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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - Estimated annual number of incident and recurrent, non-fatal and
fatal venous thromboembolism (VTE) … Estimated annual numbers of US acute-care
hospital patients at risk for venous thromboembolism.
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - 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/33804/psn-pdf
March 03, 2016 - And an estimated 87,000
lives saved, with a total of 2.1 million adverse events avoided. … On March 3,
2016, CMS estimated that the first ambitious target (30% of Medicare payments tied to alternative
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psnet.ahrq.gov/node/48184/psn-pdf
August 14, 2019 - Association of pediatric resident physician depression
and burnout with harmful medical errors on inpatient
services.
August 14, 2019
Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression
and Burnout With Harmful Medical Errors on Inpatient Services. Acad Med. 2019;94…
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psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
September 13, 2021 - Failure Mode and Effect Analysis (FMEA)
September 13, 2021
Anonymous (not verified)
A common process used to prospectively identify error risk within a particular process. FMEA begins with a complete process mapping that identifies all the steps that must occur for a given process to occur (e.g., programming an…
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psnet.ahrq.gov/node/43001/psn-pdf
March 19, 2014 - Variability in the measurement of hospital-wide mortality
rates.
March 19, 2014
Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N
Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396.
https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m…
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psnet.ahrq.gov/node/34807/psn-pdf
January 01, 2019 - The Quality in Australian Health Care Study.
November 18, 2015
Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust.
2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x.
https://psnet.ahrq.gov/issue/quality-australian-health-care-study
In order to estimate pa…
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psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
September 01, 2016 - Study
Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic.
Citation Text:
Burus T, Lei F, Huang B, et al. Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. JAMA Oncol. 2024;10(4):500-507. doi:10.1001/jamaoncol.2023.…
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psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
February 18, 2011 - Study
Classic
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.
Citation Text:
Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…
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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - Based on two studies performed in the 1980s and 1990s, the report estimated that preventable errors
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psnet.ahrq.gov/node/61037/psn-pdf
January 01, 2021 - What safety events are reported for ambulatory care?
Analysis of incident reports from a patient safety
organization.
October 21, 2020
Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis
of incident reports from a patient safety organization. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/national-costs-medical-liability-system
May 20, 2015 - Study
Classic
National costs of the medical liability system.
Citation Text:
Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807.
Copy Citation
F…
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - health record for specific patterns of return visits prompted detailed chart reviews, the
researchers estimated
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psnet.ahrq.gov/node/40477/psn-pdf
March 23, 2012 - Adverse drug events in U.S. adult ambulatory medical
care.
March 23, 2012
Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health
Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x.
https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator…
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psnet.ahrq.gov/node/37849/psn-pdf
March 23, 2011 - The incidence and nature of in-hospital adverse events: a
systematic review.
March 23, 2011
de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse
events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/44697/psn-pdf
June 21, 2016 - Saving Lives and Saving Money: Hospital-Acquired
Conditions Update.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16-
0009-EF.
https://psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
The Partnership for Patients …
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psnet.ahrq.gov/issue/economic-evaluations-maintaining-patient-safety-systems-teaching-hospitals
January 15, 2009 - Study
Economic evaluations of maintaining patient safety systems in teaching hospitals.
Citation Text:
Fukuda H, Imanaka Y, Hirose M, et al. Economic evaluations of maintaining patient safety systems in teaching hospitals. Health Policy (New York). 2008;88(2-3):381-91. doi:10.1016/j.he…
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psnet.ahrq.gov/node/37974/psn-pdf
March 04, 2011 - The impact of medical errors on ninety-day costs and
outcomes: an examination of surgical patients.
March 4, 2011
Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination
of surgical patients. Health Serv Res. 2008;43(6):2067-85. doi:10.1111/j.1475-6773.2008.00882.x.
…
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - But I don't think stories or estimated deaths are
good for accountability, or evaluating progress.
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psnet.ahrq.gov/primer/ambulatory-care-safety
December 15, 2024 - Indeed, one study estimated that 5% of adults in the United States experience a missed or delayed diagnosis