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Showing results for "harm".

61. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings
    February 17, 2021 - Classic Prevalence, severity, and nature of preventable patient harm … Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic … 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.

62. Preventing harm from high-alert medications. | PSNet
    psnet.ahrq.gov/issue/preventing-harm-high-alert-medications
    August 14, 2017 - Commentary Preventing harm from high-alert medications. … Preventing harm from high-alert medications. Jt Comm J Qual Patient Saf. 2007;33(9):537-42. … Preventing harm from high-alert medications. Jt Comm J Qual Patient Saf. 2007;33(9):537-42.

63. Do no harm: promoting patient safety. | PSNet
    psnet.ahrq.gov/issue/do-no-harm-promoting-patient-safety
    September 27, 2006 - Newspaper/Magazine Article Do no harm: promoting patient safety. … January 29, 2014 Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis … March 15, 2023 Do no unconscious harm.

64. Preventable medication harm across health care settings: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review-and-meta-analysis
    July 31, 2019 - Review Classic Preventable medication harm across health … Preventable medication harm across health care settings: a 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 . … Preventable medication harm across health care settings: a systematic review and meta-analysis.

65. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/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

66. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet
    psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design
    January 18, 2023 - Study Developing a process to measure actual harm from medication errors in paediatric … 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 … in 89 cases, with three-quarters of actual harm occurring in medication administration cases. … : the Harm Associated with Medication Error Classification (HAMEC).

67. Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. | PSNet
    psnet.ahrq.gov/issue/community-acquired-and-hospital-acquired-medication-harm-among-older-inpatients-and-impact
    August 28, 2024 - Study Community-acquired and hospital-acquired medication harm among older inpatients … Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide … (70%) rather than the hospital and that the intervention successfully reduced community-acquired harm … Related Resources From the Same Author(s) Developing a process to measure actual harm … September 1, 2018 Decreasing malpractice claims by reducing preventable perinatal harm

68. Chapter-7 - Harm Due to Anticoagulants (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
    March 01, 2020 - Chapter-7 - Harm Due to Anticoagulants Harms Due to Anticoagulants 7-1 7.

69. Expert consensus on currently accepted measures of harm. | PSNet
    psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
    January 25, 2023 - Commentary Expert consensus on currently accepted measures of harm. … Expert consensus on currently accepted measures of harm. … Expert consensus on currently accepted measures of harm. … June 24, 2020 Patient harm during COVID-19 pandemic: using a human factors lens to promote … Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm

70. Patient harm in general surgery--a prospective study. | PSNet
    psnet.ahrq.gov/issue/patient-harm-general-surgery-prospective-study
    November 16, 2022 - Study Patient harm in general surgery--a prospective study. … Patient Harm in General Surgery-A Prospective Study. … Patient Harm in General Surgery-A Prospective Study.

71. Targeting zero harm: a stretch goal that risks breaking the spring. | PSNet
    psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
    December 01, 2021 - Targeting zero harm: a stretch goal that risks breaking the spring. … harm, and potential harms of zero-harm initiatives (e.g., misclassifying preventable events, failing … Targeting zero harm: a stretch goal that risks breaking the spring. … December 1, 2021 Zero harm in health care. … organization and eliminating avoidable harm.

72. 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

73. From guideline to order set to patient harm. | PSNet
    psnet.ahrq.gov/issue/guideline-order-set-patient-harm
    October 10, 2017 - Commentary From guideline to order set to patient harm. … From Guideline to Order Set to Patient Harm. … From Guideline to Order Set to Patient Harm.

74. 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

75. 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

76. 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

77. 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.

78. 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.

79. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. | PSNet
    psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
    January 23, 2019 - Multimethod study of a large-scale programme to improve patient safety using a harm-free … Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach … First, investigators developed a single measure of harm-free care that encompassed each of these issues … The next phase involved giving health systems financial incentives to report their data on harm-free … Over time, reports of harm-free care increased, but the stated goal of reaching 95% harm-free care was

80. 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