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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - Harms Due to Opioids
Harms Due to Opioids 10-1
10. Harms Due to Opioids
Authors: Sarah J. … public health emergency.8
Methods for Selecting Patient Safety Practices
Given the importance of harms … The most clinically significant harms of opioids are opioid addiction or opioid use disorder (OUD), … Harms Due to Opioids PRISMA Diagrams
Appendix B. Opioids Evidence Tables
Appendix C. … Harms Due to Opioids Search Terms
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
June 02, 2025 - Understanding Physicians' and Patients' Views of Harms and Clinical Preventive Services … services, to the right people, at the right time
Understanding Physicians’ and Patients’ Views
of Harms … Do physicians know about the harms of screening tests and consider
them in relation to other factors … Potential harms of screening were rarely part of discussions
with patients. … rather than other types of harms, such as stigma and costs
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www.ahrq.gov/research/findings/evidence-based-reports/adverse-events.html
April 01, 2018 - Association Between Methodological Shortcomings and Estimates of Adverse Events
Objective: Accurate harms … data are necessary to appropriately assess the balance between benefits and harms of interventions. … Numerous deficiencies in the quality and reporting of harms associated with clinical interventions have … Study Design and Setting: Studies reporting harms associated with:
Carotid endarterectomy (CEA) … A standardized abstraction form, including eight pre-defined criteria for assessing the quality of harms
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www.ahrq.gov/topics/shared-decision-making.html
Topic: Shared Decision Making
Shared decision making includes exploring and comparing the benefits, harms
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_gilliam.html
January 01, 2014 - /M.P.H. student at the University of North Carolina, first learned about the potential harms of cancer … /M.P.H. students and Harris to develop a model highlighting the potential harms at each point of care … The harms described at each point include: hassle or inconvenience, psychological effects, financial … strain, opportunity costs, and physical harms or discomforts. … Gilliam and the other trainees then performed a systematic review of the evidence on harms used to develop
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/new_model_thinking.pdf
February 01, 2014 - ACHIEVEMENTS IN PREVENTION
A New Model of Thinking in Clinical Preventive Services
The Harms … However, harms have not been well defined, and therefore have been difficult to describe and measure. … how screening can lead to harms. … The taxonomy includes four domains of harms to be considered:
Physical harms
Psychological harms … of Screening: an Unseen Problem
A New Classification System to Understand Harms
What is Next?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
January 01, 2014 - delayed harms from additional
work-up and treatment. … few patients can name harms of screening … When patients do name harms, they focus on the immediate harms of the screening test, not
future … related harms such as unnecessary follow-up testing. … More awareness of the potential harms of screening tests is needed.
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
August 01, 2024 - Harms such as adverse drug events, healthcare-associated infections (HAIs), falls, and obstetric adverse … corrected August 2024; see pages 5-72 and 5-225) Carbapenem-Resistant Enterobacteriaceae (PDF, 415.4 KB) Harms … Due to Anticoagulants (PDF, 2 MB) Harms Due to Diabetic Agents (PDF, 1.6 MB) Reducing Adverse Drug … Events in Older Adults (PDF, 415.7 KB) Harms Due to Opioids (PDF, 2.1 MB) Patient Identification Errors
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
May 01, 2025 - Making Healthcare Safer IV
A Continuous Updating of Patient Safety Harms and Practices
Making … To kick off the report, AHRQ explored the potential harms that may be associated with telehealth, which … or mitigate harms associated with the use of telehealth. … AHRQ determined that the first rapid review would be on the potential harms that may be associated with … or mitigate harms associated with the use of telehealth.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
March 01, 2020 - Chapter-7 - Harm Due to Anticoagulants
Harms Due to Anticoagulants 7-1
7. … Harms Due to Anticoagulants
Authors: Sarah J. … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices
Harms … Harms Due to Anticoagulants PRISMA Diagrams
Appendix B. … Harms Due to Anticoagulants Evidence Tables
Appendix C. Harms Due to Anticoagulants Search Terms
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www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.html
July 01, 2025 - Grantee Profile
Eliminating Preventable Harms During Pediatric Intubation
Akira Nishisaki … Findings from NEAR4KIDS served as the foundation for the team’s future research to eliminate preventable harms
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
March 01, 2020 - Chapter-8 - Diabetes
Harms Due to Diabetic Agents 8-1
8. … Harms Due to Diabetic Agents PRISMA
Diagrams
Figure A.1: Harms Due to Diabetic Agents, Insulin Protocol—Study … Harms Dues to Diabetic Agents Evidence Tables
Table B.1: Harms Due to Diabetic Agents, Insulin Protocols–Single … Harms Due to Diabetic Agents PRISMA Diagrams
Appendix B. … Harms Dues to Diabetic Agents Evidence Tables
Appendix C. Harms Due to Diabetic Agents Search Terms
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
February 01, 2019 - How To Avoid the Harms of Antibiotic Overuse
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI … Slide 1: How To Avoid the Harms of Antibiotic Overuse
Training Module 4
Slide 2: Learning Objective … 10: Avoid Knee-Jerk Antibiotics
Remember, unnecessary antibiotic use can lead to—
Resident harms
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_carter.html
August 01, 2014 - to apply a critical perspective to evaluate when the benefits of health care services outweigh the harms … Clinical Preventive Services (ReCPSs) because she wanted to learn more about issues related to overuse and harms … services research, and Carter is currently considering how she can focus on issues related to overuse and harms
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www.ahrq.gov/data/visualizations/hiv-prep.html
October 01, 2023 - The outcomes shown are HIV infection, mortality, and various other harms. … There are two dashboards, one showing benefits and the other showing harms.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-5.html
June 01, 2023 - they may lead to an entirely new family of performance metrics that characterize the prevalence of harms … address the capacity of the healthcare system to assist patients and families who have experienced those harms
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www.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events … seminal National Academy of Medicine report that elevated awareness of longstanding risks and patient harms … Making Healthcare Safer report was commissioned in 2022 as a continuous updating of patient safety harms … Related Content
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-plenary.pdf
September 28, 2016 - Hospital Safety and Measurable Impact
17% reduction
in HACs 87,000 lives
saved 2.1 million
patient harms … saving-lives.html
Patient Safety in the United States:
National Progress, but Harm Persists
2010: 145 Harms … /1,000 Discharges
2011: 142 Harms/1,000 Discharges
2012: 132 Harms/1,000 Discharges
2013: 121 Harms … /1,000 Discharges
2014: 121 Harms/1,000 Discharges
How AHRQ Makes a Difference
• AHRQ invests in … Clinical
Environment
Patient Safety
Research
Context &
External
Environment
Safer
Care
&
Fewer
Harms
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
April 01, 2020 - MDRO Status
Carbapenem-Resistant Enterobacteriaceae ( PDF , 1.4 MB)
Contact Precautions
Harms … Anticoagulation Management Service
Use of Dosing Protocols or Nomograms
Safe Transitions
Harms … Adverse Drug Events in Older Adults ( PDF , 2.6 MB)
Deprescribing
Use of STOPP Criteria
Harms
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
May 01, 2024 - References
Patient safety aims to prevent and reduce the potential risks, errors, and harms … been shown to have high rates of false-positive results. 57 This can set off a cascade of patient harms … including anxiety, financial burden, and unnecessary treatments which can have their own physical harms … However, primary care also plays an important role in reducing common patient harms, such as preventing … The goal is to help reduce inappropriate antibiotic prescriptions and the related costs and harms of