Results

Total Results: 2,174 records

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201. The alarming reality of medication error: a patient case and review of Pennsylvania and national data. | PSNet
     psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
     June 28, 2017 - The authors review estimated incidence of medication errors at both local and national levels.

202. Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study. | PSNet
     psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
     September 05, 2018 - judgement from four experts assessing 81 cases involving medication errors at discharge, the authors estimated

203. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. | PSNet
     psnet.ahrq.gov/issue/improving-safety-and-eliminating-redundant-tests-cutting-costs-us-hospitals
     May 27, 2011 - The seminal Institute of Medicine report To Err Is Human estimated that preventable errors cost the

204. Medicare payment for selected adverse events: building the business case for investing in patient safety. | PSNet
     psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
     September 18, 2009 - Medical errors have been estimated to cost the US health care system more than $17 billion per year

205. Complication rates of central venous catheters: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
     December 07, 2016 - This meta-analysis estimated that approximately 3% of patients who have a CVC for three days experience

206. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. | PSNet
     psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
     August 30, 2017 - Although the nature of this work is time-consuming, the program saves an estimated $1.3 million per year

207. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. | PSNet
     psnet.ahrq.gov/issue/efforts-improve-patient-safety-result-13-million-fewer-patient-harms-interim-update-2013
     January 07, 2015 - These adverse events continue to decline steadily, with an estimated 9% decrease in most recent year

208. Never Events | PSNet
     psnet.ahrq.gov/primer/never-events
     June 15, 2024 - For example, a 2006  study  estimated that a typical hospital might experience a case of wrong-site surgery … A 2013  study  estimated that more than 4000 surgical never events occur yearly in the United States.

209. Predictors of gaps in patient safety and quality in U.S. hospitals. | PSNet
     psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us-hospitals
     December 23, 2020 - Most hospitals in the study had more than a 10% gap between their estimated best possible performance

210. Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. | PSNet
     psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
     November 11, 2020 - The seminal report, To Err Is Human , famously estimated that 44,000 to 98,000 deaths per year in the

211. Roadmap for patient safety research: approaches and roadforks. | PSNet
     psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-roadforks
     July 17, 2019 - May 17, 2023 The association between patient-reported incidents in hospitals and estimated

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47750/psn-pdf
     January 30, 2019 - association-adverse-effects-medical-treatment-mortality-united-states- secondary-analysis The seminal report, To Err Is Human, famously estimated

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50841/psn-pdf
     January 29, 2020 - The estimated risk of HIV transmission due to blood transfusion is 1 in 1.5 million (based on incidence … data, the risk of fatality due to an ABO-mismatched red blood cell transfusion could therefore be estimated … signs/symptoms and usually patients survive.15 The risk of a lethal hemolytic transfusion reaction was estimated … Others have estimated that 1 in every 19,000 units of red blood cells is transfused to the wrong patient

214. Outpatient adverse drug events identified by screening electronic health records. | PSNet
     psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
     June 08, 2016 - One classic study estimated the incidence of medication errors in outpatients at 27 per 100 patients

215. Medicare's decision to withhold payment for hospital errors: the devil is in the details. | PSNet
     psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
     March 13, 2013 - This commentary outlines the details of the proposed policy, the estimated impact on costs, and the expected

216. Anatomic pathology databases and patient safety. | PSNet
     psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
     April 08, 2008 - Investigators first categorized the data into error types and frequency and also estimated the discrepancy

217. Hospital workload and adverse events. | PSNet
     psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
     August 31, 2011 - At this site, they estimated that a 10% increase in occupancy led to a 15% increase in adverse events

218. US emergency department visits for outpatient adverse drug events, 2013–2014. | PSNet
     psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014
     February 23, 2018 - Investigators estimated that 4 emergency department visits for ADEs occurred per 1000 patients annually

219. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. | PSNet
     psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
     November 01, 2023 - March 19, 2019 Using estimated true safety event rates versus flagged safety event rates

220. The social cost of adverse medical events, and what we can do about it. | PSNet
     psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
     February 10, 2015 - The annual cost of preventable adverse events to the United States health care system has been estimated