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psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
December 21, 2022 - Procedure-related complications contributed to the majority of adverse event deaths.
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psnet.ahrq.gov/issue/nurses-achilles-heel-using-big-data-determine-workload-factors-impact-near-misses
July 28, 2021 - significantly associated with the occurrence or nonoccurrence of a near miss medication error in the majority
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psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events
December 15, 2021 - However, the majority of participants were not involved in root cause analysis or other formal event
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - The majority of cases came from the emergency department (ED), consistent with previously published literature … In the majority of the cases, the error was detected by the nurse or clerk prior to EKG transmission … As the majority of these cases involved failure of initial patient identification prior to EKG completion
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psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - phenomenon occurs because of the sheer number of alerts, and it is compounded by the fact that the vast
majority … Clinicians generally override the vast majority of CPOE warnings, even
"critical" alerts that warn of
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psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
March 27, 2018 - period, this analysis found that more than half of the recorded incidents reached the patient and the majority
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psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons
January 23, 2017 - This survey of academic surgeons found that the majority believe that credentialing and privileging
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psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework
September 14, 2011 - The majority of issues were a related to providers’ cognitive processing, revealing an important area
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psnet.ahrq.gov/issue/high-alert-medication-administration-and-intravenous-smart-pumps-descriptive-analysis
December 12, 2018 - This retrospective study of smart infusion pump use across multiple hospitals found that the majority
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psnet.ahrq.gov/issue/multitasking-during-patient-handover-recovery-room
October 05, 2011 - This analysis of videotaped postoperative patient handoffs revealed that the majority of clinicians
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psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals
February 05, 2014 - The majority of cases did not involve substandard care, and disclosure occurred in more than 90% of cases
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psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition
May 31, 2017 - The majority of simulation participants found the practice helpful in preparation for transitioning to
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psnet.ahrq.gov/issue/pharmacist-versus-physician-acquired-medication-history-prospective-study-emergency
June 17, 2014 - Pharmacists and physicians obtained different medication histories in the majority of patients presenting
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psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception
December 14, 2011 - The majority of medication errors identified by an emergency department pharmacist were discovered
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psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
August 02, 2015 - The majority of errors involved false negative readings (i.e., missed injuries).
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psnet.ahrq.gov/issue/wisdom-medicine-what-helps-physicians-after-medical-error
April 09, 2013 - study with second victims —physicians who had made a serious medical error—found that although the majority
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psnet.ahrq.gov/issue/discrepancies-between-prescribed-and-actual-pediatric-home-parenteral-nutrition-solutions
November 11, 2009 - This study found that the majority of reviewed home parenteral nutrition preparations, which must be
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psnet.ahrq.gov/issue/information-overload-and-missed-test-results-electronic-health-record-based-settings
April 14, 2011 - This survey of primary care physicians in the Veterans Affairs system found that the majority reported
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psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
December 22, 2018 - recommendation, this convenience sample of 34 children's hospitals across the United States found that the majority
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psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
July 03, 2014 - analysis of paid malpractice claims from the National Practitioner Data Bank found that the vast majority