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Showing results for "harm".

261. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/match/matchtab6.html
     August 01, 2012 - Error that did not reach the patient NA C Error that reached patient but unlikely to cause harm … Error that reached the patient and could have necessitated monitoring and/or intervention to preclude harm … metoprolol was ordered for patient instead of extended-release E Error that could have caused temporary harm … pressure medication was inadvertently omitted from the orders F Error that could have caused temporary harm … ordered daily when the patient takes it every other day G Error that could have resulted in permanent harm

262. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. | PSNet
     psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
     April 11, 2011 - intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm … intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm … intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm … October 13, 2010 A trigger tool to detect harm in pediatric inpatient settings. … March 6, 2013 Preventable harm occurring to critically ill children.

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60757/psn-pdf
     August 05, 2020 - Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. … Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. … https://psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool … - methodology This study used a trigger tool to retrospectively identify and characterize no-harm incidents … https://psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool-methodology

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60201/psn-pdf
     April 08, 2020 - Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. … Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. … https://psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces … This article discusses the risk of misdiagnosis, mistreatment and iatrogenic harm when healthcare … https://psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865531/psn-pdf
     April 10, 2024 - Implicit bias and patient care: mitigating bias, preventing harm. … Implicit bias and patient care: mitigating bias, preventing harm. … https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm Addressing … ) communicate with both the resident and family to diffuse the situation and prevent any potential harm … https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm https

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845357/psn-pdf
     March 29, 2023 - Reducing hospital harm: establishing a command centre to foster situational awareness. … Reducing hospital harm: establishing a command centre to foster situational awareness. … https://psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational … and real-time data to support early identification and real-time management of patients at risk of harm … in 2019, researchers have identified an association between CC2 tiles and lower rates of hospital harm

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851349/psn-pdf
     July 12, 2023 - Contributory factors and patient harm including deaths associated direct acting oral anticoagulants … Contributory factors and patient harm including deaths associated direct acting oral anticoagulants … https://psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct … 2019 found that the majority (87.6%) were due to active failures and 2.2% resulted in moderate/severe harm … https://psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866694/psn-pdf
     September 11, 2024 - What's the harm? … What’s the harm? … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system- … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867642/psn-pdf
     February 26, 2025 - Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional … Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional … https://psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish- university-hospital-cross … https://psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross … https://psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46981/psn-pdf
     May 04, 2019 - Lessons learned from implementing a principled approach to resolution following patient harm. … Lessons learned from implementing a principled approach to resolution following patient harm. … psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following- patient-harm … Appropriate response to patient and family concerns after health care–associated harm is important. … /psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36418/psn-pdf
     July 14, 2010 - Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion … Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion … https://psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart- … https://psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems … https://psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866321/psn-pdf
     July 17, 2024 - Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at … led discharge medication reconciliation on error and patient harm prevention at a large academic medical … /psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient- harm-prevention … ://psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention … ://psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846446/psn-pdf
     March 22, 2023 - accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm … accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm … https://psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm … satisfactory sensitivity, specificity, and global accuracy for AE detection, but performed better when minor harm … https://psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74854/psn-pdf
     February 23, 2022 - Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals … Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals … https://psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients … practice guidelines identified 6 themes representing nursing care strategies to manage risk and prevent harm … https://psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861282/psn-pdf
     January 24, 2024 - Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. … Reconceptualizing patient safety beyond harm: insights from a mixed- methods qualitative inquiry. … https://psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods- qualitative-inquiry … https://psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry … https://psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858175/psn-pdf
     December 13, 2023 - Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse … Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse … https://psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment … https://psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse … https://psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60683/psn-pdf
     July 15, 2020 - Protecting children from iatrogenic harm during COVID19 pandemic. … Protecting children from iatrogenic harm during COVID19 pandemic. … https://psnet.ahrq.gov/issue/protecting-children-iatrogenic-harm-during-covid19-pandemic This commentary … discusses changes in critical care practice as a response to COVID-19, and the potential for iatrogenic harm … https://psnet.ahrq.gov/issue/protecting-children-iatrogenic-harm-during-covid19-pandemic https://psnet.ahrq.gov

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837985/psn-pdf
     August 31, 2022 - Inequity and Iatrogenic Harm. August 31, 2022 AMA J Ethics. 2022;24(8):e715-e816. … https://psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm Health inequity is recent expansion in the … special issue examines poor access, quality of care, and health status as contributors to patient harm … https://psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm https://psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety … role-racism-core-patient-safety-issue https://psnet.ahrq.gov/issue/how-cisgender-clinicians-can-help-prevent-harm-during-encounters-transgender-patients

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74029/psn-pdf
     January 01, 2022 - Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping … Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping … psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion- preventable-harm-scoping … These strategies primarily target reductions in suicide, self- harm, violence, and falls. … psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-preventable-harm-scoping

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837644/psn-pdf
     July 06, 2022 - Reducing administrative harm in medicine - clinicians and administrators together. … Reducing administrative harm in medicine - clinicians and administrators together. … https://psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together … applying safety system improvement approaches to examine managerial choices that contribute to patient harm … https://psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together