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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44574/psn-pdf
    October 21, 2015 - Patient safety and quality improvement: reducing risk of harm. October 21, 2015 Leonard M. … Patient Safety and Quality Improvement: Reducing Risk of Harm. … https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm The ambulatory … https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm https://psnet.ahrq.gov
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47728/psn-pdf
    February 20, 2019 - Implementation of bar-code medication administration to reduce patient harm. … Implementation of Bar-Code Medication Administration to Reduce Patient Harm. … https://psnet.ahrq.gov/issue/implementation-bar-code-medication-administration-reduce-patient-harm This … https://psnet.ahrq.gov/issue/implementation-bar-code-medication-administration-reduce-patient-harm https
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46764/psn-pdf
    March 28, 2018 - The Report of the Short Life Working Group on Reducing Medication-related Harm. … https://psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm Medication … https://psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm https:/ … /psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge https://psnet.ahrq.gov
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44805/psn-pdf
    January 27, 2016 - https://psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november- … tool developed by the National Health Service to facilitate staff participation in measuring patient harm … https://psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november- … 2014-november-2015 https://psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november
  5. digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2011
    January 01, 2011 - This study is identifying pediatric medications that are at highest risk of causing child harm through … The respondents are asked: "Please score the severity of the potential harm that might occur from not … Also, please score the severity of potential harm from getting Inderal by mistake." Dr. … Participating physicians were able to identify pairs where the substitutions posed low potential harm … (e.g. chlorpheniramine and cholestyramine), as well as pairs that represented high risk of harm for
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46952/psn-pdf
    January 01, 2019 - Perspectives on patient and family engagement with reduction in harm: the forgotten voice. … Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. … https://psnet.ahrq.gov/issue/perspectives-patient-and-family-engagement-reduction-harm-forgotten-voice … https://psnet.ahrq.gov/issue/perspectives-patient-and-family-engagement-reduction-harm-forgotten-voice
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45867/psn-pdf
    April 12, 2017 - The Economics of Patient Safety: Strengthening a Value- based Approach to Reducing Patient Harm at National … psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing- patient-harm-national … //psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national … //psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47200/psn-pdf
    August 20, 2018 - Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm … https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive … https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44084/psn-pdf
    November 03, 2015 - Can staff and patient perspectives on hospital safety predict harm-free care? … Can staff and patient perspectives on hospital safety predict harm- free care? … https://psnet.ahrq.gov/issue/can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care … https://psnet.ahrq.gov/issue/can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care-analysis-staff-and … https://psnet.ahrq.gov/issue/can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care-analysis-staff-and
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45850/psn-pdf
    July 02, 2017 - was developed by the National Health Service to facilitate staff participation in measuring patient harm … collecting data associated with medication reconciliation, allergy status, medication omission, and harm … what-nhs-safety-thermometer https://psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november … https://psnet.ahrq.gov/issue/multicentre-study-develop-medication-safety-package-decreasing-inpatient-harm-omission-time
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45245/psn-pdf
    June 27, 2018 - Medication Without Harm: WHO's Third Global Patient Safety Challenge. … https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge Adverse … drug events are likely the most common source of preventable harm in both hospitalized and ambulatory … https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge https
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39760/psn-pdf
    February 10, 2015 - No harm found when nurse anesthetists work without supervision by physicians. … No harm found when nurse anesthetists work without supervision by physicians. … https://psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians … https://psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45963/psn-pdf
    March 22, 2017 - Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a … https://psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient … https://psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires … https://psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34774/psn-pdf
    June 02, 2010 - Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. … ISBN: 9780521634908 https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness … An academic exploration into the history of patient harm, this book explores the ethics that drive … https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34682/psn-pdf
    February 10, 2011 - delivery in the United States and argue that increased health care utilization risks producing overall harm … growth of health care, “discrete” and “systematic”, and propose a framework for the mechanisms of harm … They propose several mechanisms by which harm can occur, review examples illustrating each, and offer … partial prescriptions for minimizing the risk of harm as health care utilization expands.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33872/psn-pdf
    January 01, 2018 - Second, the concept of psychological harm as a safety event rose in prominence. … Emerging Emphasis on Psychological Harm In studies of patient-reported safety issues, patients have … The definition of each level of harm from near miss to severe now includes a psychological component … https://psnet.ahrq.gov/issue/speaking-safety-its-not-simple https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-preventable-harm … https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-preventable-harm https://psnet.ahrq.gov
  17. digital.ahrq.gov/sites/default/files/docs/publication/r03hs018841-basco-final-report-2013.pdf
    January 01, 2013 - Methods: 37 practicing pediatricians evaluated published LASA pairs, estimating the harm that might … Our goal was to evaluate the potential harm presented by these errors in outpatient practice. … Each of those errors may have different degrees of potential harm. … ,” “little harm,” “moderate harm,” “severe harm,” and “death,” consistent with the terminology used … The instructions reminded participants to not estimate the chance that harm would occur.
  18. psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients
    November 03, 2015 - Study Disclosing harmful mammography errors to patients. Citation Text: Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. Copy Citation Format: DOI Google Scholar BibTeX EndN…
  19. psnet.ahrq.gov/issue/national-diabetes-inpatient-audit-2017
    January 27, 2016 - Book/Report National Diabetes Inpatient Audit -- Harms. Citation Text: National Diabetes Inpatient Audit -- Harms. Leeds, UK: Health and Social Care Information Centre. Copy Citation Save Save to your library Print Download PDF Share Facebook…
  20. psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients
    July 10, 2008 - Review Disclosing harmful medical errors to patients. Citation Text: Gallagher TH, Studdert DM, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007;356(26):2713-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…