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Showing results for "harm".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47529/psn-pdf
     January 21, 2019 - Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide … Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide … Older adults frequently encounter medication-related harm, which may result in preventable hospitalizations … This post-hoc analysis of the intervention found that most medication-related harm occurred in the community … (70%) rather than the hospital and that the intervention successfully reduced community-acquired harm

222. “First, Do No Harm”: Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/_first__do_no_harm___using_health_information_technology_2010_pdf__2.pdf
     January 01, 2010 - “First, Do No Harm”: Using Health Information Technology to Reduce Use of Preventive Services with Potential … Harms “First, Do No Harm”: Using Health Information Technology to Reduce Use of Preventive Services … not be provided—whether preventive services or treatment—is also important to protect patients from harm … Business Goal: Synthesis and Dissemination 2010 ContraCt Summary 1 | “First, Do No Harm”: UsiNg HealtH

223. Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
     May 19, 2016 - Unsafe Condition Near Miss No Harm Event CANDOR Event Actual harm to patient Potential 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.

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73685/psn-pdf
     September 08, 2021 - Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence … Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence … https://psnet.ahrq.gov/issue/obstetric-iatrogenesis-united-states-spectrum-unintentional-harm-disrespect … management plans, labor and delivery interventions, and informed consent – contribute to iatrogenic harm … https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866280/psn-pdf
     July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital … Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital … https://psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm- … examined the relationship between visitor restrictions during the COVID-19 pandemic and falls with harm … https://psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851658/psn-pdf
     July 26, 2023 - The spectrum of hospitalization-associated harm in the elderly. July 26, 2023 Schattner A. … The spectrum of hospitalization-associated harm in the elderly. … vulnerable to harm during hospitalization. … This article summarizes potential patient harm that can occur during hospitalization for older adults … https://psnet.ahrq.gov/issue/spectrum-hospitalization-associated-harm-elderly https://psnet.ahrq.gov/

227. Protocol for Quantitative Assessment of Benefit and Harm analysis of Aspirin for primary prevention (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-balancing-harms-benefits_research.pdf
     February 01, 2014 - Protocol for Quantitative Assessment of Benefit and Harm analysis of Aspirin for primary prevention … harm outcomes, such as by putting benefit and harm on the same scale (e.g., quality-adjusted life-years … We identified benefit and harm outcomes from an updated systematic review. … and harm assessment for individual subjects. … Methods for Benefit and Harm Assessment in Systematic Reviews. Reviews.

228. Protocol for Quantitative Assessment of Benefit and Harm analysis of Aspirin for primary prevention (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/methods-balancing-harms-benefits_research.pdf
     February 01, 2014 - Protocol for Quantitative Assessment of Benefit and Harm analysis of Aspirin for primary prevention … harm outcomes, such as by putting benefit and harm on the same scale (e.g., quality-adjusted life-years … We identified benefit and harm outcomes from an updated systematic review. … and harm assessment for individual subjects. … Methods for Benefit and Harm Assessment in Systematic Reviews. Reviews.

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837037/psn-pdf
     May 04, 2022 - Humanizing harm: using a restorative approach to heal and learn from adverse events. … Humanizing harm: Using a restorative approach to heal and learn from adverse events. … https://psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events … Harm resulting from patient safety incidents can be compounded if investigating responses ignore the … https://psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866202/psn-pdf
     July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety … https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers … - and-improve Medication errors are a leading cause of injury and avoidable harm in health care that … https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve … https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60349/psn-pdf
     May 20, 2020 - Health care provider factors associated with patient- reported adverse events and harm. … Health care provider factors associated with patient-reported adverse events and harm. … /psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and- harm … between patient-reported contributory factors and patient-reported physical, emotional or financial harm … These patient-reported contributory factors increased the likelihood of reporting any type of harm.

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867230/psn-pdf
     December 04, 2024 - Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital … Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital … https://psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near … The pATT identified near misses in 55% of encounters, no-harm incidents in 5.8% of encounters, and harmful … https://psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47117/psn-pdf
     November 16, 2018 - Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. … Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. … https://psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired … conditions The Centers for Medicare and Medicaid Services (CMS) has successfully reduced preventable harm … Researchers used an all-cause harm trigger tool to assess what proportion of harms that occurred at

234. National Quality Strategy Agency-Specific Plan: Food and Drug Administration (FDA) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/fda-specific-plan_nqs2013.pdf
     June 25, 2013 - Future-Year Plans** Vision/End Goals Safe Use Initiative The Safe Use Initiative reduces preventable harm … Preventable drug harm will be reduced through increased communication, engagement, and action across … partners, including AHRQ and CDC, to develop population-based national estimates of preventable harm … • Expand intervention initiative to prevent drug harm through public and private collaborations … • Reduce the likelihood of preventable harm from medication use through collaborative efforts

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867752/psn-pdf
     March 12, 2025 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient … Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient … https://psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive … https://psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient … https://psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72637/psn-pdf
     January 13, 2021 - Identifying factors leading to harm in English general practices: a mixed-methods study based on patient … Identifying Factors Leading to Harm in English General Practices: A Mixed-Methods Study Based on Patient … https://psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods … across primary care clinics in England explored the main factors contributing to patient-reported  harm … https://psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods-study-based-patient

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50650/psn-pdf
     November 13, 2019 - Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. … Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. … https://psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method … about safety in primary care settings and there is no clear definition of patient safety incidents and harm … The authors convened a panel of family physicians and used a consensus method to define “avoidable harm

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72804/psn-pdf
     March 03, 2021 - How to do no harm: empowering local leaders to make care safer in low-resource settings. … How to do no harm: empowering local leaders to make care safer in low-resource settings. … https://psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource- settings … https://psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings … https://psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46975/psn-pdf
     November 16, 2018 - Electronic health record usability issues and potential contribution to patient harm. … Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. … psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient- harm … ease of understanding, learning, and using the interface) impair physician workflow and may result in harm … //psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853968/psn-pdf
     January 01, 2024 - When work harms: how better understanding of avoidable employee harm can improve employee safety, patient … When work harms: how better understanding of avoidable employee harm can improve employee safety, patient … https://psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can- improve-employee-safety … This article proposes a definition of “avoidable employee harm” (e.g., retaliation for speaking up about … https://psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety