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Showing results for "harm".

61. Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. | PSNet
    psnet.ahrq.gov/issue/barriers-and-enablers-nurses-use-harm-prevention-strategies-older-patients-hospital-cross
    August 10, 2022 - Study Barriers and enablers to nurses' use of harm prevention strategies for older … Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a … Nurses play a critical role in reducing preventable harm among inpatients. … (intentions, perceived consequences, optimism, and professional role) to implementing comprehensive harm … Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a

62. Achieving a successful patient safety program with implementation of a harm reduction strategy. | PSNet
    psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
    February 22, 2023 - Article Achieving a successful patient safety program with implementation of a harm … Citation Text: Achieving a successful patient safety program with implementation of a harm reduction … Zero harm , while a laudable goal, has been shown to have unintended consequences. … morally neutral approach to human error, an elimination of blame in favor of a just culture, and harm … Citation Citation Text: Achieving a successful patient safety program with implementation of a harm

63. A review of the evidence of harm from self-tests. | PSNet
    psnet.ahrq.gov/issue/review-evidence-harm-self-tests
    August 03, 2009 - Review A review of the evidence of harm from self-tests. … A review of the evidence of harm from self-tests. … conclude that little data exists confirming that these tests result in psychological, social, or medical harm … A review of the evidence of harm from self-tests.

64. Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. | PSNet
    psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method
    May 11, 2022 - Study Nurses' harm prevention practices during admission of an older person to the … Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method … Frontline care providers such as nurses play an important role in reducing preventable harm . … barriers (e.g., lack of resources, information gaps) and enablers (e.g., teamwork, reminders) to harm … Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method

65. We will not compete on safety: how children's hospitals have come together to hasten harm reduction. | PSNet
    psnet.ahrq.gov/issue/we-will-not-compete-safety-how-childrens-hospitals-have-come-together-hasten-harm-reduction
    August 10, 2022 - We will not compete on safety: how children's hospitals have come together to hasten harm … We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction. … Reducing harm often requires implementing multicomponent interventions and engaging frontline staff … This represents almost $150 million in savings from harm avoided for an estimated 9000 children. … We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction.

66. Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet
    psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
    February 01, 2023 - /Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm … Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October … the Office of the Inspector General (OIG) found 13.5% of hospitalized Medicare patients experience harm … This OIG report has updated the proportion of hospitalized Medicare patients who experienced harm and … Reviewers determined 43% of harm events could have been prevented and resulted in significant costs to

67. Reducing avoidable medication-related harm: what will it take? | PSNet
    psnet.ahrq.gov/issue/reducing-avoidable-medication-related-harm-what-will-it-take
    September 23, 2020 - Commentary Reducing avoidable medication-related harm: what will it take? … Reducing avoidable medication-related harm: What will it take? … guidelines to support safe medication use , can be used in low-resource countries to reduce avoidable harm … Reducing avoidable medication-related harm: What will it take? … November 17, 2021 First do no harm: practitioners' ability to 'diagnose' system weaknesses

68. Reducing administrative harm in medicine - clinicians and administrators together. | PSNet
    psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together
    February 23, 2022 - Commentary Reducing administrative harm in medicine - clinicians and administrators … Reducing administrative harm in medicine - clinicians and administrators together. … applying safety system improvement approaches to examine managerial choices that contribute to patient harm … Reducing administrative harm in medicine - clinicians and administrators together. … How effective are electronic medication systems in reducing medication error rates and associated harm

69. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: 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-2/vol1/Advances-West_102.pdf
    March 31, 2008 - and frequency of harm classified hierarchically into five categories: (1) unknown or no known harm … Harm classification Harm category Example Known clinical harm to the patient A positive herpes simplex … as “known clinical harm.” … As previously stated, in describing the likelihood of clinical harm or future risk of clinical harm … Reports of the errors themselves and any clinical harm (or lack of harm) associated with each error

70. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. | PSNet
    psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
    August 04, 2021 - Study Defining avoidable healthcare-associated harm in prisons: a mixed-method development … Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. … Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. … February 17, 2021 Prevalence, severity, and nature of preventable patient harm across … June 30, 2021 How administrative burdens can harm health.

71. Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. | PSNet
    psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
    December 16, 2020 - Study Incidence, origins and avoidable harm of missed opportunities in diagnosis: … Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record … Diagnostic error continues to be a source of preventable patient harm. … Just over one third resulted in moderate to severe avoidable patient harm. … December 16, 2020 First Do No Harm.

72. Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. | PSNet
    psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
    November 15, 2023 - Book/Report Global Burden of Preventable Medication-related Harm in Health Care: … Citation Text: Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review … The Medication Without Harm initiative focuses on the world-wide challenges of safe medication use … accompanying policy brief examine the frequency, severity, and characteristics of medication-related harm … 7, 2020 Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm

73. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. | PSNet
    psnet.ahrq.gov/issue/incidence-nature-and-causes-avoidable-significant-harm-primary-care-england-retrospective
    November 13, 2019 - Study Incidence, nature and causes of avoidable significant harm in primary care … Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective … Their analysis identified three primary types of avoidable harm in primary care – problems with diagnoses … Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective … January 12, 2022 Identifying factors leading to harm in English general practices: a

74. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet
    psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
    September 01, 2021 - Study Visitor behaviors can influence the risk of patient harm: an analysis of patient … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from … 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. … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from

75. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.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 … was ordered for patient instead of extended-release E Error that could have caused temporary harm … medication was inadvertently omitted from the orders F Error that could have caused temporary harm … daily when the patient takes it every other day G Error that could have resulted in permanent harm

76. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/match/table-6.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 … was ordered for patient instead of extended-release E Error that could have caused temporary harm … medication was inadvertently omitted from the orders F Error that could have caused temporary harm … daily when the patient takes it every other day G Error that could have resulted in permanent harm

77. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. | PSNet
    psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
    May 25, 2022 - Study Adaption of a trigger tool to identify harmful incidents, no harm incidents … Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital … The pATT identified near misses in 55% of encounters, no-harm incidents in 5.8% of encounters, and harmful … September 19, 2013 Prevalence of triggers and patient harm identified by Global Trigger … Patient Transport July 31, 2024 Frequency, type, and degree of potential harm

78. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
    psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
    July 23, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle Save … The measures are built into Ascension’s harm dashboard on Tableau. … Near misses are either (a) no-harm good catches or (b) error, but no harm. 2 An example of a near miss … The measures are built into Ascension’s harm dashboard on Tableau. … The RSI harm event rate is per 10,000 patient days.

79. Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study | PSNet
    psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first
    October 09, 2019 - Patient-related factors associated with an increased risk of being a reported case of preventable harm … Patient-related factors associated with an increased risk of being a reported case of preventable harm … While differences in income, education, and foreign background had some association with preventable harm … and primary care patients, with nearly half (46%) of harm attributable to diagnostic errors . … Patient-related factors associated with an increased risk of being a reported case of preventable harm

80. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet
    psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
    November 30, 2022 - Commentary Humanizing harm: using a restorative approach to heal and learn from adverse … Humanizing harm: Using a restorative approach to heal and learn from adverse events. … Harm resulting from patient safety incidents can be compounded if investigating responses ignore the … This article describes how compounded harm arises, and it recommends the use of a restorative practices … Humanizing harm: Using a restorative approach to heal and learn from adverse events.