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Showing results for "harm".

61. Reducing administrative harm in medicine - clinicians and administrators together. | PSNet
    psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together
    February 23, 2022 - Commentary Reducing administrative harm in medicine - clinicians and administrators … Reducing administrative harm in medicine - clinicians and administrators together. … applying safety system improvement approaches to examine managerial choices that contribute to patient harm … Reducing administrative harm in medicine - clinicians and administrators together. … How effective are electronic medication systems in reducing medication error rates and associated harm

62. We will not compete on safety: how children's hospitals have come together to hasten harm reduction. | PSNet
    psnet.ahrq.gov/issue/we-will-not-compete-safety-how-childrens-hospitals-have-come-together-hasten-harm-reduction
    August 10, 2022 - We will not compete on safety: how children's hospitals have come together to hasten harm … We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction. … Reducing harm often requires implementing multicomponent interventions and engaging frontline staff … This represents almost $150 million in savings from harm avoided for an estimated 9000 children. … We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction.

63. Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. | PSNet
    psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method
    May 11, 2022 - Study Nurses' harm prevention practices during admission of an older person to the … Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method … Frontline care providers such as nurses play an important role in reducing preventable harm . … barriers (e.g., lack of resources, information gaps) and enablers (e.g., teamwork, reminders) to harm … Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method

64. Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet
    psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
    February 01, 2023 - /Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm … Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October … the Office of the Inspector General (OIG) found 13.5% of hospitalized Medicare patients experience harm … This OIG report has updated the proportion of hospitalized Medicare patients who experienced harm and … Reviewers determined 43% of harm events could have been prevented and resulted in significant costs to

65. Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. | PSNet
    psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
    December 16, 2020 - Study Incidence, origins and avoidable harm of missed opportunities in diagnosis: … Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record … Diagnostic error continues to be a source of preventable patient harm. … Just over one third resulted in moderate to severe avoidable patient harm. … December 16, 2020 First Do No Harm.

66. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. | PSNet
    psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
    August 04, 2021 - Study Defining avoidable healthcare-associated harm in prisons: a mixed-method development … Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. … Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. … February 17, 2021 Prevalence, severity, and nature of preventable patient harm across … June 30, 2021 How administrative burdens can harm health.

67. A review of the evidence of harm from self-tests. | PSNet
    psnet.ahrq.gov/issue/review-evidence-harm-self-tests
    August 03, 2009 - Review A review of the evidence of harm from self-tests. … A review of the evidence of harm from self-tests. … conclude that little data exists confirming that these tests result in psychological, social, or medical harm … A review of the evidence of harm from self-tests.

68. Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. | PSNet
    psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
    November 15, 2023 - Book/Report Global Burden of Preventable Medication-related Harm in Health Care: … Citation Text: Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review … The Medication Without Harm initiative focuses on the world-wide challenges of safe medication use … accompanying policy brief examine the frequency, severity, and characteristics of medication-related harm … 7, 2020 Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm

69. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. | PSNet
    psnet.ahrq.gov/issue/incidence-nature-and-causes-avoidable-significant-harm-primary-care-england-retrospective
    November 13, 2019 - Study Incidence, nature and causes of avoidable significant harm in primary care … Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective … Their analysis identified three primary types of avoidable harm in primary care – problems with diagnoses … Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective … January 12, 2022 Identifying factors leading to harm in English general practices: a

70. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
    psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
    July 23, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle Save … The measures are built into Ascension’s harm dashboard on Tableau. … 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.

71. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet
    psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
    September 01, 2021 - Study Visitor behaviors can influence the risk of patient harm: an analysis of patient … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from … in 36% of cases and decreased the risk of harm in the remaining 64% of cases. … Other behaviors, such as communicating with healthcare staff, decreased patient harm. … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from

72. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. | PSNet
    psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
    May 25, 2022 - Study Adaption of a trigger tool to identify harmful incidents, no harm incidents … Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital … The pATT identified near misses in 55% of encounters, no-harm incidents in 5.8% of encounters, and harmful … September 19, 2013 Prevalence of triggers and patient harm identified by Global Trigger … Patient Transport July 31, 2024 Frequency, type, and degree of potential harm

73. Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study | PSNet
    psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first
    October 09, 2019 - Patient-related factors associated with an increased risk of being a reported case of preventable harm … Patient-related factors associated with an increased risk of being a reported case of preventable harm … While differences in income, education, and foreign background had some association with preventable harm … and primary care patients, with nearly half (46%) of harm attributable to diagnostic errors . … Patient-related factors associated with an increased risk of being a reported case of preventable harm

74. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet
    psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
    November 30, 2022 - Commentary Humanizing harm: using a restorative approach to heal and learn from adverse … Humanizing harm: Using a restorative approach to heal and learn from adverse events. … Harm resulting from patient safety incidents can be compounded if investigating responses ignore the … This article describes how compounded harm arises, and it recommends the use of a restorative practices … Humanizing harm: Using a restorative approach to heal and learn from adverse events.

75. Medication Without Harm: WHO's Third Global Patient Safety Challenge. | PSNet
    psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
    July 14, 2021 - Book/Report Medication Without Harm: WHO's Third Global Patient Safety Challenge. … Citation Text: Medication Without Harm: WHO's Third Global Patient Safety Challenge. … Adverse drug events are likely the most common source of preventable harm in both hospitalized and … URL Cite Citation Citation Text: Medication Without Harm … August 24, 2022 Global Burden of Preventable Medication-related Harm in Health Care:

76. Community Health Systems’ ongoing journey to zero preventable harm. | PSNet
    psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm
    July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. … Community Health Systems’ ongoing journey to zero preventable harm. … Achieving zero preventable harm is an ongoing goal for healthcare organizations. … Community Health Systems’ ongoing journey to zero preventable harm. … January 16, 2025 To do no harm - and the most good - with AI in health care.

77. Emotional harm in the radiology department: analysis of an underrecognized preventable error. | PSNet
    psnet.ahrq.gov/issue/emotional-harm-radiology-department-analysis-underrecognized-preventable-error
    March 06, 2019 - Study Emotional harm in the radiology department: analysis of an underrecognized … Emotional harm in the radiology department: analysis of an underrecognized preventable error. … Adverse events can contribute to physical, financial, or emotional harm . … incident reporting system, the authors identified the types of incidents contributing to emotional harm … Emotional harm in the radiology department: analysis of an underrecognized preventable error.

78. Analysing potential harm in Australian general practice: an incident-monitoring study. | PSNet
    psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
    July 29, 2020 - Study Classic Analysing potential harm in Australian general … Analysing potential harm in Australian general practice: an incident-monitoring study. … reported, 76% were qualitatively judged to be preventable and 27% to have the potential for severe harm … Analysing potential harm in Australian general practice: an incident-monitoring study. … April 24, 2018 Preventable harm because of outpatient medication errors among children

79. Health care provider factors associated with patient-reported adverse events and harm. | PSNet
    psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
    June 19, 2019 - Health care provider factors associated with patient-reported adverse events and harm … Health care provider factors associated with patient-reported adverse events and harm. … between patient-reported contributory factors and patient-reported physical, emotional or financial harm … These patient-reported contributory factors increased the likelihood of reporting any type of harm. … Health care provider factors associated with patient-reported adverse events and harm.

80. Accuracy of harm scores entered into an event reporting system. | PSNet
    psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system
    October 19, 2022 - Study Accuracy of harm scores entered into an event reporting system. … Accuracy of harm scores entered into an event reporting system. … event reporting systems are a mainstay of efforts to identify system failures that expose patients to harm … This study sought to evaluate the ability of nurses to use the Common Format definitions of harm severity … Accuracy of harm scores entered into an event reporting system.