-
psnet.ahrq.gov/node/73536/psn-pdf
July 28, 2021 - The majority of harms were minor; 4.5% of harms were considered
severe. … Nearly 82% of non-fatal harms were considered not preventable and generally arose from routine
care.
-
psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
March 17, 2021 - Study
Unintended consequences: quantifying the benefits, iatrogenic harms and downstream … Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal … Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal
-
psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - In Conversation with Eric Thomas about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint … There are certainly harms in a very literal sense that are an intentional part of
healthcare. … There are also harms that are
unintentional and unpreventable. … We are talking about preventable harms. … ,
and our goal is to have slightly fewer harms year-over-year.
-
psnet.ahrq.gov/node/44736/psn-pdf
December 16, 2015 - Harms from discharge to primary care: mixed methods
analysis of incident reports. … Harms from discharge to primary care: mixed methods analysis of
incident reports. … https://psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
Adverse … https://psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
https
-
psnet.ahrq.gov/node/73158/psn-pdf
April 21, 2021 - If
patients and clinicians better understood the risk of potential harms due to overuse, preventable … harms
may be reduced. … resulting from overuse of healthcare services,
including the number of patients harmed and how serious the harms
-
psnet.ahrq.gov/node/843413/psn-pdf
February 01, 2023 - translation of systems thinking methods in
patient safety practice: assessing the validity of Net-
HARMS … translation of systems thinking methods in patient safety
practice: assessing the validity of Net-HARMS … This article
describes validity testing of systems-thinking risk assessment (Net-HARMS) to identify
-
psnet.ahrq.gov/node/43940/psn-pdf
February 25, 2015 - AHRQ Announces Interest in Research About the
Epidemiology of Patient Safety Risks and Harms in
Ambulatory … psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-
and-harms-ambulatory … //psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory … //psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory
-
psnet.ahrq.gov/issue/problem-preventable-deaths
July 24, 2024 - of patient safety improvement is preventing error , but challenges remain in distinguishing which harms … In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms … In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms
-
psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
July 28, 2023 - Download Citation
Related Resources From the Same Author(s)
Burden of serious harms … myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms … August 19, 2020
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … July 17, 2019
Rate of diagnostic errors and serious misdiagnosis-related harms for major … December 15, 2021
Optimizing measurement of misdiagnosis-related harms using symptom-disease
-
psnet.ahrq.gov/node/44322/psn-pdf
June 21, 2016 - by a multidisciplinary panel and recommends that institutions promote voluntary
reporting of these harms … The authors encourage health professionals to address emotional harms with the
same rigor that has been … applied to physical harms. … Patient-centered care has been proposed as a
strategy for reducing preventable harms.
-
psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
December 01, 2021 - The majority of harms were minor; 4.5% of harms were considered severe. … Nearly 82% of non-fatal harms were considered not preventable and generally arose from routine care.
-
psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis
August 19, 2020 - myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms … October 29, 2012
Burden of serious harms from diagnostic error in the USA. … July 28, 2023
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … December 15, 2021
Rate of diagnostic errors and serious misdiagnosis-related harms for … June 3, 2020
Optimizing measurement of misdiagnosis-related harms using symptom-disease
-
psnet.ahrq.gov/node/45674/psn-pdf
September 29, 2017 - Pain Management and Prescription Opioid-related Harms:
Exploring the State of the Evidence: Proceedings … https://psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state- … https://psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings … https://psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings
-
psnet.ahrq.gov/node/60223/psn-pdf
January 01, 2021 - effects-harm-events-30-day-readmission-surgical-patients
This study examined the association of inpatient harms … (e.g., infections, medication-related harms) and 30-
day readmissions through a retrospective analysis … The authors found that the harms with the highest 30-day readmission rates were
pressure ulcers (45%
-
psnet.ahrq.gov/node/42474/psn-pdf
September 19, 2015 - A new, evidence-based estimate of patient harms
associated with hospital care. … A new, evidence-based estimate of patient harms associated with hospital care. … https://psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
The … https://psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
https
-
psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
September 23, 2020 - Commentary
Complexity bias in the prevention of iatrogenic injury: why specific harms … Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. … Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance.
-
psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices
December 10, 2024 - Book/Report
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms … Citation Text:
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices … Citation
Citation Text:
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms
-
psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
January 23, 2019 - Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms … July 21, 2021
Optimizing measurement of misdiagnosis-related harms using symptom-disease … March 7, 2018
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/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
February 03, 2021 - 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 … May 11, 2022
Unintended consequences: quantifying the benefits, iatrogenic harms and
-
psnet.ahrq.gov/issue/walking-tightrope-communicating-overdiagnosis-modern-healthcare
September 23, 2020 - Medical care overuse can lead to countless direct and indirect harms. … February 1, 2017
Harms from discharge to primary care: mixed methods analysis of incident … March 2, 2022
To expand the evidence base about harms from tests and treatments.