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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
January 01, 2024 - No Harm 1,650 48.6%
Fall Under 18 Female Severe Harm 12 0.4%
Fall Under 18 Female Unknown Harm 978 … 18 Male No Harm 1,655 47.1%
Fall Under 18 Male Severe Harm * *
Fall Under 18 Male Unknown Harm 1,100 … Harm 12 2.2%
Fall UNK Male No Harm 328 60.6%
Fall UNK Male Severe Harm * *
Fall UNK Male Unknown … Harm 74 3.8%
Perinatal Under 18 Female No Harm 685 35.1%
Perinatal Under 18 Female Severe Harm 14 … Moderate Harm * *
Pressure Ulcer UNK Female No Harm 21 24.4%
Pressure Ulcer UNK Female Severe Harm
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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.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2019.xlsx
January 01, 2019 - Harm 0.4% 2,718
Blood or Blood Product No Harm 1.0% 6,019
Blood or Blood Product Unknown Harm 0.0% … Unknown Harm 0.0% 203
Fall Death 0.0% 106
Fall Severe Harm 0.1% 419
Fall Moderate Harm 0.4% 2,295 … Other Severe Harm 0.2% 1,352
Other Moderate Harm 1.8% 11,200
Other Mild Harm 14.9% 93,473
Other No … 140
Perinatal Moderate Harm 0.1% 713
Perinatal Mild Harm 1.4% 8,490
Perinatal No Harm 1.3% 8,047 … Harm 0.1% 445
Surgery or Anesthesia Moderate Harm 0.5% 2,820
Surgery or Anesthesia Mild Harm 2.2%
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preventiveservices.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
April 01, 2022 - Home
Nursing Home COVID-19 Action Network
Resources Catalog
All Cause Harm … Prevention in Nursing Home—Events Related to Infections
Resource: All Cause Harm Prevention … in Nursing Home—Events Related to Infections
This document is a section of the All Cause Harm Prevention … reviewed April 2022
Page originally created April 2022
Internet Citation: All Cause Harm … https://www.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
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ce.effectivehealthcare.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
April 01, 2022 - Home
Nursing Home COVID-19 Action Network
Resources Catalog
All Cause Harm … Prevention in Nursing Home—Events Related to Infections
Resource: All Cause Harm Prevention … in Nursing Home—Events Related to Infections
This document is a section of the All Cause Harm Prevention … reviewed April 2022
Page originally created April 2022
Internet Citation: All Cause Harm … https://www.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
January 01, 2022 - Gen_3
Gen_3: Extent of Harm
Extent of Harm Percentage Frequency Total
No Harm 49.0% 767,738 1,567,355 … Mild Harm 25.6% 401,728 1,567,355
Moderate Harm 2.6% 41,312 1,567,355
Severe Harm 0.4% 6,421 1,567,355 … No Harm 55.2% 121,455 1,567,355
Fall Mild Harm 22.6% 49,754 1,567,355
Fall Moderate Harm 1.6% 3,598 … Harm 0.2% 64 1,567,355
Pressure Ulcer No Harm 24.6% 19,627 1,567,355
Pressure Ulcer Mild Harm 69.0% … Harm 0.0% 64 1,567,355
Pressure Ulcer No Harm 2.6% 19,627 1,567,355
Pressure Ulcer Mild Harm 13.7%
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
January 01, 2021 - Gen_3
Gen_3: Extent of Harm
Extent of Harm Percentage Frequency Total
No Harm 42.9% 543,640 1,267,662 … Mild Harm 27.7% 350,945 1,267,662
Moderate Harm 2.7% 34,589 1,267,662
Severe Harm 0.4% 4,927 1,267,662 … Fall Mild Harm 23.3% 39,579 1,267,662
Fall Moderate Harm 1.8% 3,050 1,267,662
Fall Severe Harm 0.4% … Mild Harm 52.8% 13,864 1,267,662
Perinatal Moderate Harm 4.3% 1,121 1,267,662
Perinatal Severe Harm … Harm 0.0% 52 1,267,662
Pressure Ulcer No Harm 3.5% 18,821 1,267,662
Pressure Ulcer Mild Harm 15.2%
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
January 01, 2020 - Gen_3
Gen_3: Extent of Harm
Extent of Harm Percentage Frequency Total
No Harm 49.0% 527,228 1,075,547 … Mild Harm 31.8% 342,513 1,075,547
Moderate Harm 3.0% 32,740 1,075,547
Severe Harm 0.4% 4,533 1,075,547 … Fall Mild Harm 26.5% 38,580 1,075,547
Fall Moderate Harm 2.0% 2,964 1,075,547
Fall Severe Harm 0.4% … Mild Harm 52.6% 13,304 1,075,547
Perinatal Moderate Harm 3.8% 973 1,075,547
Perinatal Severe Harm … Other No Harm 50.6% 266,685 1,075,547
Other Mild Harm 41.4% 141,887 1,075,547
Other Moderate Harm
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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
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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
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
January 01, 2023 - Harm 40 3,355 1.2%
Fall Under 18 Male Mild Harm 734 3,355 21.9%
Fall Under 18 Male No Harm 1,475 3,355 … Mild Harm 117 601 19.5%
Fall UNK Female No Harm 379 601 63.1%
Fall UNK Female Unknown Harm 93 601 15.5% … Fall UNK Male Severe Harm 1 505 0.2%
Fall UNK Male Moderate Harm 11 505 2.2%
Fall UNK Male Mild Harm … Severe Harm 6 4,016 0.2%
Other UNK Female Moderate Harm 26 4,016 0.7%
Other UNK Female Mild Harm 167 … Harm 32 3,858 0.8%
Other UNK Male Mild Harm 147 3,858 3.8%
Other UNK Male No Harm 2,776 3,858 72.0%
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psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
June 22, 2022 - Review
Defining and classifying terminology for medication harm: a call for consensus … Defining and classifying terminology for medication harm: a call for consensus. … Defining and classifying terminology for medication harm: a call for consensus. … June 22, 2022
Patient harm from cardiovascular medications. … How can nurses help prevent patient harm?
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psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
May 11, 2022 - Study
Use of standard risk screening and assessment forms to prevent harm to older … Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals … Related Resources From the Same Author(s)
Barriers and enablers to nurses' use of harm … August 17, 2022
Nurses' harm prevention practices during admission of an older person … November 18, 2016
Nursing guidelines for comprehensive harm prevention strategies for
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2019.xlsx
January 01, 2019 - Extent of Harm Percentage Frequency
No Harm 57.3% 72,356
Mild Harm 37.7% 47,556
Moderate Harm 3.9% … Incorrect Action No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency
Other incorrect … Percentage No Harm Frequency Harm Percentage Harm Frequency
Missed or omitted dose 43.8% 1,833 32.8% … Stage Event Originated No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency
Administering … 'No Harm Frequency' or 'Harm Frequency' columns, respectively.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2019.xlsx
January 01, 2019 - /devices-charts.html
Device_1
Device_1: Extent of Harm
Extent of Harm Percentage Frequency
No Harm … 66.8% 6,833
Mild Harm 27.6% 2,823
Moderate Harm 2.8% 289
Severe Harm 0.4% 38
Death 0.4% 41
Unknown … Type of Device No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency
Medical equipment … Device Event Description No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency
Device … No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency
Electronic health record (EHR)
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_2020.xlsx
January 01, 2020 - Extent of Harm Percentage Frequency Total
No Harm 50.7% 101,892 201,093
Mild Harm 33.5% 67,407 201,093 … Moderate Harm 3.6% 7,297 201,093
Severe Harm 0.2% 486 201,093
Death 0.1% 183 201,093
Unknown Harm … Incorrect Action No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total
Incorrect … Stage Event Originated No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total … Harm Frequency or Harm Frequency columns, respectively.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2020.xlsx
January 01, 2020 - No Harm 48.8% 11,390 23,332
Mild Harm 21.1% 4,913 23,332
Moderate Harm 1.6% 372 23,332
Severe Harm … 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 … Harm Frequency or Harm Frequency columns, respectively.