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Showing results for "harm".

121. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
     January 01, 2023 - While the AHRQ Harm Scale provides the following possible responses: No harm, Mild harm, Moderate … harm, Severe harm, Death, or Unknown harm, due to small counts across the categories of Moderate to … Severe harm, this Chartbook displays falls where the EXTENT OF HARM is categorized as No harm, Harm … (i.e., Mild harm, Moderate harm, Severe harm, or Death), or Unknown harm. … For this figure, all Incident reports with EXTENT OF HARM reported are displayed as either No harm, Harm

122. When medical care leads to harm—difficulty finding words: a teachable moment. | PSNet
     psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
     September 23, 2017 - Commentary When medical care leads to harm—difficulty finding words: a teachable … When medical care leads to harm- difficulty finding words: a teachable moment. … To illustrate the potential for harm associated with overuse of medical care, this commentary describes … When medical care leads to harm- difficulty finding words: a teachable moment. … October 6, 2021 Deferral of care for serious non-COVID-19 conditions: a hidden harm of

123. Innovative use of the electronic health record to support harm reduction efforts. | PSNet
     psnet.ahrq.gov/issue/innovative-use-electronic-health-record-support-harm-reduction-efforts
     July 31, 2013 - Study Innovative use of the electronic health record to support harm reduction efforts … Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. … Researchers describe how they were able to reduce harm resulting from hospital-acquired conditions at … Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. … February 14, 2017 A trigger tool to detect harm in pediatric inpatient settings.

124. Developing and evaluating an automated all-cause harm trigger system. | PSNet
     psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
     July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. … Developing and Evaluating an Automated All-Cause Harm Trigger System. … The most common harm identified by the novel trigger tool was hypoglycemia . … Developing and Evaluating an Automated All-Cause Harm Trigger System. … May 4, 2022 A trigger tool to detect harm in pediatric inpatient settings.

125. Unintended harm associated with the Hospital Readmissions Reduction Program. | PSNet
     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.

126. Contemporary View of Medication-Related Harm. A New Paradigm. | PSNet
     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.

127. Blood Dashboard Data (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2024.xlsx
     January 01, 2024 - reports by type of blood product, by the process of care involved, and by the extent of residual patient harm … Blood_2 Blood_2: Type of Blood Product by Extent of Residual Harm Type of Blood Product No Harm Percentage … No Harm Frequency Harm Percentage Harm Frequency Red blood cells 96.7% 2,096 3.3% 72 Plasma 98.9% … Stage of Process When Blood or Blood Product Event Originated No Harm Percentage No Harm Frequency … Harm Percentage Harm Frequency Post-transfusion or administration 99.3% 414 * * Unknown 98.3% 283

128. 2024 Network of Patient Safety Databases Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
     January 01, 2024 - The AHRQ Harm Scale captures Residual harm to the patient after any intervention to reduce harm. … While the AHRQ Harm Scale provides the following possible responses: No harm, Mild harm, Moderate harm … as No harm, Harm (i.e., Mild harm, Moderate harm, Severe harm, or Death), or Unknown harm. … , moderate harm, and mild harm to the patient. … Harm (i.e., Mild harm, Moderate harm, Severe harm, or Death), or Unknown due to small counts across

129. Preventable adverse drug events among inpatients: a systematic review. | PSNet
     psnet.ahrq.gov/issue/preventable-adverse-drug-events-among-inpatients-systematic-review
     February 22, 2019 - Across all studies, most errors were minor and did not result in patient harm. … Use of health information technology was associated with less harm. … February 22, 2019 Developing a process to measure actual harm from medication errors … January 18, 2023 Standardising the classification of harm associated with medication … errors: the Harm Associated with Medication Error Classification (HAMEC).

130. Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
     April 01, 2025 - or risk of harm. … actions, diagnostic safety can refer to two different types of harm. … harm, as used by the Joint Commission).  … The goal of Safety-I is to prevent, avoid, minimize, or mitigate error and harm. … The goal is not just to prevent harm, but to achieve success.

131. Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. | PSNet
     psnet.ahrq.gov/issue/medication-related-harm-older-adults-following-hospital-discharge-development-and-validation
     May 15, 2013 - Study Medication-related harm in older adults following hospital discharge: development … Medication-related harm in older adults following hospital discharge: development and validation of a … This study sought to develop a tool (PRIME) to predict the risk of post-discharge medication-related harm … requiring healthcare utilization and 699 individuals who did not experience a medication-related harm … Medication-related harm in older adults following hospital discharge: development and validation of a

132. Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. | PSNet
     psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association
     August 07, 2013 - errors during patient transitions into nursing homes: characteristics and association with patient harm … errors during patient transitions into nursing homes: characteristics and association with patient harm … Notably, the transition-related errors were also associated with higher odds of patient harm. … errors during patient transitions into nursing homes: characteristics and association with patient harm … medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm

133. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
     September 01, 2023 - For this analysis, reported EXTENT of HARM were further dichotomized as either No harm or Harm (i.e … ., Mild harm, Moderate harm, Severe harm or Death). … Specifically, we examined the no-harm rate, or the percentage of falls that resulted in no harm to … harm to the patient. … Events Resulting in No Harm to Patient No-harm Rate (%) Low bed, Items in reach, Visible

134. Comparison of potential risk factors for medication errors with and without patient harm. | PSNet
     psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm
     March 04, 2011 - Comparison of potential risk factors for medication errors with and without patient harm … Comparison of potential risk factors for medication errors with and without patient harm. … This case-control study attempted to identify factors that predicted whether patient harm resulted from … Comparison of potential risk factors for medication errors with and without patient harm. … , 2009 Comparison of methods for identifying patients at risk of medication-related harm

135. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
     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).

136. After Harm: Medical Error and the Ethics of Forgiveness. | PSNet
     psnet.ahrq.gov/issue/after-harm-medical-error-and-ethics-forgiveness
     July 24, 2019 - Book/Report After Harm: Medical Error and the Ethics of Forgiveness. … Citation Text: After Harm: Medical Error and the Ethics of Forgiveness. Berlinger N. … Linkedin Copy URL Cite Citation Citation Text: After Harm

137. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - Residual harm is captured by AHRQ’s Harm Scale and is defined as harm to the patient after discovery … harm, Moderate harm, Severe harm, Death, or Unknown harm. … Incident events where the EXTENT OF HARM is categorized as No harm, Harm, or Unknown harm. … harm, Mild harm, Moderate harm, Severe harm, Death, or Unknown harm. … events where the EXTENT OF HARM was reported as No harm, Harm, or Unknown harm.

138. A trigger tool to detect harm in pediatric inpatient settings. | PSNet
     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

139. Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. | PSNet
     psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
     November 30, 2016 - Book/Report Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis … Citation Text: Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving … help uncover process weaknesses and ensure improvements are implemented before patients experience harm … May 8, 2019 Communicating After Harm in Healthcare. … September 8, 2010 Harm to Healing - Partnering with Patients Who Have Been Harmed.

140. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. | PSNet
     psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
     October 27, 2010 - Study A comprehensive patient safety program can significantly reduce preventable harm … A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and … that emphasized safety culture resulted in a sustained decrease in different types of preventable harm … A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and … January 5, 2011 The Preventable Harm Index: an effective motivator to facilitate the