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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pelvic-pain_disposition-comments.pdf
January 01, 2012 - section, we
set a sample size cut off of 50 for treatment
studies and 100 for studies reporting on harms … pain is an important area to consider
in CPP and have added text to emphasize
potential surgical harms
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cesarean-birth-2010_research-protocol.pdf
January 01, 2010 - the effectiveness of strategies to reduce cesarean birth
would address the potential benefits and harms … an effect on the rate of cesarean birth and contribute to understanding the potential benefits and
harms
-
psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - monitored.1
· The evidence is clear that elective induction prior to 39 weeks is associated with neonatal harms … .1,2,3
· The evidence is inconclusive about the maternal and neonatal benefits and harms of induction
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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - misclassifying patients who were hypertensive as non-hypertensive, which exposes these patients to potential 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
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-web-interactive-presentation.pdf
September 01, 2019 - capabilities,
(ii) incorporating ways to assess the tradeoffs between several distinct benefits and
harms … in the tool, (ii)
incorporating ways to assess the tradeoffs between several distinct benefits and harms … alternative actions, as we alluded
above in describing the need to evaluate the balance of benefits and harms
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/aggression_disposition-comments.pdf
July 14, 2016 - in the Results
section of the report to read: “KQ 1a
(benefits of prevention), three CRTs;
KQ 2b (harms … of de-escalating
aggression), three RCTs; KQ 1c (harms
of reducing seclusion/restraint use), one … General TEP #3 I could not find a summary of harms related to restraint
particularly suffocation and
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effectivehealthcare.ahrq.gov/sites/default/files/ch_1-user-guide-to-ocer_130129.pdf
August 13, 2012 - timeframe, and settings (PICOTS framework) are
most important to decisionmakers in weighing the balance of harms … outcomes, time frame, and settings are most important to the decisionmaker(s)
in weighing the balance of harms … decisionmaking involves
the consideration of (a) values, particularly the
values placed on benefits and harms
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psnet.ahrq.gov/node/847057/psn-pdf
April 05, 2023 - Implement strategies to prevent persistent medication
errors and hazards.
April 5, 2023
ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4.
https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
Medication mistakes are recognized contributors to p…
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psnet.ahrq.gov/node/854639/psn-pdf
October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us
to Thrive.
October 18, 2023
Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069.
https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
Despite the harm that failure can cause, its value as a learning opportunity, if exam…
-
psnet.ahrq.gov/node/72651/psn-pdf
January 20, 2021 - Racial disparities in maternal mortality.
January 20, 2021
KM B. Racial disparities in maternal mortality. New York Univ Law Rev. 2020;95(5):1229-1318.
https://psnet.ahrq.gov/issue/racial-disparities-maternal-mortality
Maternal death or harm is disproportionately experienced by women of color in the United States. …
-
psnet.ahrq.gov/node/864379/psn-pdf
March 13, 2024 - Dispensing error rates in pharmacy: a systematic review
and meta-analysis.
March 13, 2024
Um IS, Clough A, Tan ECK. Dispensing error rates in pharmacy: a systematic review and meta-analysis.
Res Social Adm Pharm. 2024;20(1):1-9. doi:10.1016/j.sapharm.2023.10.003.
https://psnet.ahrq.gov/issue/dispensing-error-rates…
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psnet.ahrq.gov/node/45750/psn-pdf
February 01, 2017 - Cognitive biases associated with medical decisions: a
systematic review.
February 1, 2017
Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a
systematic review. BMC Med Inform Decis Mak. 2016;16(1):138.
https://psnet.ahrq.gov/issue/cognitive-biases-associated-medical-de…
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psnet.ahrq.gov/node/73606/psn-pdf
August 18, 2021 - Broadening the concept of patient safety culture through
value-based healthcare.
August 18, 2021
Dombrádi V, Bíró K, Jonitz G, et al. Broadening the concept of patient safety culture through value-based
healthcare. J Health Organ Manag. 2021;35(5):541-549. doi:10.1108/jhom-07-2020-0287.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/60350/psn-pdf
May 20, 2020 - Apparent cause analysis: a safety tool.
May 20, 2020
Parikh K, Hochberg E, Cheng JJ, et al. Apparent cause analysis: a safety tool. Pediatrics.
2020;145(5):e20191819. doi:10.1542/peds.2019-1819.
https://psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
This article explores one hospital’s use of facilitated…
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psnet.ahrq.gov/node/47955/psn-pdf
April 17, 2019 - Will human factors restore faith in the GMC?
April 17, 2019
Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037.
doi:10.1136/bmj.l1037.
https://psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
Investigations into medical mistakes that result in patient harm sh…
-
psnet.ahrq.gov/node/48111/psn-pdf
July 10, 2019 - Medication Safety in Key Action Areas.
July 10, 2019
Geneva, Switzerland: World Health Organization; 2019.
https://psnet.ahrq.gov/issue/medication-safety-key-action-areas
Reducing adverse medication events is a worldwide challenge. This collection of technical reports explores
key areas of concern that require act…
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psnet.ahrq.gov/node/43778/psn-pdf
April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph,
but call him Joe.
April 22, 2015
Sun LH.
https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe
This newspaper article reports on a pilot program which involved redesigning intensive care unit processes
to enhance staff knowled…
-
psnet.ahrq.gov/node/72537/psn-pdf
December 02, 2020 - Automation failures and patient safety.
December 2, 2020
Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol.
2020;33(6):788-792. doi:10.1097/aco.0000000000000935.
https://psnet.ahrq.gov/issue/automation-failures-and-patient-safety
Task automation in medicine is a core …
-
psnet.ahrq.gov/node/45885/psn-pdf
May 03, 2017 - E-collection: Safety and Error Prevention in Health.
May 3, 2017
https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
The increasing implementation of health information technology has introduced both benefits and
challenges to patient safety. Articles in this series explore the impacts of t…