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psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients
July 15, 2014 - the most critically ill patients in any hospital, and this study demonstrates that they are also at increased … demonstrate that patients with sepsis are at substantially elevated risk of adverse events, and the risk increased
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psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
March 05, 2008 - Inappropriate prescribing led to increased risk of adverse drug events (e.g., allergic reaction) and … increased health expenditures in the following 30 days.
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psnet.ahrq.gov/node/856585/psn-pdf
November 29, 2023 - department (ED) can result in long wait times to be seen or admitted, as
well as placing patients at increased … Findings
indicate that patients who spent an overnight in the ED had a higher in-hospital mortality rate, increased
-
psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported
January 22, 2016 - After ECOV implementation, reported medication errors increased, indicating that the checklist provided … Related Resources From the Same Author(s)
Do patient safety indicators explain increased
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children
May 01, 2015 - million pediatric discharges over a 20-year period found that patients who experienced one PDI had a 20% increased … Related Resources From the Same Author(s)
The "weekend effect" in pediatric surgery—increased
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psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
August 22, 2018 - regulations would negatively affect the learning environment and continuity of care , as well as result in increased … April 24, 2018
Does increased schedule flexibility lead to change?
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psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service
September 20, 2012 - After adjustment for hospital size, the authors found that increased openness was associated with lower … The results lend weight to calls for increased transparency in health systems.
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psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
July 21, 2017 - this single center study found that patients admitted as emergencies on nights and weekends were at increased … June 3, 2020
Unexpected increased mortality after implementation of a commercially sold
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psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care
April 22, 2015 - shortages reached record levels in 2011, resulting in documented patient harm , longer stays, and increased … Use of less familiar alternatives also led to increased risk of medication errors and adverse outcomes
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psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and
August 20, 2018 - For lower risk patients undergoing upper endoscopy, there was an increased rate of serious adverse events … June 3, 2020
Use of unsolicited patient observations to identify surgeons with increased
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - for hospitalized patients, falls that result in serious injury remain relatively common despite increased … prevention programs could have unintended consequences , this review found that potential harms (such as increased
-
psnet.ahrq.gov/node/60184/psn-pdf
April 01, 2020 - Common perceived benefits included increased diagnostic speed and health care access, while increased
-
psnet.ahrq.gov/node/73983/psn-pdf
October 20, 2021 - factors-associated-potentially-missed-acute-deterioration-primary-care-cohort-
study-uk
There has been an increased … duration of appointment and telephone appointment (compared with in person) were associated with
increased
-
psnet.ahrq.gov/node/853057/psn-pdf
August 30, 2023 - the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis is associated with
increased … the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis is associated with increased
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psnet.ahrq.gov/node/841148/psn-pdf
December 07, 2022 - As anticipated, WPV increased nurse burnout, but
unexpectedly, a strong WPV-reporting culture also increased
-
psnet.ahrq.gov/node/47655/psn-pdf
March 27, 2019 - -
sleep-restricted
Prior research has shown that certain surgeon behaviors are associated with an increased … Sleep restriction was associated with increased desire to punish the surgeons and provide
greater financial
-
psnet.ahrq.gov/node/842764/psn-pdf
January 18, 2023 - medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-
veterans-affairs
Opioid medication use is associated with an increased … Results indicate that length of tapering period increased, and
mortality risk decreased following OSI
-
psnet.ahrq.gov/node/48143/psn-pdf
January 01, 2020 - The proportion of potential adverse drug events increased over time. … Electronic health record
decision support identified 54% of adverse drug events in 2009; this increased
-
psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - COVID-19 patients.7
Infections
Among COVID-19 patients in particular, hospital data has indicated an increased … six months of data during the pandemic, central line-associated bloodstream infection
(CLABSI) rates increased … COVID-19 admissions.8 Other studies have found that urinary catheter and central venous
catheter use increased … at a higher risk of both
CLABSI and catheter-associated urinary tract infection (CAUTI).7,10 This increased … risk of infection may, in
part, be due to increased device utilization and prolonged hospitalization
-
psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
March 28, 2011 - hospital-based incident reports to the United Kingdom's National Patient Safety Agency and discovered that increased … However, the authors also point out that increased incident reports failed to correlate with standardized