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Showing results for "harm".

181. 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.

182. 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.

183. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/leadership-4.html
     June 01, 2021 - Diagnostic safety is vital to learning health systems committed to eliminating preventable harm … disability stem from an inaccurate or delayed diagnosis, making it the number one cause of serious harm … billion is wasted annually on excessive testing and treatment. 27 This overutilization contributes to harm … It is essential that every healthcare encounter is safe and free from harm. … the entire healthcare continuum that promotes robust collaboration among all stakeholders to prevent harm

184. Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. | PSNet
     psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
     March 04, 2010 - The Persistence of Avoidable Harm in the NHS. … The Persistence of Avoidable Harm in the NHS. London UK: Patient Safety Learning: 2022. … The Persistence of Avoidable Harm in the NHS. London UK: Patient Safety Learning: 2022. … June 13, 2012 Building a Memory: Preventing Harm, Reducing Risks and Improving Patient … June 29, 2022 First Do No Harm.

185. Analysis of reported drug interactions: a recipe for harm to patients. | PSNet
     psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
     January 20, 2016 - Newspaper/Magazine Article Analysis of reported drug interactions: a recipe for harm … Citation Text: Analysis of reported drug interactions: a recipe for harm to patients. … Citation Citation Text: Analysis of reported drug interactions: a recipe for harm … January 20, 2016 Prescribing errors that cause harm.

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864862/psn-pdf
     March 20, 2024 - Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. … https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic … - review The Medication Without Harm initiative focuses on the world-wide challenges of safe medication … accompanying policy brief examine the frequency, severity, and characteristics of medication-related harm … https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge https

187. 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

188. 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

189. 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

190. Device or Medical/Surgical Supply including Health Information Technology Dashboard (xls file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2023.xlsx
     January 01, 2023 - 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 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

191. Medication Dashboard Data 2023 (xls file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2023.xlsx
     January 01, 2023 - Med_2 Med_2: Incorrect Action by Extent of Harm Incorrect Action No Harm Percentage No Harm Frequency … Harm Percentage Harm Frequency Total Expired or deteriorated medication or substance 99.6% 263 0.4% … Med_4 Med_4: Description of Incorrect Dose by Extent of Harm Description of Incorrect Dose No Harm … Percentage No Harm Frequency Harm Percentage Harm Frequency Total Overdose 89.0% 3,152 11.0% 391 11,902 … Stage Event Originated No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45241/psn-pdf
     October 31, 2023 - Hospital Harm Project. … https://psnet.ahrq.gov/issue/hospital-harm-project Reducing preventable harm associated with health … This Canadian initiative developed a measure to track unintended harm in acute care hospitals, a toolkit … https://psnet.ahrq.gov/issue/hospital-harm-project https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm … https://psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy https://psnet.ahrq.gov

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865880/psn-pdf
     May 15, 2024 - Racial and ethnic harm in patient care is a patient safety issue. … Racial and ethnic harm in patient care is a patient safety issue. … https://psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue Racism is a pervasive … This article discusses the relationship between racial and ethnic harm (e.g., racism, health disparities … marginalized patients, such as antiracism education and addressing harm promptly when it occurs.

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60050/psn-pdf
     March 18, 2020 - Zero harm in health care. March 18, 2020 Gandhi TK, Feeley D, Schummers D. … Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137. … https://psnet.ahrq.gov/issue/zero-harm-health-care Health systems are encouraged to strive for zero … preventable harm, but achieving this goal requires a comprehensive, systems-focused effort. … https://psnet.ahrq.gov/issue/zero-harm-health-care https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74758/psn-pdf
     February 09, 2022 - Emotional harm in the radiology department: analysis of an underrecognized preventable error. … Emotional harm in the radiology department: analysis of an underrecognized preventable error. … https://psnet.ahrq.gov/issue/emotional-harm-radiology-department-analysis-underrecognized-preventable … - error Adverse events can contribute to physical, financial, or emotional harm. … https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-preventable-harm https://psnet.ahrq.gov

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840141/psn-pdf
     November 16, 2022 - Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating … avoidable harm. … avoidable harm. … https://psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability … - organization-and Achieving zero preventable harm is an ongoing goal for health systems.

197. Methods – Applying HCUP Quality Indicators (pdf file)
     hcup-us.ahrq.gov/reports/methods/2019-01.pdf
     January 01, 2019 - drugs, self-harm, init 'T394X2A' Poisoning by antirheumatics, NEC, self-harm, init 'T398X2A' Poisn … inhib antidepressants, self-harm, init 'T43202A' Poisoning by unsp antidepressants, self-harm, init … , self-harm, init 'T43602A' Poisoning by unsp psychostimulants, self-harm, init 'T43612A' Poisoning … psychostimulants, self-harm, init 'T438X2A' Poisoning by oth psychotropic drugs, self-harm, init ' … agents, self-harm, init 'T441X2A' Poisoning by oth parasympathomimetics, self-harm, init 'T442X2A'

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837598/psn-pdf
     June 29, 2022 - Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from … https://psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety … in 36% of cases and decreased the risk of harm in the remaining 64% of cases. … Other behaviors, such as communicating with healthcare staff, decreased patient harm.

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50933/psn-pdf
     February 26, 2020 - Medication-related harm in older adults following hospital discharge: development and validation of … Medication-related harm in older adults following hospital discharge: development and validation of … 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 … the PRIME tool can accurately identify older at-risk patients and may help reduce medication-related harm

200. 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