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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44178/psn-pdf
    July 03, 2016 - A trigger tool to detect harm in pediatric inpatient settings. … A trigger tool to detect harm in pediatric inpatient settings. … https://psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings Trigger tools are … In a retrospective chart review across six academic children's hospitals, the tool identified harm in … https://psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings https://psnet.ahrq.gov
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41775/psn-pdf
    December 18, 2014 - Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. … Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. … https://psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger … In this retrospective chart review study, the Global Trigger Tool identified a higher rate of harm ( … https://psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool
  3. psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
    May 27, 2020 - Book/Report Safer Together Annual Report. Citation Text: Safer Together Annual Report. Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association. Copy Citation Save Save to your library Print Download PDF Share …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35911/psn-pdf
    July 23, 2010 - Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. … Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. … https://psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near … https://psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life … https://psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38869/psn-pdf
    August 19, 2009 - Frequency and severity of harm of medication errors related to the parenteral nutrition process in a … Frequency and severity of harm of medication errors related to the parenteral nutrition process in a … https://psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition … https://psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large … https://psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41382/psn-pdf
    May 16, 2012 - To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed … To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed … https://psnet.ahrq.gov/issue/tell-truth-whole-truth-may-do-patients-harm-problem-nocebo-effect-informed … https://psnet.ahrq.gov/issue/tell-truth-whole-truth-may-do-patients-harm-problem-nocebo-effect-informed-consent … https://psnet.ahrq.gov/issue/tell-truth-whole-truth-may-do-patients-harm-problem-nocebo-effect-informed-consent
  7. psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
    December 04, 2019 - 2011 Incoming interns recognize inadequate physical examination as a cause of patient harm
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42486/psn-pdf
    August 14, 2013 - An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office … An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38638/psn-pdf
    May 20, 2009 - The preliminary development and testing of a global trigger tool to detect error and patient harm in … The preliminary development and testing of a global trigger tool to detect error and patient harm in … psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and- patient-harm-primary … psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary … psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41644/psn-pdf
    September 12, 2012 - The cost of harm and savings through safety: using simulated patients for leadership decision support … The cost of harm and savings through safety: using simulated patients for leadership decision support … https://psnet.ahrq.gov/issue/cost-harm-and-savings-through-safety-using-simulated-patients-leadership … https://psnet.ahrq.gov/issue/cost-harm-and-savings-through-safety-using-simulated-patients-leadership-decision-support … https://psnet.ahrq.gov/issue/cost-harm-and-savings-through-safety-using-simulated-patients-leadership-decision-support
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42470/psn-pdf
    August 07, 2013 - Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? … Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? … psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and- patient-harm … psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm … psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44612/psn-pdf
    October 28, 2015 - Transitional chaos or enduring harm? The EHR and the disruption of medicine. … Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. … https://psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine Discussing … https://psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine https:// … psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age https://psnet.ahrq.gov
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47179/psn-pdf
    September 26, 2018 - Their harm severity classification emphasizes psychological harm, hospitalizations, near misses, and … uncertain outcomes in addition to traditional markers of harm. … measurement-patient-safety https://psnet.ahrq.gov/primer/measurement-patient-safety https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-preventable-harm
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. … https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing … safeguards to prevent system failures that can result in patient harm, this two-part newspaper article … promise in engaging clinicians in safety improvement and explores specific areas of focus to reduce harm … https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum … Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum … https://psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and- harm-across-continuum … As with prior studies, physician investigators determined preventability and extent of harm. … https://psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39870/psn-pdf
    September 22, 2010 - Harm Reduction Strategies if Keeping 12-Hour Shifts. … Part 3. harm reduction strategies if keeping 12-hour shifts. … https://psnet.ahrq.gov/issue/it-time-pull-plug-12-hour-shifts-part-3-harm-reduction-strategies-if-keeping … https://psnet.ahrq.gov/issue/it-time-pull-plug-12-hour-shifts-part-3-harm-reduction-strategies-if-keeping … -12-hour-shifts https://psnet.ahrq.gov/issue/it-time-pull-plug-12-hour-shifts-part-3-harm-reduction-strategies-if-keeping
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45823/psn-pdf
    May 09, 2017 - The effect of prescriber education on medication-related patient harm in the hospital: a systematic … The effect of prescriber education on medication- related patient harm in the hospital: a systematic … https://psnet.ahrq.gov/issue/effect-prescriber-education-medication-related-patient-harm-hospital- systematic-review … https://psnet.ahrq.gov/issue/effect-prescriber-education-medication-related-patient-harm-hospital-systematic-review … https://psnet.ahrq.gov/issue/effect-prescriber-education-medication-related-patient-harm-hospital-systematic-review
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45878/psn-pdf
    September 20, 2017 - Development of a trigger tool to identify adverse events and harm in emergency medical services. … Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency- medical-services … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42052/psn-pdf
    December 21, 2014 - Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized … Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized … https://psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory- … https://psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical … https://psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47020/psn-pdf
    January 16, 2019 - Unintended harm associated with the Hospital Readmissions Reduction Program. … Unintended Harm Associated With the Hospital Readmissions Reduction Program. … https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program Using … advocate for development of more effective policies and measures to reduce the potential for patient harm … https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program https

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