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psnet.ahrq.gov/node/42458/psn-pdf
February 13, 2014 - specific issues to shaping safer
systems, with the goal of minimizing a broad range of preventable harms … human-factors-and-ergonomics-patient-safety-practice
https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care … https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - This case
of overtreatment with resultant harms of a young woman with Guillain-Barré syndrome adds to … LIM focuses on the harms of unnecessary treatment. … For many reasons, we are more comfortable doing
too much and tend not to consider the harms in such … This means that a focus on the harms rather than the costs of
unnecessary, non–evidence-based care may … LIM Topic Category of LIM Specifics
CAC Screening (9)
Harms known to outweigh
benefits
No outcomes
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psnet.ahrq.gov/node/837641/psn-pdf
July 06, 2022 - studies focused on high-risk populations (such as older adults with polypharmacy) and
measured potential harms … such as potentially inappropriate prescribing or potential prescribing omissions)
rather than actual harms
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psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
October 12, 2016 - Study
Harms from discharge to primary care: mixed methods analysis of incident reports … Harms from discharge to primary care: mixed methods analysis of incident reports. … Harms from discharge to primary care: mixed methods analysis of incident reports.
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psnet.ahrq.gov/issue/nonpayment-harms-resulting-medical-care-catheter-associated-urinary-tract-infections
December 19, 2017 - Commentary
Nonpayment for harms resulting from medical care: catheter-associated … Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. … Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections.
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psnet.ahrq.gov/node/43063/psn-pdf
May 01, 2015 - Tejal Gandhi, testified to
Congress that more must be done to track and prevent widespread patient harms … hearing
was based on the seminal study estimating that as many as 200,000 to 400,000 patients experience harms … conversation-tejal-k-gandhi-md-mph
https://psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
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psnet.ahrq.gov/node/73672/psn-pdf
September 01, 2021 - he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent-
unnecessary-medical
Overuse and unnecessary care lead to serious patient harms … overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-financially-what
https://psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
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psnet.ahrq.gov/node/50829/psn-pdf
January 22, 2020 - uncertainty can result in a range of care activities that contribute to financial, emotional
and physical harms … a medical
test and offers suggestions for patients and clinician to reduce the potential for these harms
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psnet.ahrq.gov/issue/countering-cognitive-biases-minimising-low-value-care
May 11, 2019 - May 11, 2019
To expand the evidence base about harms from tests and treatments. … October 3, 2017
Patients' expectations of the benefits and harms of treatments, screening … September 29, 2017
Clinicians' expectations of the benefits and harms of treatments,
-
psnet.ahrq.gov/issue/potential-harms-resulting-patient-clinician-real-time-clinical-encounters-using-video-based
February 14, 2017 - Review
Potential harms resulting from patient–clinician real-time clinical encounters … Potential harms resulting from patient–clinician real-time clinical encounters using video-based telehealth … Potential harms resulting from patient–clinician real-time clinical encounters using video-based telehealth
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psnet.ahrq.gov/issue/efforts-improve-patient-safety-result-13-million-fewer-patient-harms-interim-update-2013
January 07, 2015 - Classic
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms … Citation Text:
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim … Citation
Citation Text:
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - This measure assesses harms such as central-line-associated blood stream infections,
hospital-acquired … LifePoint and Duke identified performance metrics to assess
reduction in the harms identified by CMS … Between
January 2011 and December 2017, the number of preventable hospital-acquired harms per 1,000 … National quality program achieves improvements in safety culture
and reduction in preventable harms … National quality program achieves improvements in safety culture
and reduction in preventable harms
-
psnet.ahrq.gov/issue/controversies-diagnosis-contemporary-debates-diagnostic-safety-literature
December 21, 2018 - myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms … August 19, 2020
Burden of serious harms from diagnostic error in the USA. … July 28, 2023
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … July 17, 2019
Rate of diagnostic errors and serious misdiagnosis-related harms for major
-
psnet.ahrq.gov/issue/pediatric-radiology-malpractice-claims-characteristics-and-comparison-adult-radiology-claims
December 01, 2021 - December 1, 2021
Burden of serious harms from diagnostic error in the USA. … July 28, 2023
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … April 29, 2020
Rate of diagnostic errors and serious misdiagnosis-related harms for major
-
psnet.ahrq.gov/issue/data-catalyst-change-stories-frontlines
July 28, 2023 - Download Citation
Related Resources From the Same Author(s)
Burden of serious harms … October 23, 2019
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … November 10, 2021
Rate of diagnostic errors and serious misdiagnosis-related harms for
-
psnet.ahrq.gov/node/73604/psn-pdf
August 18, 2021 - staff training and enhanced
support to care homes on care processes, safety climate
and avoidable harms … staff training and enhanced support to care
homes on care processes, safety climate and avoidable harms
-
psnet.ahrq.gov/node/837972/psn-pdf
September 01, 2022 - targeting-zero-harm-stretch-goal-risks-breaking-spring
https://psnet.ahrq.gov/issue/zero-harm-health-care
https://psnet.ahrq.gov/issue/harms-promoting-zero-harm … https://psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
-
psnet.ahrq.gov/node/74061/psn-pdf
November 10, 2021 - year-analysis-based-medical-malpractice-claims
https://psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events … https://psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
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psnet.ahrq.gov/node/837796/psn-pdf
August 10, 2022 - Patients (P4P) program launched hospital engagement networks (HEN) in 2011 to
reduce hospital-acquired harms … While the results do show a reduction in harms, the
authors state earlier claims of improvement may
-
psnet.ahrq.gov/node/860714/psn-pdf
January 17, 2024 - transferred to the intensive care unit (ICU) and/or died in
the hospital to estimate frequency, cause, and harms … diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
https://psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa