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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861282/psn-pdf
    January 24, 2024 - Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. … Reconceptualizing patient safety beyond harm: insights from a mixed- methods qualitative inquiry. … https://psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods- qualitative-inquiry … https://psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry … https://psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858175/psn-pdf
    December 13, 2023 - Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse … Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse … https://psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment … https://psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse … https://psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73083/psn-pdf
    March 31, 2021 - Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after … Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after … https://psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations … patient suicide following contact with a healthcare provider is regarded a potential case of patient harm … https://psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50433/psn-pdf
    September 04, 2019 - ://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed https://psnet.ahrq.gov/issue/doing-harm … https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-preventable-harm https://psnet.ahrq.gov … /issue/emotional-harm-disrespect-neglected-preventable-harm https://psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73256/psn-pdf
    May 12, 2021 - Addiction treatment providers in Pa. face little state scrutiny despite harm to clients. … https://psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients … This article describes failures in addiction treatment that contributed to harm for vulnerable patients … https://psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients … https://psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-harm
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844549/psn-pdf
    February 15, 2023 - Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: … Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: … https://psnet.ahrq.gov/issue/preventable-harm-because-outpatient-medication-errors-among-children- leukemia-and-lymphoma … due to medication errors in the home and 42% experienced a medication error with the potential for harm … https://psnet.ahrq.gov/issue/preventable-harm-because-outpatient-medication-errors-among-children-leukemia-and-lymphoma
  7. psnet.ahrq.gov/issue/stranded-er-seniors-await-hospital-care-and-suffer-avoidable-harm
    December 05, 2018 - Magazine Article Stranded in the ER, seniors await hospital care and suffer avoidable harm … Citation Text: Stranded in the ER, seniors await hospital care and suffer avoidable harm. … Citation Citation Text: Stranded in the ER, seniors await hospital care and suffer avoidable harm … October 2, 2024 A strategic solution to preventing the harm associated with ambulance … August 23, 2023 The spectrum of hospitalization-associated harm in the elderly.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74755/psn-pdf
    February 09, 2022 - Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth … Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth … https://psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm … https://psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth … https://psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837509/psn-pdf
    June 22, 2022 - Scoping review of studies evaluating frailty and its association with medication harm. … Scoping review of studies evaluating frailty and its association with medication harm. … https://psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm … This scoping review shows that studies evaluating medication harm in frail patients are largely limited … https://psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47850/psn-pdf
    March 27, 2019 - Medicines-related harm in the elderly post-hospital discharge. … https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge Geriatric patients … are particularly vulnerable to medication-related harm. … The authors recommend strategies to reduce medication-related harm, including discharge communication … https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge https://psnet.ahrq.gov
  11. psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
    March 04, 2010 - The Persistence of Avoidable Harm in the NHS. … The Persistence of Avoidable Harm in the NHS. London UK: Patient Safety Learning: 2022. … The Persistence of Avoidable Harm in the NHS. London UK: Patient Safety Learning: 2022. … June 13, 2012 Building a Memory: Preventing Harm, Reducing Risks and Improving Patient … June 29, 2022 First Do No Harm.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859301/psn-pdf
    January 01, 2024 - Parents' understanding of medication at discharge and potential harm in children with medical complexity … Parents’ understanding of medication at discharge and potential harm in children with medical complexity … https://psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children- … https://psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity … https://psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864852/psn-pdf
    March 20, 2024 - Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative … Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative … https://psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized … https://psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative … https://psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74704/psn-pdf
    January 26, 2022 - Improving self-reported empathy and communication skills through harm in healthcare response training … Improving self-reported empathy and communication skills through harm in healthcare response training … https://psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm- … https://psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response … https://psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60768/psn-pdf
    August 05, 2020 - Missed and delayed diagnoses of non-COVID conditions-- collateral harm from a pandemic. … Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm- pandemic … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60760/psn-pdf
    August 12, 2020 - Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID … Do No Harm. Chest. 2020;158(3):873-876. doi:10.1016/j.chest.2020.05.548. … https://psnet.ahrq.gov/issue/do-no-harm-reaffirming-value-evidence-and-equipoise-while-minimizing- cognitive-bias-covid … https://psnet.ahrq.gov/issue/do-no-harm-reaffirming-value-evidence-and-equipoise-while-minimizing-cognitive-bias-covid … -19 https://psnet.ahrq.gov/issue/do-no-harm-reaffirming-value-evidence-and-equipoise-while-minimizing-cognitive-bias-covid
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46896/psn-pdf
    July 17, 2019 - Apology and unintended harm in global health. July 17, 2019 Addiss DG, Amon JJ. … Apology and Unintended Harm in Global Health. Health Hum Rights. 2019;21(1):19- 32. … https://psnet.ahrq.gov/issue/apology-and-unintended-harm-global-health Although disclosure and apology … principles that can be challenged when intervention design and implementation result in unintentional harm … https://psnet.ahrq.gov/issue/apology-and-unintended-harm-global-health https://psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration-lessons-media
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840486/psn-pdf
    November 30, 2022 - Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation … Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation … https://psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient- harm-or-malpractice … https://psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient-harm-or-malpractice … https://psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient-harm-or-malpractice
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33591/psn-pdf
    March 15, 2025 - Health care organizations use a variety of strategies to detect safety hazards in order to prevent harm … Triggers provide a way of screening medical records for possible harm and identifying cases that merit … The IHI cautions that the GTT (or any trigger tool method) cannot identify all sources of patient harm … or the cause of harm, a point emphasized in an influential commentary. … reliability of trigger tools, both for detection of adverse events and for rating the severity of harm
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841790/psn-pdf
    September 01, 2021 - Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm … Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm … psnet.ahrq.gov/issue/diagnostic-errors-health-disparities-and-artificial-intelligence-combination- health-or-harm … psnet.ahrq.gov/issue/diagnostic-errors-health-disparities-and-artificial-intelligence-combination-health-or-harm … psnet.ahrq.gov/issue/diagnostic-errors-health-disparities-and-artificial-intelligence-combination-health-or-harm

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