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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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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2021.xlsx
January 01, 2021 - No Harm 39.3% 11,924 30,348
Mild Harm 16.8% 5,102 30,348
Moderate Harm 1.3% 387 30,348
Severe Harm … Type of Device No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total
Medical … Harm Frequency or Harm Frequency columns, respectively. … Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total
Electronic health record (EHR … Harm Frequency or Harm Frequency columns, respectively.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2021.xlsx
January 01, 2021 - Extent of Harm Percentage Frequency Total
No Harm 46.4% 105,339 227,202
Mild Harm 30.2% 68,652 227,202 … Moderate Harm 3.3% 7,426 227,202
Severe Harm 0.2% 516 227,202
Death 0.1% 183 227,202
Unknown Harm … Med_3
Med_3: Incorrect Action by Extent of Harm
Incorrect Action No Harm Percentage No Harm Frequency … Percentage No Harm Frequency Harm Percentage Harm Frequency Total
Missed or omitted dose 42.9% 2,182 … Stage Event Originated No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total
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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
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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/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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www.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Near miss, or Unsafe condition as well as provides other information relevant to all events (e.g., harm … Answer Values:
Incident: A patient safety event that reached a patient and either resulted in no harm … (no harm incident) or harm (harm incident). … action by a healthcare practitioner or worker or healthcare circumstance that exposes a patient to harm … first the word is capitalized, and all letters are italicized (e.g., Unsafe condition ; Moderate harm
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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/Device_Dashboard_Data_2022.xlsx
January 01, 2022 - dashboard/devices.html
Device_1
Device_1: Extent of Harm
Extent of Harm Percentage Frequency Total … No Harm 48.9% 18,757 38,391
Mild Harm 15.0% 5,768 38,391
Moderate Harm 1.1% 434 38,391
Severe Harm … Type of Device No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total
Medical … Device Event Description No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total … Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total
Electronic health record (EHR
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2022.xlsx
January 01, 2022 - Extent of Harm Percentage Frequency Total
No Harm 52.5% 145,566 277,324
Mild Harm 27.3% 75,659 277,324 … Moderate Harm 2.8% 7,839 277,324
Severe Harm 0.2% 620 277,324
Death 0.1% 271 277,324
Unknown Harm … Med_3
Med_3: Incorrect Action by Extent of Harm
Incorrect Action No Harm Percentage No Harm Frequency … Percentage No Harm Frequency Harm Percentage Harm Frequency Total
Overdose 89.2% 2,978 10.8% 361 11,240 … Stage Event Originated No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total
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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/Blood_Dashboard_Data_2019.xlsx
January 01, 2019 - Extent of Harm Percentage Frequency
No Harm 66.3% 6,019
Mild Harm 29.9% 2,718
Moderate Harm 1.9% … Harm Frequency Harm Percentage Harm Frequency
Red blood cells 71.3% 1558 42.4% 42
Plasma 9.5% 208 … 'No Harm Frequency' or 'Harm Frequency' columns, respectively. … Process When Blood or Blood Product Event Originated No Harm Percentage No Harm Frequency Harm Percentage … 'No Harm Frequency' or 'Harm Frequency' columns, respectively.
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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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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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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2020.xlsx
January 01, 2020 - of Harm Percentage Frequency Total
No Harm 64.6% 8,485 13,125
Mild Harm 30.4% 3,988 13,125
Moderate … Harm 1.9% 249 13,125
Severe Harm 0.6% 81 13,125
Death 0.3% 34 13,125
Unknown Harm 2.2% 288 13,125 … Harm Frequency Harm Percentage Harm Frequency Total
Red blood cells 71.5% 1,789 47.6% 60 2,628
Plasma … Harm Frequency or Harm Frequency columns, respectively. … Harm Frequency or Harm Frequency columns, respectively.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - 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/Fall_Dashboard_Data_2019.xlsx
January 01, 2019 - frequencies of reports by type of fall (assisted or unassisted), by the extent of residual patient harm … Extent of Harm Percentage Frequency
No Harm 66.5% 56,778
Mild Harm 29.7% 25,392
Moderate Harm 2.7% … 2,295
Severe Harm 0.5% 419
Death 0.1% 106
Unknown Harm 0.5% 387
Fall_2
Fall_2: Fall Assistance … Fall Assistance No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency
Fall considered … 'No Harm Frequency' or 'Harm Frequency' columns, respectively.