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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44355/psn-pdf
    September 02, 2015 - effect-real-time-pediatric-icu-safety-bundle-dashboard-quality-improvement-measures https://psnet.ahrq.gov/issue/nonpayment-harms-resulting-medical-care-catheter-associated-urinary-tract-infections

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47016/psn-pdf
    June 25, 2018 - program to expedite the review of digital health software and summarizes the benefits and potential harms

  3. Escape Room. | PSNet

    psnet.ahrq.gov/issue/escape-room
    April 30, 2024 - August 25, 2021 Incorporating harms into the weighting of the Revised AHRQ Patient Safety

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44246/psn-pdf
    November 15, 2016 - guidelines, which emphasize the importance of actions taken in response to RCA reviews to prevent future harms

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46186/psn-pdf
    August 02, 2017 - the opioid epidemic will require a complex set of approaches to balance managing the potential for harms

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844052/psn-pdf
    July 01, 2012 - healthcare-acquired infections, medication administration errors) versus other contexts, such as individual harms

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44203/psn-pdf
    August 04, 2015 - This study found increased harms related to antibiotic use among older patients living in nursing homes

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852270/psn-pdf
    August 09, 2023 - two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety https://psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45033/psn-pdf
    July 16, 2019 - support systems are intended to improve safety by providing clinicians with information about potential harms—principally

  10. NHS Safety Thermometer Reports. | PSNet

    psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
    July 08, 2021 - Related Resources From the Same Author(s) National Diabetes Inpatient Audit -- Harms

  11. In Conversation With… Kaveh Shojania, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
    February 26, 2025 - Our understanding of IT, thinking about rather than talking about errors so much, talking about harms … heterogeneous measure; basically all that these events have in common is that they were injuries or harms … So what you want to do is say these are some well-defined medication harms. … We're looking for opiate harms, bleeding harms, this harm, that harm.

  12. Harm to Healing - Partnering with Patients Who Have Been Harmed. | PSNet

    psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
    May 08, 2019 - Book/Report Harm to Healing - Partnering with Patients Who Have Been Harmed. Citation Text: Harm to Healing - Partnering with Patients Who Have Been Harmed. Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012. Copy Citation …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43567/psn-pdf
    October 21, 2016 - national action plan aims to align the efforts of multiple federal programs committed to reducing patient harms

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38533/psn-pdf
    January 31, 2011 - the Center for Medicare and Medicaid Services' [CMS] no pay for errors policy) assume that certain harms

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852700/psn-pdf
    August 30, 2023 - For example, a recent study using 2018 data showed that preventable harms were very common in 11 hospitals … McGaffigan: Many of our performance measures are associated with measuring and reporting specific harms … While decreases in harms are certainly our goal, a decrease in downstream measures of harm can provide … We’re spending lots of time focusing on the circumscribed harms, continually trimming the trees without … human and financial resources as we chase after measuring, investigating, and addressing errors and harms

  16. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. | PSNet

    psnet.ahrq.gov/issue/mind-power-gap-how-hierarchical-leadership-healthcare-risk-patient-safety
    February 26, 2025 - November 11, 2020 The harms of promoting 'Zero Harm'.

  17. Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. | PSNet

    psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
    January 16, 2025 - Related Resources Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44247/psn-pdf
    November 03, 2015 - accompanying commentary notes that this systematic review provides an opportunity to highlight the potential harms

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45950/psn-pdf
    July 18, 2017 - They developed a single, automated trigger encompassing a multitude of possible harms that could be

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46820/psn-pdf
    August 20, 2018 - This study adds to evidence demonstrating the potential harms associated with even short-term opioid
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