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Showing results for "harm".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866589/psn-pdf
     August 28, 2024 - Developing a process to measure actual harm from medication errors in paediatric inpatients: from design … Developing a process to measure actual harm from medication errors in paediatric inpatients: from design … Measuring the incidence and severity of potential or actual harm is an ongoing challenge in patient … and direct observation of medication administration, the multidisciplinary panel identified actual harm … in 89 cases, with three-quarters of actual harm occurring in medication administration cases.

162. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
     January 01, 2004 - Description of harm For this paper we used a definition of harm that includes clinical harm to the … harm in the ASIPS DMO taxonomy is classified as— • minimal harm - a change in some physiological function … The odds ratio describes the chances of patient harm occurring relative to harm not occurring, given … Individual codes associated with harm Table 3. … Hierarchical constructs associated with harm Table 4.

163. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
     January 01, 2004 - Description of harm For this paper we used a definition of harm that includes clinical harm to the … harm in the ASIPS DMO taxonomy is classified as— • minimal harm - a change in some physiological function … The odds ratio describes the chances of patient harm occurring relative to harm not occurring, given … Individual codes associated with harm Table 3. … Hierarchical constructs associated with harm Table 4.

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866992/psn-pdf
     May 29, 2024 - Harm Reduction Strategies to Improve Safety for People Who Use Substances October 30, 2024 Salisbury-Afshar … Harm Reduction Strategies to Improve Safety for People Who Use Substances . … , and empowerment, is central to the harm reduction philosophy. … 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

165. Medication Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
     January 01, 2024 - Harm Frequency Percent Incorrect dose(s) No Harm 13,693 93.7% Incorrect dose(s) Harm 916 6.3% Incorrect … Harm 331 80.3% Contraindicated for the patient Harm 81 19.7% Incorrect rate No Harm 1,222 95.5% Incorrect … rate Harm 57 4.5% Allergen to the patient No Harm 104 75.4% Allergen to the patient Harm 34 24.6% … Incorrect patient No Harm 1,151 96.7% Incorrect patient Harm 39 3.3% Incorrect preparation No Harm … medication/substance Harm * * Multiple No Harm 2,654 87.2% Multiple Harm 390 12.8% Other: Please

166. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
     August 01, 2022 - process is designed to help health care organizations and practitioners respond to unexpected patient harm … A CANDOR event is an event that involves unexpected patient harm. … The unexpected harm can be physical, emotional, or financial. … Care for the caregivers is frequently absent in the traditional response to harm. … events, and offering compensation for the patient’s harm, when appropriate.

167. Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
     November 16, 2022 - initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm … initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm … Download Citation Related Resources From the Same Author(s) Toward zero harm … Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm … Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48172/psn-pdf
     July 31, 2019 - Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic … Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic … care-settings The extent of harm due to patient safety problems varies across studies. … for significant proportions of preventable harm. … A related editorial calls for improving measurement of preventable harm.

169. Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? | PSNet
     psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
     November 16, 2022 - How can nurses help prevent patient harm? Citation Text: Barras MA, Hughes D, Ullner M. … How can nurses help prevent patient harm? … How can nurses help prevent patient harm? … 2018 Scoping review of studies evaluating frailty and its association with medication harm … June 22, 2022 Patient harm from cardiovascular medications.

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866816/psn-pdf
     September 25, 2024 - Patient harm events and associated cost outcomes reported to a patient safety organization. … Patient harm events and associated cost outcomes reported to a patient safety organization. … https://psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety … trigger tool, researchers in this study evaluated financial impacts among patients who experienced harm … who did not experience harm despite similarities in demographics and comorbidities in the two patient

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837972/psn-pdf
     September 01, 2022 - Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. … Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. … Striving for “zero harm” in healthcare has been advocated as a patient safety goal. … /issue/zero-harm-health-care https://psnet.ahrq.gov/issue/harms-promoting-zero-harm https://psnet.ahrq.gov … /perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60801/psn-pdf
     August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the spring. … Targeting zero harm: a stretch goal that risks breaking the spring. … https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring This article describes … the evolution of the “zero harm” campaign, challenges in measuring preventable harm, and potential … /issue/harms-promoting-zero-harm

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837804/psn-pdf
     August 10, 2022 - Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method … Nurses' harm prevention practices during admission of an older person to the hospital: a multi? … https://psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital- … multi-method Frontline care providers such as nurses play an important role in reducing preventable harm … https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals https://psnet.ahrq.gov/issue/barriers-and-enablers-nurses-use-harm-prevention-strategies-older-patients-hospital-cross

174. Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the 2024 National Healthcare Quality and Disparities Report (NHQDR) (pdf file)
     hcup-us.ahrq.gov/reports/methods/MS2024-01-NHQDRMethodsReport.pdf
     November 25, 2024 - , intentional self-harm, init encntr 'T367X2A' Poisoning by antifungal antibiot, sys used, self-harm … derivatives, self-harm, init 'T39392A' Poisn by oth nonsteroid anti-inflam drugs, self-harm, init … gases, intentional self-harm, init 'T420X2A' Poisoning by hydantoin derivatives, self-harm, init ' … oxazolidinediones, self-harm, init 'T423X2A' Poisoning by barbiturates, intentional self-harm, init … inhib antidepressants, self-harm, init 'T43202A' Poisoning by unsp antidepressants, self-harm, init

175. Methods Report Describing 2016-2020 HCUP Data in the National Healthcare Quality and Disparities Report (NHQDR) Methods Series Report 2023-01 (pdf file)
     hcup-us.ahrq.gov/reports/methods/MS2023-01-NHQDRMethodsReport_508.pdf
     November 21, 2023 - , intentional self-harm, init encntr 'T367X2A' Poisoning by antifungal antibiot, sys used, self-harm … derivatives, self-harm, init 'T39392A' Poisn by oth nonsteroid anti-inflam drugs, self-harm, init … gases, intentional self-harm, init 'T420X2A' Poisoning by hydantoin derivatives, self-harm, init ' … oxazolidinediones, self-harm, init 'T423X2A' Poisoning by barbiturates, intentional self-harm, init … inhib antidepressants, self-harm, init 'T43202A' Poisoning by unsp antidepressants, self-harm, init

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72743/psn-pdf
     February 17, 2021 - Preventable medication harm across health care settings: a systematic review and meta-analysis. … Preventable medication harm across health care settings: a systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review … - and-meta-analysis Medication errors represent a significant source of preventable harm. … , and more than one-quarter of this harm is considered severe or life-threatening.

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854832/psn-pdf
     October 25, 2023 - Achieving a successful patient safety program with implementation of a harm reduction strategy. … https://psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction … - strategy Zero harm, while a laudable goal, has been shown to have unintended consequences. … a morally neutral approach to human error, an elimination of blame in favor of a just culture, and harm … https://psnet.ahrq.gov/issue/harms-promoting-zero-harm https://psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867343/psn-pdf
     December 11, 2024 - Communication about harm reduction with patients who have opioid use disorder. … Communication about harm reduction with patients who have opioid use disorder. … https://psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder … Harm reduction strategies can optimize the safety of people with opioid use disorder (OUD). … https://psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder

179. The Hidden Harms of Hand Sanitizer | PSNet
     psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
     March 04, 2020 - information places the patient at risk for withdrawal, which if untreated can lead to significant patient harm … If there is concern for intentional self-harm behavior, a psychiatrist should be engaged immediately. … How do we prevent serious harm or death from ingestion of these sanitizers in the health care setting

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47976/psn-pdf
     July 20, 2019 - Reducing avoidable medication-related harm: what will it take? July 20, 2019 Tetteh EK. … Reducing avoidable medication-related harm: What will it take? … https://psnet.ahrq.gov/issue/reducing-avoidable-medication-related-harm-what-will-it-take This commentary … introduces the World Health Organization effort to improve medication safety: Medication Without Harm … /issue/medication-without-harm-whos-third-global-patient-safety-challenge https://psnet.ahrq.gov/issue