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psnet.ahrq.gov/node/48175/psn-pdf
August 07, 2019 - Strengthening the medical error "meme pool."
August 7, 2019
Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264-
2267. doi:10.1007/s11606-019-05156-7.
https://psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
Published estimates on the number preventable med…
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psnet.ahrq.gov/issue/using-opportunity-estimator-tool-improve-engagement-quality-and-safety-intervention
August 25, 2010 - Commentary
Using the opportunity estimator tool to improve engagement in a quality and safety intervention.
Citation Text:
Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patien…
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psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
June 22, 2022 - Study
A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals.
Citation Text:
Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…
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psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - observation studies of medication errors in hospitals and long-term care facilities, investigators estimated … Intravenous administration had a higher error rate, with an estimated median rate (including timing errors
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psnet.ahrq.gov/issue/estimating-breast-cancer-overdiagnosis-after-screening-mammography-among-older-women-united
October 19, 2022 - Study
Estimating breast cancer overdiagnosis after screening mammography among older women in the United States.
Citation Text:
Richman IB, Long JB, Soulos PR, et al. Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. Ann Intern Med…
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psnet.ahrq.gov/node/47178/psn-pdf
July 10, 2018 - Defining, estimating, and communicating overdiagnosis
in cancer screening.
July 10, 2018
Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer
screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694.
https://psnet.ahrq.gov/issue/defining-estimating-and-co…
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psnet.ahrq.gov/node/46065/psn-pdf
January 01, 2021 - Measurement as a performance driver: the case for a
national measurement system to improve patient safety.
April 26, 2017
Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National
Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134.
doi:10.10…
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - A seminal study estimated that such errors occur in approximately 1 of 112,000 surgical procedures,
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psnet.ahrq.gov/node/60639/psn-pdf
January 01, 2021 - Economic analysis of the prevalence and clinical and
economic burden of medication error in England.
July 1, 2020
Elliott RA, Camacho E, Jankovic D, et al. Economic analysis of the prevalence and clinical and economic
burden of medication error in England. BMJ Qual Saf. 2021;30(2):96-105. doi:10.1136/bmjqs-2019-010…
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - Using this information, the team
estimated that targeting the top 100,000 patients with the highest … for interdisciplinary reviews in the expanded population (i.e., those
between the top 1% and 5% of estimated … Formation of interdisciplinary clinical review teams
Processes to review and improve care for the patients estimated
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Reynolds and colleagues published one of the first credible estimates in JAMA in 1987.( 9 ) The group estimated … A recent study found that the use of CT scans has increased threefold since 1993 and estimated that the
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - The Commentary
Operating room (OR) fires are extremely rare, with a yearly frequency estimated at 200 … –240 nationally ( 1 ), which translates into an estimated incidence of 0.32 per 100,000 operations.(
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - The estimated rate of wrong-site surgery varies widely when examining the literature and accessible databases … Estimated rate of wrong-site surgery varies widely, ranging from 0.09 to 4.5 per 10,000 cases performed
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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - First, the risk of TE while anticoagulants are withheld must be
estimated. … surgery have revealed four- to tenfold higher TE rates in the periprocedural period, when compared to
estimated
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psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - observational study completed in 2003 at 59 randomly selected community pharmacies in six metropolitan
areas estimated … pharmacy filling 250 prescriptions daily.4 A
more recent meta-analysis of this study and eight others estimated
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psnet.ahrq.gov/node/49705/psn-pdf
January 01, 2020 - Commentary
From 1990–2020, the share of total global burden of disease from neuropsychiatric disorders is estimated … The estimated 1-year prevalence of migraine, epilepsy,
and multiple sclerosis per 1000 people is 121
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - It is estimated that up to 80% of the population will experience back pain at some time in their lives … .( 1,2 ) On the other hand, spinal epidural abscess (SEA) is uncommon, with an estimated incidence
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psnet.ahrq.gov/node/34712/psn-pdf
February 18, 2011 - Incidence of adverse events and negligence in
hospitalized patients. Results of the Harvard Medical
Practice Study I.
February 18, 2011
Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized
Patients. N Engl J Med. 1991;324(6):370-376. doi:10.1056/nejm199102073240604.
ht…
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psnet.ahrq.gov/issue/assessment-transparency-cost-estimates-economic-evaluations-patient-safety-programmes
January 15, 2009 - Review
Assessment of transparency of cost estimates in economic evaluations of patient safety programmes.
Citation Text:
Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.111…
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psnet.ahrq.gov/issue/national-estimates-adverse-events-during-nonpsychiatric-hospitalizations-persons
August 09, 2017 - Study
National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.
Citation Text:
Khaykin E, Ford DE, Pronovost P, et al. National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Gen Hosp …