-
psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
June 19, 2019 - Health care provider factors associated with patient-reported adverse events and harm … Health care provider factors associated with 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. … Health care provider factors associated with patient-reported adverse events and harm.
-
psnet.ahrq.gov/issue/emotional-harm-radiology-department-analysis-underrecognized-preventable-error
March 06, 2019 - Study
Emotional harm in the radiology department: analysis of an underrecognized … Emotional harm in the radiology department: analysis of an underrecognized preventable error. … Adverse events can contribute to physical, financial, or emotional harm . … incident reporting system, the authors identified the types of incidents contributing to emotional harm … Emotional harm in the radiology department: analysis of an underrecognized preventable error.
-
psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
July 29, 2020 - Study
Classic
Analysing potential harm in Australian general … Analysing potential harm in Australian general practice: an incident-monitoring study. … reported, 76% were qualitatively judged to be preventable and 27% to have the potential for severe harm … Analysing potential harm in Australian general practice: an incident-monitoring study. … April 24, 2018
Preventable harm because of outpatient medication errors among children
-
psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm
July 29, 2020 - Commentary
Community Health Systems’ ongoing journey to zero preventable harm. … Community Health Systems’ ongoing journey to zero preventable harm. … Achieving zero preventable harm is an ongoing goal for healthcare organizations. … Community Health Systems’ ongoing journey to zero preventable harm. … January 16, 2025
To do no harm - and the most good - with AI in health care.
-
psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
July 14, 2021 - Book/Report
Medication Without Harm: WHO's Third Global Patient Safety Challenge. … Citation Text:
Medication Without Harm: WHO's Third Global Patient Safety Challenge. … Adverse drug events are likely the most common source of preventable harm in both hospitalized and … URL
Cite
Citation
Citation Text:
Medication Without Harm … August 24, 2022
Global Burden of Preventable Medication-related Harm in Health Care:
-
psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system
October 19, 2022 - Study
Accuracy of harm scores entered into an event reporting system. … Accuracy of harm scores entered into an event reporting system. … event reporting systems are a mainstay of efforts to identify system failures that expose patients to harm … This study sought to evaluate the ability of nurses to use the Common Format definitions of harm severity … Accuracy of harm scores entered into an event reporting system.
-
psnet.ahrq.gov/issue/harms-way
July 08, 2009 - Commentary
In harm's way.
Citation Text:
Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation…
-
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
-
psnet.ahrq.gov/issue/decreasing-malpractice-claims-reducing-preventable-perinatal-harm
September 01, 2018 - Study
Decreasing malpractice claims by reducing preventable perinatal harm. … Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. … Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. … September 3, 2011
Developing a process to measure actual harm from medication errors … Can routinely collected data be repurposed to predict avoidable patient harm?
-
psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follow-actions
September 27, 2017 - Study
Medical harm: patient perceptions and follow-up actions. … Medical Harm: Patient Perceptions and Follow-up Actions. … voluntary survey data collected by an independent nonprofit news organization from patients regarding harm … Medical Harm: Patient Perceptions and Follow-up Actions. … 2016
Sleep deprivation and starvation in hospitalised patients: how medical care can harm
-
psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method-consensus-study
December 16, 2020 - Study
Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness … Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. … 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 … Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study.
-
psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm
July 07, 2021 - Classic
Electronic health record usability issues and potential contribution to patient harm … Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. … ease of understanding, learning, and using the interface) impair physician workflow and may result in harm … liability, meaning that patients may not be able to seek compensation if EHR issues directly lead to harm … Electronic Health Record Usability Issues and Potential Contribution to Patient Harm.
-
psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
August 11, 2021 - Commentary
Better understanding the downsides of low value healthcare could reduce harm … Better understanding the downsides of low value healthcare could reduce harm. … Overuse of healthcare services can result in financial, physical, and emotional harm to the patient … Research is needed to quantify harm resulting from overuse of healthcare services, including the number … Better understanding the downsides of low value healthcare could reduce harm.
-
psnet.ahrq.gov/issue/keeping-patients-risk-self-harm-safe-emergency-department-protocolized-approach
December 02, 2020 - Study
Keeping patients at risk for self-harm safe in the emergency department: a … Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. … Patient suicide, attempted suicide, or self-harm are considered ‘ never events .’ … Implementation of the protocol was correlated with lower rates of self-harm. … Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.
-
psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
October 07, 2020 - Study
Patient harm resulting from medication reconciliation process failures: a study … Patient harm resulting from medication reconciliation process failures: a study of serious events reported … The most common process failures contributing to patient harm occurred during order entry/transcription … for prescribed medications, and adding anticonvulsants to processes for medication with high risk for harm … May 19, 2021
Visitor behaviors can influence the risk of patient harm: an analysis of
-
integrationacademy.ahrq.gov/news-and-events/news/integrating-harm-reduction-primary-care-practices
April 22, 2024 - The National Harm Reduction Coalition states that harm reduction “incorporates a spectrum of strategies … For more information on harm reduction, please see: SAMHSA: Harm Reduction SAMHSA: Harm Reduction Framework … National Harm Reduction Coalition: Harm Reduction Principles AHRQ Academy: The Role of Low-Threshold … States [1] National Harm Reductions Coalition. … Harm Reduction Principles. https://harmreduction.org/about-us/principles-of-harm-reduction .
-
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?
-
psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing-discharge
October 19, 2022 - Study
Prevented harm and cost avoidance with pharmacist intervention while utilizing … Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication … balance costs associated with pharmacist medication reconciliation (e.g., salary) with prevented harm … Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication … November 16, 2022
To do no harm - and the most good - with AI in health care.
-
www.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Near miss, or Unsafe condition as well as provides other information relevant to all events (e.g., harm … Answer Values:
Incident: A patient safety event that reached a patient and either resulted in no harm … (no harm incident) or harm (harm incident). … action by a healthcare practitioner or worker or healthcare circumstance that exposes a patient to harm … first the word is capitalized, and all letters are italicized (e.g., Unsafe condition ; Moderate harm
-
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