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psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
December 18, 2013 - Study
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm … Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of … Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of … November 16, 2022
Incidence, nature and causes of avoidable significant harm in primary … December 16, 2020
Health and social care-associated harm amongst vulnerable children
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psnet.ahrq.gov/node/836774/psn-pdf
March 23, 2022 - Patient harm and institutional avoidability of out-of-hours
discharge from intensive care: an analysis … Patient harm and institutional avoidability of out-of-hours discharge
from intensive care: an analysis … https://psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care … https://psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using … https://psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using
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psnet.ahrq.gov/node/845074/psn-pdf
March 02, 2011 - Preventable hospital admissions related to medication
(HARM): cost analysis of the HARM study. … Preventable hospital admissions related to
medication (HARM): cost analysis of the HARM study. … https://psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm … https://psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study … https://psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study
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psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and-families-research
December 21, 2018 - Study
Developing an intervention to reduce harm in hospitalized patients: patients … 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 … August 7, 2019
Nursing practice with hospitalised older people: safety and harm. … February 13, 2019
Perspectives on patient and family engagement with reduction in harm
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psnet.ahrq.gov/node/855002/psn-pdf
November 01, 2023 - Temporarily holding medication orders safely in order to
prevent patient harm. … https://psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm … Process disconnects can cause administration mistakes that lead to harm. … https://psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
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psnet.ahrq.gov/node/47703/psn-pdf
April 07, 2019 - Evaluation of harm associated with high dose-range
clinical decision support overrides in the intensive … Evaluation of Harm Associated with High Dose-Range Clinical Decision
Support Overrides in the Intensive … https://psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-
overrides-intensive-care … https://psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care … https://psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
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psnet.ahrq.gov/node/50757/psn-pdf
December 18, 2019 - As university hospital hounds debtors, doctors say it's
doing harm. … https://psnet.ahrq.gov/issue/university-hospital-hounds-debtors-doctors-say-its-doing-harm
Financial … the organization have stated the practice works against their
commitment to keeping patients from harm … https://psnet.ahrq.gov/issue/university-hospital-hounds-debtors-doctors-say-its-doing-harm
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/50647/psn-pdf
November 06, 2019 - ‘Fear of falling’: how hospitals do even more harm by
keeping patients in bed. … https://psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
Patient … falls with harm are a common sentinel event. … https://psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
https:
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psnet.ahrq.gov/node/837760/psn-pdf
January 01, 2024 - Criminal liability for nursing and medical harm.
August 3, 2022
Maher V, Cwiek M. … Criminal liability for nursing and medical harm. Hosp Top. 2024;102(2):117-124. … https://psnet.ahrq.gov/issue/criminal-liability-nursing-and-medical-harm
Fear of criminal liability … https://psnet.ahrq.gov/issue/criminal-liability-nursing-and-medical-harm
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/854625/psn-pdf
January 01, 2024 - Remote patient monitoring improves patient falls and
reduces harm. … Remote patient monitoring improves patient falls and reduces harm. … https://psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
Inpatient … https://psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
https:
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psnet.ahrq.gov/node/863002/psn-pdf
February 21, 2024 - Three quarters of preventable patient harm stems from
situation awareness breakdowns: recognizing and … https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-
breakdowns-recognizing-and … https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and … https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
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psnet.ahrq.gov/node/846165/psn-pdf
March 15, 2023 - Do no unconscious harm.
March 15, 2023
Ortega RP. Do no unconscious harm. … https://psnet.ahrq.gov/issue/do-no-unconscious-harm
Implicit biases can degrade decision making as they … https://psnet.ahrq.gov/issue/do-no-unconscious-harm
https://psnet.ahrq.gov/issue/implicit-bias-healthcare-clinical-practice-research-and-decision-making
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psnet.ahrq.gov/node/60257/psn-pdf
April 23, 2020 - When We Do Harm: A Doctor Confronts Medical Error.
April 23, 2020
Ofri D. … https://psnet.ahrq.gov/issue/when-we-do-harm-doctor-confronts-medical-error
Human and system failures … combine to result in preventable patient harm. … https://psnet.ahrq.gov/issue/when-we-do-harm-doctor-confronts-medical-error
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - Reducing Preventable Patient Harm Due to Retained
Surgical Items: The RSI Bundle
May 29, 2024
https … Summary
Retained surgical items (RSIs) cause severe yet preventable patient harm. … Near misses are either (a) no-harm good catches or (b) error, but no harm.2 An example of
a near miss … The measures are built into Ascension’s harm dashboard on Tableau. … The RSI harm event rate is per 10,000 patient days.
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psnet.ahrq.gov/node/48176/psn-pdf
July 31, 2019 - symptoms in the aftermath of a
patient safety incident and association with the level of
patient harm … victim symptoms in the aftermath of a patient
safety incident and association with the level of patient harm … associated with involvement in an
adverse event as well as the relationship between the degree of harm … These symptoms were more severe and long lasting for events with more serious harm to patients,
compared … to events with less severe harm.
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psnet.ahrq.gov/node/73477/psn-pdf
July 07, 2021 - Closing Death’s Door: Legal Innovations to End the
Epidemic of Healthcare Harm. … https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
A weave … and policy approaches
as promising avenues for generating the changes needed to reduce iatrogenic harm … https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
https
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psnet.ahrq.gov/node/72754/psn-pdf
February 17, 2021 - Telehealth in the COVID-19 era: a balancing act to avoid
harm. … Telehealth in the COVID-19 Era: a balancing act to avoid harm. … https://psnet.ahrq.gov/issue/telehealth-covid-19-era-balancing-act-avoid-harm
The COVID-19 pandemic … https://psnet.ahrq.gov/issue/telehealth-covid-19-era-balancing-act-avoid-harm
https://psnet.ahrq.gov/
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psnet.ahrq.gov/node/73101/psn-pdf
April 07, 2021 - Do No Harm: Are We Preventing Medication Errors in
Children with Medical Complexity? … https://psnet.ahrq.gov/issue/do-no-harm-are-we-preventing-medication-errors-children-medical-complexity … factors in children with
complex care needs and reviewed existing strategies to reduce the potential for harm … https://psnet.ahrq.gov/issue/do-no-harm-are-we-preventing-medication-errors-children-medical-complexity
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psnet.ahrq.gov/node/852279/psn-pdf
August 09, 2023 - Why stigma matters in addressing alcohol harm.
August 9, 2023
Morris J, Schomerus G. … Why stigma matters in addressing alcohol harm. … https://psnet.ahrq.gov/issue/why-stigma-matters-addressing-alcohol-harm
Stigma and bias in healthcare … https://psnet.ahrq.gov/issue/why-stigma-matters-addressing-alcohol-harm
https://psnet.ahrq.gov/issue/
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psnet.ahrq.gov/node/50829/psn-pdf
January 22, 2020 - How one medical checkup can snowball into a ‘cascade’
of tests, causing more harm than good. … https://psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-
good … https://psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good … https://psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good