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psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
May 12, 2021 - myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms … myocardial infarction in the emergency department–standardizing measurement of misdiagnosis-related harms … The authors estimate that these results correspond to approximately 10,000 potentially-preventable harms … July 21, 2021
Burden of serious harms from diagnostic error in the USA. … July 28, 2023
Serious misdiagnosis-related harms in malpractice claims: the "Big Three
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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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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prioritization-selection-of-harms.pdf
February 01, 2018 - We categorized the harms assessed as “individual” or “composite
harms;” composite harms included measures … for harms. … harms. … Harms are harms. … Recommendations
Prioritization of Harms
Types of Harms to Include
Number of Harms To Include
Harms
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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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psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
June 03, 2020 - Study
Burden of serious harms from diagnostic error in the USA. … Burden of serious harms from diagnostic error in the USA. … Burden of serious harms from diagnostic error in the USA. … June 3, 2020
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - 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. … like bed sores, without addressing more complex harms like over-sedation. … The harms of promoting “Zero Harm.” BMJ Qual Saf . 2020;29(1):4-6.
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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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psnet.ahrq.gov/issue/impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
February 28, 2018 - Study
Classic
Impact of inpatient harms on hospital finances … Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. … the Institute for Healthcare Improvement's global trigger tool to examine how all-cause inpatient harms … harms result in negative financial outcomes for hospitals. … Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes.
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psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
September 29, 2017 - Review
Patients' expectations of the benefits and harms of treatments, screening, … Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review … This systematic review found that patients generally overestimate benefits and underestimate harms related … September 29, 2021
To expand the evidence base about harms from tests and treatments. … September 29, 2017
Clinicians' expectations of the benefits and harms of treatments,
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psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events
July 28, 2023 - Study
Rate of diagnostic errors and serious misdiagnosis-related harms for major … Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections … Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections … July 28, 2023
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … July 21, 2021
View More
Related Resources
Burden of serious harms
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psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
April 21, 2021 - the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS … the 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 … the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS … March 24, 2021
To expand the evidence base about harms from tests and treatments.
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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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psnet.ahrq.gov/issue/us-emergency-department-visits-acute-harms-over-counter-cough-and-cold-medications-2017-2019
March 24, 2021 - Study
US emergency department visits for acute harms from over-the-counter cough … US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017 … This study used national surveillance data to characterize emergency department (ED) visits for harms … US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017 … March 5, 2008
US emergency department visits attributed to medication harms, 2017-2019
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, … In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, … that are preventable by consensus, and overlook more difficult to assess possible harms. … like bed sores, without addressing more complex harms like over-sedation. … The harms of promoting “Zero Harm.” BMJ Qual Saf . 2020;29(1):4-6.
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psnet.ahrq.gov/issue/zero-harm-health-care
August 12, 2020 - patient safety goal, and the importance of broadening the definition of harm to include non-physical harms … (e.g., psychological harms), harms to caregivers and the healthcare workforce, and harms occurring beyond
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psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments
September 28, 2016 - Study
Physician understanding and ability to communicate harms and benefits of common … Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. … This study surveyed residents and attendings regarding the rates of benefits and harms associated with … Investigators found that regardless of level of training, physicians overestimated both the harms and … Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments.
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psnet.ahrq.gov/issue/optimizing-measurement-misdiagnosis-related-harms-using-symptom-disease-pair-analysis
July 21, 2021 - Commentary
Optimizing measurement of misdiagnosis-related harms using symptom-disease … Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic … Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic … July 21, 2021
Burden of serious harms from diagnostic error in the USA. … July 17, 2019
Rate of diagnostic errors and serious misdiagnosis-related harms for major
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psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments
May 19, 2021 - Commentary
To expand the evidence base about harms from tests and treatments. … To expand the evidence base about harms from tests and treatments. … Provider and patient underestimation of harms of tests and treatments may lead to over treatment. … To expand the evidence base about harms from tests and treatments.
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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