-
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
-
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
-
psnet.ahrq.gov/node/50918/psn-pdf
February 19, 2020 - Finding dental harm to patients through electronic health
record-based triggers. … Finding dental harm to patients through electronic health record-
based triggers . … https://psnet.ahrq.gov/issue/finding-dental-harm-patients-through-electronic-health-record-based-triggers … https://psnet.ahrq.gov/issue/finding-dental-harm-patients-through-electronic-health-record-based-triggers … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office
-
psnet.ahrq.gov/node/60718/psn-pdf
July 22, 2020 - First Do No Harm. The Report of the Independent
Medicines and Medical Devices Safety Review. … https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety … https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety-review … https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety-review … your-diagnosis-was-wrong-could-doctor-bias-have-been-factor
https://psnet.ahrq.gov/issue/deadly-deliveries
https://psnet.ahrq.gov/issue/doing-harm
-
psnet.ahrq.gov/node/853611/psn-pdf
September 20, 2023 - Preventing potential patient harm through clinical content
interventions during oncology clinical trial … Preventing potential patient harm through clinical content interventions
during oncology clinical trial … https://psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during … https://psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology … https://psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology
-
psnet.ahrq.gov/node/60693/psn-pdf
July 15, 2020 - Incoming interns recognize inadequate physical
examination as a cause of patient harm. … Incoming interns recognize inadequate physical examination as a cause
of patient harm. … https://psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-
harm … https://psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm … https://psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm
-
psnet.ahrq.gov/node/48034/psn-pdf
May 22, 2019 - Chasing zero harm in radiation oncology: using pre-
treatment peer review. … Chasing Zero Harm in Radiation Oncology: Using Pre-
treatment Peer Review. … https://psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review
Huddles … multidisciplinary prospective peer review of radiation oncology patient
treatment plans to help prevent harm … https://psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review
https
-
psnet.ahrq.gov/node/36418/psn-pdf
July 14, 2010 - Application of the IV Medication Harm Index to assess the
nature of harm averted by "smart" infusion … Application of the IV Medication Harm Index to Assess the
Nature of Harm Averted by "Smart" Infusion … https://psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart- … https://psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems … https://psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
-
psnet.ahrq.gov/node/867756/psn-pdf
March 12, 2025 - Why is it so hard to reduce harm from medicines?
March 12, 2025
Rochford A. … Why is it so hard to reduce harm from medicines? Future Healthc J. 2024;11(4):100205. … https://psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines
Medication errors and adverse drug … https://psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
-
psnet.ahrq.gov/node/60701/psn-pdf
July 22, 2020 - Prevalence and nature of medication errors and
medication-related harm following discharge from
hospital … Prevalence and nature of medication errors and medication-related
harm following discharge from hospital … https://psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-
following-discharge … https://psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge … https://psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge
-
psnet.ahrq.gov/node/73867/psn-pdf
September 22, 2021 - A dynamic risk management approach for reducing harm
from invasive bedside procedures performed during … A dynamic risk management approach for reducing harm from
invasive bedside procedures performed during … https://psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-
procedures-performed-during … https://psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during … https://psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
-
psnet.ahrq.gov/node/848086/psn-pdf
April 26, 2023 - Preventable harm in the Canadian organ donation and
transplantation system: a descriptive study of missed … Preventable harm in the Canadian organ donation and
transplantation system: a descriptive study of missed … https://psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-
descriptive-study-missed … https://psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed … https://psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
-
psnet.ahrq.gov/node/47438/psn-pdf
June 02, 2019 - Developing an intervention to reduce harm in hospitalized
patients: patients and families in research … Developing an Intervention to Reduce Harm in Hospitalized
Patients: Patients and Families in Research … https://psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and- … https://psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and-families-research … https://psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and-families-research
-
psnet.ahrq.gov/node/838926/psn-pdf
October 26, 2022 - Position Statement on Criminalization of Medical Error
and Call for Action to Prevent Patient Harm from … psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-
patient-harm-error … prosecution to mistakes to
instead focus on system failures to prevent conditions that permit errors to harm … psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error … psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
-
psnet.ahrq.gov/node/837796/psn-pdf
August 10, 2022 - Association between hospital acquired harm outcomes
and membership in a national patient safety collaborative … Association between hospital acquired harm outcomes and
membership in a national patient safety collaborative … https://psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-
national-patient-safety … https://psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety … https://psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety
-
psnet.ahrq.gov/node/855084/psn-pdf
November 08, 2023 - Validation of a reduced set of high-performance triggers
for identifying patient safety incidents with harm … Validation of a reduced set of high-
performance triggers for identifying patient safety incidents with harm … psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-
incidents-harm … psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm … psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
-
psnet.ahrq.gov/node/866270/psn-pdf
July 10, 2024 - identifying-and-measuring-administrative-harms-experienced-hospitalists-and-
administrative
Administrative harm … leaders,
researchers, and patient and family advocates were largely unaware of the term administrative harm … identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative
https://psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together … https://psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together
-
psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
December 15, 2011 - medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm … medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm … medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm … errors during patient transitions into nursing homes: characteristics and association with patient harm … February 23, 2011
Heparin: improving treatment and reducing risk of harm.
-
psnet.ahrq.gov/node/44824/psn-pdf
January 01, 2020 - Improved safety culture and teamwork climate are
associated with decreases in patient harm and hospital … Improved Safety Culture and Teamwork Climate Are Associated With
Decreases in Patient Harm and Hospital … psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-
patient-harm-and … Over
the course of 4 years, SAQ scores improved while all-hospital harm, serious safety events, and … /psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
-
psnet.ahrq.gov/node/72593/psn-pdf
January 01, 2021 - Patient harm during COVID-19 pandemic: using a human
factors lens to promote patient and workforce safety … Patient harm during COVID-19 pandemic: using a human factors lens
to promote patient and workforce safety … https://psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote- … https://psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce … https://psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce