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psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies
July 15, 2009 - Book/Report
Case Studies in Patient Safety: Foundations for Core Competencies.
Citation Text:
Case Studies in Patient Safety: Foundations for Core Competencies. Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548.
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psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
January 09, 2019 - Commentary
Origin and uses of primum non nocere—above all, do no harm!
Citation Text:
Smith CM. Origin and uses of primum non nocere--above all, do no harm!. J Clin Pharmacol. 2005;45(4):371-7.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/issue/integrating-patient-safety-omfs-curriculum-survey-4-year-residency-programs
April 08, 2020 - Study
Integrating patient safety in the OMFS curriculum: survey of 4-year residency programs.
Citation Text:
Buhrow SM, Buhrow JA. Integrating Patient Safety in the OMFS Curriculum: Survey of 4-Year Residency Programs. J Patient Saf. 2016;12(4):197-203.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/plant-based-chronic-pain-review-jan-2020.pdf
January 01, 2020 - The systematic review will synthesize evidence on the benefits and
harms of plant-based compounds (PBCs … such as kratom, may be explored by patients to treat chronic pain,
2
but may also have serious harms … KQ2: In adults with chronic pain, what are the harms of cannabinoids for
treatment of chronic pain? … KQs 1 and 2: Benefits and Harms of Cannabis
Plant-Derived THC and CBD Combination
Six RCTs (N=864) … they
could continue use during the trial.22
A high risk-of-bias cohort study (N=431) evaluated harms
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-therapy-management_executive.pdf
November 01, 2014 - benefit from outpatient-
based MTM services, and clarify what types of patients
may be at risk of harms … KQ 5: Are there harms of MTM, and if so, what are they? … Finally, we reviewed the
evidence on harms associated with MTM (KQ 5). … KQ 5: Harms of MTM Interventions
Lack of precision and the limitations of a single study with
high … We found no evidence on other prespecified
21
harms, specifically including care fragmentation,
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-surgery-preparation_executive.pdf
April 01, 2014 - For harms we also
included cohort studies of at least 200 participants. … For Key Question 2 we considered the following
prespecified adverse events (harms): nausea; vomiting … Studies reporting harms were included regardless of causal
attribution to OMBP. … small and
probably underpowered to detect modest or small
effect sizes, let alone relatively rare harms … Similarly, we attempted to assess harms, but too few
studies collected harms consistently.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/glaucoma-treatment_executive.pdf
April 01, 2012 - KQ 6: What are the harms associated with medical, laser,
and other surgical treatments for open-angle … Harms
• Cataract formation
• Infection
• Inflammation
• Other harms
Harms
TreatmentScreening
S: … case series of less than 100 subjects,
as such small sample sizes are unable to capture rates of
harms … KQ6b: Harms Associated With Laser and Other
Surgical Treatments for Open-Angle Glaucoma
• Trabeculectomy … • The profile of harms does not differ between one- and
two-site combined cataract and glaucoma surgery
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/colorectal-surgery-preparation_executive.pdf
April 01, 2014 - For harms we also
included cohort studies of at least 200 participants. … For Key Question 2 we considered the following
prespecified adverse events (harms): nausea; vomiting … Studies reporting harms were included regardless of causal
attribution to OMBP. … small and
probably underpowered to detect modest or small
effect sizes, let alone relatively rare harms … Similarly, we attempted to assess harms, but too few
studies collected harms consistently.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/glaucoma-treatment_executive.pdf
April 01, 2012 - KQ 6: What are the harms associated with medical, laser,
and other surgical treatments for open-angle … Harms
• Cataract formation
• Infection
• Inflammation
• Other harms
Harms
TreatmentScreening
S: … case series of less than 100 subjects,
as such small sample sizes are unable to capture rates of
harms … KQ6b: Harms Associated With Laser and Other
Surgical Treatments for Open-Angle Glaucoma
• Trabeculectomy … • The profile of harms does not differ between one- and
two-site combined cataract and glaucoma surgery
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/MjwZ4vRLZDVUSnfMA6SrDo
June 01, 2012 - Outcomes included reduced expo-
sure to IPV, physical or mental harms, or mortality related to
IPV. … set-
tings for current, past, or increased risk for IPV reduce expo-
sure to IPV, physical or mental harms … ,
or increased risk for IPV, how well do interventions reduce expo-
sure to IPV, physical or mental harms … Studies of Harms of IPV Screening
Study, Year
(Reference)
Study Description Adverse Effect Outcome … and communication of positive results with
clinicians vs. no screening
Screened women reported no harms
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/medication-therapy-management_executive.pdf
November 01, 2014 - benefit from outpatient-
based MTM services, and clarify what types of patients
may be at risk of harms … KQ 5: Are there harms of MTM, and if so, what are they? … Finally, we reviewed the
evidence on harms associated with MTM (KQ 5). … KQ 5: Harms of MTM Interventions
Lack of precision and the limitations of a single study with
high … We found no evidence on other prespecified
21
harms, specifically including care fragmentation,
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - interventions that are unlikely to drive therapeutic modification, thus protecting infants from the 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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psnet.ahrq.gov/issue/distractors-obstetric-ultrasound-do-sonographers-have-safety-concerns
March 08, 2023 - July 14, 2021
Unintended consequences: quantifying the benefits, iatrogenic harms and
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
February 01, 2017 - Look at each of these system factors and consider how each can carry a defect that leads to patient harms
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psnet.ahrq.gov/issue/patient-family-hand-hygiene-guide
August 01, 2012 - Fact Sheet/FAQs
Patient & Family Hand Hygiene Guide.
Citation Text:
Canadian Patient Safety Institute; CPSI.
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August 31, 2011
Canadian …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-agenda.pdf
September 26, 2023 - Webinar Agenda: Veterans Health Administration’s Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
National Action Alliance to Advance Patient Safety
Webinar
Tuesday, September 26, 2023
Veterans Health Administration’s Journey to High Reliability: Advancing Toward Z…
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psnet.ahrq.gov/node/37411/psn-pdf
March 28, 2012 - Professionalism in medicine: results of a national survey
of physicians.
March 28, 2012
Campbell EG, Regan S, Gruen RL, et al. Professionalism in medicine: results of a national survey of
physicians. Ann Intern Med. 2007;147(11):795-802.
https://psnet.ahrq.gov/issue/professionalism-medicine-results-national-survey…
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psnet.ahrq.gov/node/36552/psn-pdf
January 12, 2011 - Logo
Toward learning from patient safety reporting systems.
January 12, 2011
Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems.
J Crit Care. 2006;21(4):305-15.
https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
This study reports the …
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psnet.ahrq.gov/node/47864/psn-pdf
April 08, 2019 - Healthcare scandals and the failings of doctors: do
official inquiries hold the profession to account?
April 8, 2019
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ
Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
https://psnet.ahrq.gov/issue/healthcar…
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psnet.ahrq.gov/node/46327/psn-pdf
October 17, 2017 - Identifying patient and practice characteristics associated
with patient-reported experiences of safety problems and
harm: a cross-sectional study using a multilevel
modelling approach.
October 17, 2017
Ricci-Cabello I, Reeves D, Bell BG, et al. Identifying patient and practice characteristics associated with
pat…