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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47061/psn-pdf
    July 25, 2018 - the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm … the decentring of patients and care delivery: A critique of 'unavoidable' in the context of patient harm … technical-rationality-and-decentring-patients-and-care-delivery-critique- unavoidable-context Lack of consensus regarding whether some types of health care–acquired harm … This commentary spotlights concerns that normalizing harm as unavoidable can hinder investigation of … technical-rationality-and-decentring-patients-and-care-delivery-critique-unavoidable-context https://psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47517/psn-pdf
    January 27, 2019 - Defining and classifying terminology for medication harm: a call for consensus. … Defining and classifying terminology for medication harm: a call for consensus. … https://psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus Lack … This narrative review examined the various terms used to discuss medication-related harm. … https://psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus https
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45202/psn-pdf
    October 08, 2016 - Towards international consensus on patient harm: perspectives on pressure injury policy. … Towards international consensus on patient harm: perspectives on pressure injury policy. … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37156/psn-pdf
    October 06, 2011 - Preventable harm occurring to critically ill children. … Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336. … https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children This retrospective cohort … patient-days, although more than three-quarters of these were minor errors that did not cause patient harm … https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children https://psnet.ahrq.gov
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40617/psn-pdf
    November 01, 2011 - Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level … Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level … https://psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through- … https://psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural … https://psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43345/psn-pdf
    July 16, 2014 - Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments … Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments … https://psnet.ahrq.gov/issue/avoiding-potential-harm-improving-appropriateness-urinary-catheter-use-18 … https://psnet.ahrq.gov/issue/avoiding-potential-harm-improving-appropriateness-urinary-catheter-use-18 … -emergency https://psnet.ahrq.gov/issue/avoiding-potential-harm-improving-appropriateness-urinary-catheter-use
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43745/psn-pdf
    December 17, 2014 - Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length … Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increased cost, length … https://psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated- … administrative data to identify a set of hospital-acquired conditions associated with preventable harm … https://psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44060/psn-pdf
    November 16, 2015 - Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. … Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. … https://psnet.ahrq.gov/issue/developing-person-centred-analysis-harm-paediatric-hospital-quality- improvement-report … https://psnet.ahrq.gov/issue/developing-person-centred-analysis-harm-paediatric-hospital-quality-improvement-report … https://psnet.ahrq.gov/issue/developing-person-centred-analysis-harm-paediatric-hospital-quality-improvement-report
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46780/psn-pdf
    January 31, 2018 - Strategies to reduce patient harm from infusion- associated medication errors: a scoping review. … Strategies to Reduce Patient Harm From Infusion-Associated Medication Errors: A Scoping Review. … https://psnet.ahrq.gov/issue/strategies-reduce-patient-harm-infusion-associated-medication-errors-scoping … https://psnet.ahrq.gov/issue/strategies-reduce-patient-harm-infusion-associated-medication-errors-scoping-review … https://psnet.ahrq.gov/issue/strategies-reduce-patient-harm-infusion-associated-medication-errors-scoping-review
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43342/psn-pdf
    July 16, 2014 - Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric … Prevalence and severity of patient harm in a sample of UK- hospitalised children detected by the Paediatric … https://psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children- detected-paediatric … https://psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric … https://psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42252/psn-pdf
    May 08, 2013 - Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis … Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis … https://psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm … https://psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis … https://psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43822/psn-pdf
    July 01, 2016 - Multicentre study to develop a medication safety package for decreasing inpatient harm from omission … Multicentre study to develop a medication safety package for decreasing inpatient harm from omission … https://psnet.ahrq.gov/issue/multicentre-study-develop-medication-safety-package-decreasing-inpatient- harm-omission-time … https://psnet.ahrq.gov/issue/multicentre-study-develop-medication-safety-package-decreasing-inpatient-harm-omission-time … https://psnet.ahrq.gov/issue/multicentre-study-develop-medication-safety-package-decreasing-inpatient-harm-omission-time
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38448/psn-pdf
    March 04, 2009 - Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised … Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised … https://psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable- harm-hospitalised … https://psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised … https://psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41251/psn-pdf
    March 29, 2012 - Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients … Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients … psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature- harm-patients … /psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature-harm-patients … /psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature-harm-patients
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41367/psn-pdf
    May 09, 2012 - Harm Free Care. May 9, 2012 National Health Service. … https://psnet.ahrq.gov/issue/harm-free-care This initiative seeks to reduce four key sources of harm … https://psnet.ahrq.gov/issue/harm-free-care
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43418/psn-pdf
    April 24, 2017 - Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise … Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise … https://psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise … randomized controlled trial compared two educational strategies, patient narratives of health-related harm … https://psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33729/psn-pdf
    May 01, 2012 - Methodology and rationale for the measurement of harm with trigger tools. … Adverse drug event trigger tool: a practical methodology for measuring medication related harm. … Temporal trends in rates of patient harm resulting from medical care. … Comparison of four most frequently used methods to identify harm. … types (not "all cause" harm)• Harm easily hidden/missed (if not well described in charting)• Dependent
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46190/psn-pdf
    August 17, 2017 - Preventing harm in the ICU—building a culture of safety and engaging patients and families. … Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. … https://psnet.ahrq.gov/issue/preventing-harm-icu-building-culture-safety-and-engaging-patients-and- … https://psnet.ahrq.gov/issue/preventing-harm-icu-building-culture-safety-and-engaging-patients-and-families … https://psnet.ahrq.gov/issue/preventing-harm-icu-building-culture-safety-and-engaging-patients-and-families
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46513/psn-pdf
    June 19, 2018 - Development of a trigger tool to identify adverse events and no-harm incidents that affect patients … Development of a trigger tool to identify adverse events and no-harm incidents that affect patients … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39776/psn-pdf
    January 25, 2017 - First, protect the patient from harm: applying adult learning principles to patient safety. … https://psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety … This piece describes how education can reduce patient harm by promoting attitude and behavior changes … https://psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety

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