal trends in rates of patient harm resulting from medical care. … April 24, 2018
Health and social care-associated harm amongst vulnerable children in … intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm
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psnet.ahrq.gov/node/46981/psn-pdf
May 04, 2019 - Lessons learned from implementing a principled
approach to resolution following patient harm. … Lessons learned from implementing a principled approach to
resolution following patient harm. … psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-
patient-harm … Appropriate response to patient and family concerns after health care–associated harm is important. … /psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
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psnet.ahrq.gov/node/865531/psn-pdf
April 10, 2024 - Implicit bias and patient care: mitigating bias, preventing
harm. … Implicit bias and patient care: mitigating bias, preventing harm. … https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
Addressing … ) communicate with both the
resident and family to diffuse the situation and prevent any potential harm … https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
https
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psnet.ahrq.gov/node/74854/psn-pdf
February 23, 2022 - Nursing guidelines for comprehensive harm prevention
strategies for adult patients in acute hospitals … Nursing guidelines for comprehensive harm prevention strategies for
adult patients in acute hospitals … https://psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients … practice guidelines
identified 6 themes representing nursing care strategies to manage risk and prevent harm … https://psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals
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psnet.ahrq.gov/node/846446/psn-pdf
March 22, 2023 - accuracy of the Global Trigger Tool is higher for the
identification of adverse events of greater harm … accuracy of the Global Trigger Tool is higher for the identification
of adverse events of greater harm … https://psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm … satisfactory
sensitivity, specificity, and global accuracy for AE detection, but performed better when minor harm … https://psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic
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psnet.ahrq.gov/node/74029/psn-pdf
January 01, 2022 - Patient safety strategies in psychiatry and how they
construct the notion of preventable harm: a scoping … Patient safety strategies in psychiatry and how they construct the notion of preventable harm:
a scoping … psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-
preventable-harm-scoping … These strategies primarily target reductions in suicide, self-
harm, violence, and falls. … psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-preventable-harm-scoping
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psnet.ahrq.gov/node/837985/psn-pdf
August 31, 2022 - Inequity and Iatrogenic Harm.
August 31, 2022
AMA J Ethics. 2022;24(8):e715-e816. … https://psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm
Health inequity is recent expansion in the … special issue examines poor access,
quality of care, and health status as contributors to patient harm … https://psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm
https://psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety … role-racism-core-patient-safety-issue
https://psnet.ahrq.gov/issue/how-cisgender-clinicians-can-help-prevent-harm-during-encounters-transgender-patients
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psnet.ahrq.gov/node/60683/psn-pdf
July 15, 2020 - Protecting children from iatrogenic harm during COVID19
pandemic. … Protecting children from iatrogenic harm during COVID19
pandemic. … https://psnet.ahrq.gov/issue/protecting-children-iatrogenic-harm-during-covid19-pandemic
This commentary … discusses changes in critical care practice as a response to COVID-19, and the potential
for iatrogenic harm … https://psnet.ahrq.gov/issue/protecting-children-iatrogenic-harm-during-covid19-pandemic
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/851349/psn-pdf
July 12, 2023 - Contributory factors and patient harm including deaths
associated direct acting oral anticoagulants … Contributory factors and patient harm including deaths associated direct
acting oral anticoagulants … https://psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct … 2019 found
that the majority (87.6%) were due to active failures and 2.2% resulted in moderate/severe harm … https://psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
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psnet.ahrq.gov/node/836964/psn-pdf
April 20, 2022 - Occurrence of no-harm incidents and adverse events in
hospitalized patients with ischemic stroke or … Occurrence of no-harm incidents and adverse events in
hospitalized patients with ischemic stroke or … https://psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients- … trigger tool could accurately
identify preventable events among patients with adverse events and no-harm … https://psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
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psnet.ahrq.gov/node/48085/psn-pdf
June 19, 2019 - A decade of preventing harm.
June 19, 2019
Woeltje KF, Olenski LK, Donatelli M, et al. … A Decade of Preventing Harm. … https://psnet.ahrq.gov/issue/decade-preventing-harm
Preventable patient safety problems continue to … This report describes
a quality improvement intervention to reduce preventable harm in a 15-hospital … https://psnet.ahrq.gov/issue/decade-preventing-harm
https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals