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psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
June 22, 2022 - Review
Defining and classifying terminology for medication harm: a call for consensus … Defining and classifying terminology for medication harm: a call for consensus. … Defining and classifying terminology for medication harm: a call for consensus. … June 22, 2022
Patient harm from cardiovascular medications. … How can nurses help prevent patient harm?
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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
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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.
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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.
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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
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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.
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psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
May 11, 2022 - Study
Use of standard risk screening and assessment forms to prevent harm to older … Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals … Related Resources From the Same Author(s)
Barriers and enablers to nurses' use of harm … August 17, 2022
Nurses' harm prevention practices during admission of an older person … November 18, 2016
Nursing guidelines for comprehensive harm prevention strategies for
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psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
July 03, 2016 - Study
Development of an electronic pediatric all-cause harm measurement tool using … Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method … safety hazards remains challenging, but assessing the potential for a given safety problem to cause harm … The authors assert that this work is the first step toward identifying harm to pediatric patients in … Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method
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psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
August 11, 2021 - Commentary
Better understanding the downsides of low value healthcare could reduce harm … Better understanding the downsides of low value healthcare could reduce harm. … Overuse of healthcare services can result in financial, physical, and emotional harm to the patient … Research is needed to quantify harm resulting from overuse of healthcare services, including the number … Better understanding the downsides of low value healthcare could reduce harm.
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psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method-consensus-study
December 16, 2020 - Study
Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness … Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. … safety in primary care settings and there is no clear definition of patient safety incidents and harm … The authors convened a panel of family physicians and used a consensus method to define “avoidable harm … Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study.
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psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm
July 07, 2021 - Classic
Electronic health record usability issues and potential contribution to patient harm … Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. … ease of understanding, learning, and using the interface) impair physician workflow and may result in harm … liability, meaning that patients may not be able to seek compensation if EHR issues directly lead to harm … Electronic Health Record Usability Issues and Potential Contribution to Patient Harm.
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psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety-organization
July 18, 2017 - Study
Patient harm events and associated cost outcomes reported to a patient safety … Patient harm events and associated cost outcomes reported to a patient safety organization. … who did not experience harm despite similarities in demographics and comorbidities in the two patient … Patient harm events and associated cost outcomes reported to a patient safety organization. … April 24, 2018
A trigger tool to detect harm in pediatric inpatient settings.
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psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
October 07, 2020 - Study
Patient harm resulting from medication reconciliation process failures: a study … Patient harm resulting from medication reconciliation process failures: a study of serious events reported … The most common process failures contributing to patient harm occurred during order entry/transcription … for prescribed medications, and adding anticonvulsants to processes for medication with high risk for harm … May 19, 2021
Visitor behaviors can influence the risk of patient harm: an analysis of
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psnet.ahrq.gov/issue/keeping-patients-risk-self-harm-safe-emergency-department-protocolized-approach
December 02, 2020 - Study
Keeping patients at risk for self-harm safe in the emergency department: a … Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. … Patient suicide, attempted suicide, or self-harm are considered ‘ never events .’ … Implementation of the protocol was correlated with lower rates of self-harm. … Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.
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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.
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psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
August 20, 2018 - Commentary
Unintended harm associated with the Hospital Readmissions Reduction Program … Unintended Harm Associated With the Hospital Readmissions Reduction Program. … advocate for development of more effective policies and measures to reduce the potential for patient harm … Unintended Harm Associated With the Hospital Readmissions Reduction Program.
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psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings
December 07, 2016 - Study
Classic
A trigger tool to detect harm in pediatric … A trigger tool to detect harm in pediatric inpatient settings. … In a retrospective chart review across six academic children's hospitals, the tool identified harm in … A trigger tool to detect harm in pediatric inpatient settings. … December 18, 2013
Measuring adverse events and levels of harm in pediatric inpatients
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psnet.ahrq.gov/issue/decreasing-malpractice-claims-reducing-preventable-perinatal-harm
September 01, 2018 - Study
Decreasing malpractice claims by reducing preventable perinatal harm. … Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. … Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. … September 3, 2011
Developing a process to measure actual harm from medication errors … Can routinely collected data be repurposed to predict avoidable patient harm?
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psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
July 20, 2012 - Tools/Toolkit
Contemporary View of Medication-Related Harm. … Citation Text:
Contemporary View of Medication-Related Harm. A New Paradigm. … Medication errors are a common factor in health care–associated harm. … Cite
Citation
Citation Text:
Contemporary View of Medication-Related Harm … Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.
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psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follow-actions
September 27, 2017 - Study
Medical harm: patient perceptions and follow-up actions. … Medical Harm: Patient Perceptions and Follow-up Actions. … voluntary survey data collected by an independent nonprofit news organization from patients regarding harm … Medical Harm: Patient Perceptions and Follow-up Actions. … 2016
Sleep deprivation and starvation in hospitalised patients: how medical care can harm