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psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
January 24, 2024 - Commentary
The iatrogenic-harm cost equation and new technology. … The iatrogenic-harm cost equation and new technology. … The iatrogenic-harm cost equation and new technology.
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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/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-general-surgery-prospective-study
November 16, 2022 - Study
Patient harm in general surgery--a prospective study. … Patient Harm in General Surgery-A Prospective Study. … Patient Harm in General Surgery-A Prospective Study.
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psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
July 28, 2021 - Newspaper/Magazine Article
Heparin: improving treatment and reducing risk of harm … Citation Text:
Heparin: improving treatment and reducing risk of harm. … Cite
Citation
Citation Text:
Heparin: improving treatment and reducing risk of harm … February 23, 2011
Reducing anticoagulant medication adverse events and avoidable patient harm
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psnet.ahrq.gov/issue/opioids-iatrogenic-harm-and-disclosure-medical-error
November 21, 2021 - Commentary
Opioids, iatrogenic harm and disclosure of medical error. … Opioids, iatrogenic harm and disclosure of medical error. … Opioids, iatrogenic harm and disclosure of medical error.
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psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
January 25, 2023 - Commentary
Expert consensus on currently accepted measures of harm. … Expert consensus on currently accepted measures of harm. … Expert consensus on currently accepted measures of harm. … June 24, 2020
Patient harm during COVID-19 pandemic: using a human factors lens to promote … Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm
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psnet.ahrq.gov/issue/patient-harm-when-attorney-wont-take-your-case
July 22, 2015 - Newspaper/Magazine Article
Patient harm: when an attorney won't take your case. … Citation Text:
Patient harm: when an attorney won't take your case. Allen M; Pierce O. … March 21, 2011
First do no harm. … October 3, 2017
Do no harm: hospital care in Las Vegas. … November 6, 2015
Do No Harm: Jess's Story.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death).
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx
January 01, 2024 - Dashboard Name Worksheet Name
Type of Device Device_1
Type of Device by Extent of Harm … Device_2
Device Event Description Device_3
Device Event Description by Extent of Harm Device … Type of Device No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency
Medical equipment … Device Event Description No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency
Unknown … Harm Percentage No Harm Frequency Harm Percentage Harm Frequency
Electronic health record (EHR) or
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - harm, Mild harm, Moderate harm, Severe harm, or Death. … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death).
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psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
July 03, 2016 - Study
Using a pediatric trigger tool to estimate total harm burden hospital-acquired … Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. … The Centers for Medicare and Medicaid Services (CMS) has successfully reduced preventable harm from … Researchers used an all-cause harm trigger tool to assess what proportion of harms that occurred at … Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent.
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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing … Harm to Patients from Diagnostic Errors
Eta S. … discuss ongoing research on diagnostic error
• To stimulate creative thought directed at reducing harm … Adv Health Sci Educ Theory Pract. 2009
Sep;14 Suppl 1:107-12.
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Final Progress Report Reducing Harm
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - It’s similar for harm reduction services. … , which are specific harm reduction services. … care is a piece of harm reduction as well. … Harm Reduction Strategies and Evidence A range of tactics and approaches can be characterized as harm … Integrating harm reduction into outpatient opioid use disorder treatment settings: harm reduction in
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psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
January 23, 2019 - Multimethod study of a large-scale programme to improve patient safety using a harm-free … Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach … First, investigators developed a single measure of harm-free care that encompassed each of these issues … The next phase involved giving health systems financial incentives to report their data on harm-free … Over time, reports of harm-free care increased, but the stated goal of reaching 95% harm-free care was
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psnet.ahrq.gov/issue/when-we-do-harm-doctor-confronts-medical-error
July 24, 2018 - Book/Report
When We Do Harm: A Doctor Confronts Medical Error. … Citation Text:
When We Do Harm: A Doctor Confronts Medical Error. Ofri D. … Human and system failures combine to result in preventable patient harm. … Copy URL
Cite
Citation
Citation Text:
When We Do Harm
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psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy
December 29, 2014 - Commentary
Measuring preventable harm: helping science keep pace with policy. … Measuring preventable harm: helping science keep pace with policy. … , policy measures are limited by an inability to distinguish between "inevitable" and "preventable" harm … research, so that payment policies appropriately incentivize organizations to eliminate preventable harm … Measuring preventable harm: helping science keep pace with policy.
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psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - Study
Measuring harm in health care: optimizing adverse event review. … Measuring Harm in Health Care: Optimizing Adverse Event Review. … Determining the severity of harm or potential harm is a challenge in patient safety. … The authors recommend using two raters to determine harm in order to achieve reliable estimates. … Measuring Harm in Health Care: Optimizing Adverse Event Review.
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psnet.ahrq.gov/issue/examining-relationship-all-cause-harm-patient-safety-measure-and-critical-performance
May 19, 2018 - Study
Examining the relationship of an all-cause harm patient safety measure and … Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures … and assessed what predicted lower all-cause harm at the unit level. … Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures … May 19, 2018
Developing and evaluating an automated all-cause harm trigger system.
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psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - Study
Health and social care-associated harm amongst vulnerable children in primary … Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis … Over 1,100 incident reports were identified; nearly half resulted in some degree of harm but most (39% … ) were considered ‘low harm.’ … Children with protection-related vulnerabilities experienced harm from unsafe care more frequently than