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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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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.
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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.
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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.
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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.
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