-
psnet.ahrq.gov/node/44068/psn-pdf
April 15, 2015 - Contemporary View of Medication-Related Harm. A New
Paradigm. … https://psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
Medication errors … are a common factor in health care–associated harm. … https://psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/43262/psn-pdf
April 06, 2015 - Escalation of care in surgery: a systematic risk
assessment to prevent avoidable harm in hospitalized … Escalation of care in surgery: a systematic risk assessment to
prevent avoidable harm in hospitalized … https://psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm … https://psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized … https://psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
-
psnet.ahrq.gov/node/39031/psn-pdf
March 23, 2011 - Care homes' use of medicines study: prevalence, causes
and potential harm of medication errors in care … Care homes' use of medicines study: prevalence, causes and
potential harm of medication errors in care … https://psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-
medication-errors-care … https://psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-medication-errors-care … https://psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-medication-errors-care
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - Description of harm
For this paper we used a definition of harm that includes clinical harm to the … harm in the ASIPS DMO taxonomy is classified as—
• minimal harm - a change in some physiological function … The odds ratio describes the chances of patient harm
occurring relative to harm not occurring, given … Individual codes associated with harm
Table 3. … Hierarchical constructs associated with harm
Table 4.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
May 19, 2016 - Unsafe Condition
Near Miss
No Harm Event
CANDOR
Event
Actual harm to patient
Potential patient harm … A CANDOR event is an event that involves unexpected patient harm. … The unexpected harm can be physical, emotional, or financial. … Care for the caregivers is frequently absent in the traditional response to harm. … events, and offering compensation for the patient’s harm, when appropriate.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Falls harm patients.
30% to 51% of falls result in injury. … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … per 1000 pt days
JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days
(Includes all harm categories … 0
Quarter
harm from falls
Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter
JAH VAMC … 0
Quarter
harm from falls
Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter