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www.ahrq.gov/npsd/data/dashboard/index.html
September 01, 2024 - The dashboard charts detail event type, report type by event type, extent of harm by event type, event … type by extent of harm, and extent of harm. … Blood Product Dashboard Details the type of blood product involved, type of blood product by residual harm … Falls Dashboard Details the extent of harm due to falls, the presence of fall assistance, presence of … fall assistance by patient harm, type of fall injury, and fall location.
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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - What is
zero harm when it is used in literature? … harm.” … value not to harm patients. … Sarah Mossburg: What types of harm does “zero harm” apply to, either as a value or a goal? … You could use the term “harm” in that context.
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psnet.ahrq.gov/node/47995/psn-pdf
July 24, 2019 - Standardising the classification of harm associated with
medication errors: the Harm Associated with … Standardising the Classification of Harm Associated with
Medication Errors: The Harm Associated with … https://psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-
associated-medication … of
existing harm classification tools. … https://psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2022.xlsx
January 01, 2022 - They include the relative frequencies of reports by the extent of residual patient harm, documented risk … Dashboard Name Worksheet Name
Extent of Harm PRU_1
Documented Increased Risk for Pressure Ulcer … https://www.ahrq.gov/npsd/data/dashboard/pressure-ulcer.html
PRU_1
PRUl_1: Extent of Harm … Extent of Harm Percentage Frequency Total
No Harm 24.6% 19,627 79,630
Mild Harm 69.0% 54,905 79,630 … Moderate Harm 3.2% 2,554 79,630
Severe Harm 0.4% 351 79,630
Death 0.004% 3 79,630
Unknown Harm 2.8%
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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
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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.
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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.
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
August 10, 2022 - Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm … Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. … Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. … August 10, 2022
Development of an electronic pediatric all-cause harm measurement tool … July 19, 2018
A trigger tool to detect harm in pediatric inpatient settings.
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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
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psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas
October 02, 2013 - Multi-use Website
Do no harm: hospital care in Las Vegas. … Citation Text:
Do no harm: hospital care in Las Vegas. Allen M; Richards A. … March 21, 2011
First do no harm. … October 3, 2017
Patient harm: when an attorney won't take your case. … November 6, 2015
View More
Related Resources
First do no harm.
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psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
September 06, 2011 - Multi-use Website
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring … Citation Text:
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). … Copy URL
Cite
Citation
Citation Text:
Focus on HARM
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psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
June 01, 2016 - Commentary
"Never events" and the quest to reduce preventable harm. … "Never events" and the quest to reduce preventable harm. … "Never events" and the quest to reduce preventable harm. … Resources
Interview
In Conversation with Eric Thomas about Zero Harm … Interview
In Conversation with Carole Stockmeier about Zero Harm
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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
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2021.xlsx
January 01, 2021 - Dashboard Name Worksheet Name
Extent of Harm PRU_1
Documented Increased Risk for Pressure Ulcer … https://www.ahrq.gov/npsd/data/dashboard/pressureulcer.html
PRU_1
PRUl_1: Extent of Harm … Extent of Harm Percentage Frequency Total
No Harm 24.5% 18,821 76,913
Mild Harm 69.3% 53,321 76,913 … Moderate Harm 3.1% 2,402 76,913
Severe Harm 0.3% 253 76,913
Death 0.0% 3 76,913
Unknown Harm 2.7%
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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
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psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
December 04, 2019 - 2011
Incoming interns recognize inadequate physical examination as a cause of patient harm
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2021.xlsx
January 01, 2021 - frequencies of reports by type of fall (assisted or unassisted), by the extent of residual patient harm … Extent of Harm Percentage Frequency Total
No Harm 49.2% 83,680 170,192
Mild Harm 23.3% 39,579 170,192 … Moderate Harm 1.8% 3,050 170,192
Severe Harm 0.4% 673 170,192
Death 0.1% 160 170,192
Unknown Harm … Fall Assistance No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total
Fall considered … Harm Frequency or Harm Frequency columns, respectively.
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psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
May 27, 2020 - Book/Report
Safer Together Annual Report.
Citation Text:
Safer Together Annual Report. Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
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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
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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.