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psnet.ahrq.gov/node/47267/psn-pdf
September 05, 2018 - The national cost of adverse drug events resulting from
inappropriate medication-related alert overrides in the
United States.
September 5, 2018
Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate
medication-related alert overrides in the United States. J Am M…
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psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
January 13, 2021 - Study
Classic
Cost of medication-related problems at a university hospital.
Citation Text:
Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE
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psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - Today, it is mathematically estimated (estimates are
needed since the actual number is so low) that
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psnet.ahrq.gov/issue/healthgrades-seventh-annual-patient-safety-american-hospitals-study
July 02, 2014 - Book/Report
HealthGrades Seventh Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Seventh Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; March 2010.
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - Don’t Wait to Collect an Accurate Weight: A Case of
Subtherapeutic Insulin Therapy
August 28, 2024
Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insul…
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - While no national study has been conducted, Reynolds and colleagues published one of the first credible estimates
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - Typical estimates place the overall diagnostic error
rate in clinical practice in the range of 10%–15% … ambulatory care settings, nor for any errors resulting in non-lethal morbidity.(8) The most
recent estimates … their own certainty in relation to actual patients' diagnoses to improve
calibration of their personal estimates
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - include the following:
Data that populates a clinical decision support tool that is updated nightly
Estimates … Compared to patients in the top 1% to 5% risk estimates who were not
mandated to receive a clinical … factors when service members transition out of DOD, and VA is incorporating this into the
STORM risk estimates
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psnet.ahrq.gov/node/49809/psn-pdf
October 01, 2017 - Manufacturers' useful-lifetime estimates
should not be exceeded. … Neonatal hyperbilirubinemia and Rhesus disease of the
newborn: incidence and impairment estimates for
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psnet.ahrq.gov/node/49793/psn-pdf
May 01, 2017 - Hemolysis Holdup
May 1, 2017
Lehman CM. Hemolysis Holdup. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hemolysis-holdup
The Case
A 72-year-old man with congestive heart failure due to nonischemic cardiomyopathy, stage 3 chronic
kidney disease, atrial fibrillation, and type 2 diabetes mellitus presented t…
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psnet.ahrq.gov/issue/french-national-survey-inpatient-adverse-events-prospectively-assessed-ward-staff
March 06, 2005 - Study
French national survey of inpatient adverse events prospectively assessed with ward staff.
Citation Text:
Michel P, Quenon JL, Djihoud A, et al. French national survey of inpatient adverse events prospectively assessed with ward staff. Qual Saf Health Care. 2007;16(5):369-77.
C…
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psnet.ahrq.gov/web-mm/check-anesthesia-machine
August 01, 2006 - Although the studies are difficult to compare, current estimates put medication error rates at 1 in 100 … Take-Home Points Medication error is among the most common type of error in anesthesia, with incidence estimates
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psnet.ahrq.gov/node/42476/psn-pdf
September 27, 2016 - Lives and Dollars Lost Calculator.
September 27, 2016
Leapfrog Group.
https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
This Web site provides resources to help employers and purchasers estimate latent costs related to unsafe
care.
https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
https:…
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - Typical estimates place the overall diagnostic error rate in clinical practice in the range of 10%–15% … ambulatory care settings, nor for any errors resulting in non-lethal morbidity.( 8 ) The most recent estimates … their own certainty in relation to actual patients' diagnoses to improve calibration of their personal estimates
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psnet.ahrq.gov/node/39146/psn-pdf
December 02, 2009 - Weighing in on medication safety.
December 2, 2009
Paparella S. Weighing in on medication safety. J Emerg Nurs. 2009;35(6):553-555.
doi:10.1016/j.jen.2009.07.003.
https://psnet.ahrq.gov/issue/weighing-medication-safety
This commentary explains how inaccurately estimating patient weight in the emergency department …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.287_slideshow.ppt
December 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Lung Nodule That Refused To Grow
*
*
Source and Credits
This presentation is based on the December 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Alex A. Balekian, MD, MSHS, Keck School of Med…
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psnet.ahrq.gov/node/40077/psn-pdf
July 10, 2012 - Improvement Cymru.
July 10, 2012
NHS Wales.
https://psnet.ahrq.gov/issue/improvement-cymru
This national program draws from other large collaborative efforts to engage health care organizations
across Wales in reducing preventable harm. It was rebranded from the 1000 Lives campaign in 2018.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/35307/psn-pdf
July 14, 2009 - Color coding to reduce errors.
July 14, 2009
Deboer S, Seaver M, Broselow J. Color coding to reduce errors. Am J Nurs. 2005;105(8):68-71.
https://psnet.ahrq.gov/issue/color-coding-reduce-errors
The authors present a color-coding system that helps estimate the weight of a child in a critical situation so
practition…
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psnet.ahrq.gov/node/39704/psn-pdf
July 21, 2010 - Identifying medication errors in surgical prescription
charts.
July 21, 2010
Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4.
https://psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
This study used manual chart review to estima…