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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - The errors included were those that resulted in a severity of
patient harm that met the National Coordinating … Medication Error
Reporting Program (NCC MERP) criteria for categories G (resulting in permanent
patient harm … The NCC MERP definitions for outcome categories—G (resulting in
permanent harm), H (resulting in near … -G-
An error occurred that may have
contributed to or resulted in
permanent patient harm.
109 A … The data includes only those errors that result in the most
serious harm.
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www.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … result of the reduction in the rate of HACs, we estimate that approximately 790,000 fewer incidents of harm … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014 … fewer harms were experienced by patients from 2010 to 2014 than would have occurred if the rate of harm
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-access.html
September 01, 2015 - Importance: Lack of timeliness can result in emotional distress, physical harm, and higher treatment … Importance: Lack of timeliness can result in emotional distress, physical harm, and higher treatment
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - Severity of harm was also assessed. … Thirty-seven discrepancies (9.7%) were classified as having potential to cause
patient harm. … These medications were targeted
because of the propensity of these medications to cause increased harm … also
calculated for the medications that were identified as having the potential to cause patient harm … Frequencies of Types of Medication Discrepancies and Potential to Cause Harm by Overall
Medications
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www.ahrq.gov/news/newsletters/e-newsletter/index.html
August 12, 2025 - June 10, 2025
Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm … December 10, 2024
New Dashboard Tracks Progress Toward 50 Percent Reduction in Patient and Workforce Harm
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www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - on three main approaches to improving patient safety and reducing medical liability:
Preventing Harm … These projects addressed improved communication by assessing attitudes toward error and harm disclosure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
July 01, 2015 - scale, and
duration of harm. … There are six levels of harm in the Common Formats: unknown, no
harm, mild harm, moderate harm, severe … harm, and death. … (no-harm incident) or harm (harm incident). … (no-harm incident) or harm (harm incident).
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www.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
January 01, 2018 - consistently show that the process for managing tests is a significant source of error and patient harm
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www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
January 01, 2024 - the absence of a
pharmacist intervention, 22% of the discrepancies could have resulted in patient
harm … Accepted interventions (n=367) were assessed for potential harm. … hospitalization, and
66.7% may have resulted in harm if the error continued beyond discharge. … Medications At Transitions and Clinical
Handoffs: Preventing Patient Harm and Identifying Potential … Medications At Transitions and Clinical
Handoffs: Preventing Patient Harm and Identifying Potential
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www.ahrq.gov/patient-safety/settings/hospital/candor/videos/planning.html
August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/antibiotic-use/acute-care/safety/changes.html
November 01, 2019 - Identify relevant factors that could improve antibiotic use
Identify interventions to reduce future harm
-
www.ahrq.gov/antibiotic-use/long-term-care/safety/improve-use.html
June 01, 2021 - Recognize that patient harm is largely preventable.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
April 01, 2022 - Of late, and this is something that we began doing recently, about people who
speak up to prevent harm … press releases, and so it gets published in their local paper, "Mary
Smith spoke up and prevented harm … I look at event data when
harm reaches the patient versus a near miss or a precursor event, and one … In the harm event, communication was missing. … And so, are we, as we think about the harm that we're causing, as we
understand where our bright spots
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 01, 2017 - practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm … practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
June 02, 2025 - ► Patient safety is the prevention of harm resulting from the processes of health care delivery. … prevention
includes reducing mistakes, errors, incidents, events, or problems that lead to patient harm … 2
SECTION D: Near-Miss Documentation
► When something happens that could harm
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www.ahrq.gov/patient-safety/settings/hospital/candor/videos/introduction.html
August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
-
www.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
-
www.ahrq.gov/patient-safety/settings/hospital/candor/videos/disclosure.html
August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
-
www.ahrq.gov/patient-safety/settings/hospital/candor/videos/conversation.html
August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
-
www.ahrq.gov/patient-safety/settings/hospital/candor/videos/physicians.html
August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm