-
psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - interactions, and bar coding), pharmacists identified and categorized
nearly 500 ADEs over a five-month
-
psnet.ahrq.gov/node/47105/psn-pdf
August 10, 2018 - study involving
nursing home residents, researchers found an ADE rate of 6.13 per 100 residents per month
-
psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - intervention was remarkably successful, nearly eliminating CRBSI entirely in most ICUs over an 18-month
-
psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine
December 24, 2008 - It is an 18-month program beginning in June 2024.
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psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
April 03, 2019 - errors and calculated excess claim costs due to medical errors of more than $617 million over a 12-month
-
psnet.ahrq.gov/node/36255/psn-pdf
February 02, 2011 - hours worked declined slightly, most interns reported violating
the regulations during at least 1 month
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national
November 29, 2023 - related to equipment problems, including more than 500 incidents of overt equipment failure during a 6-month
-
psnet.ahrq.gov/node/37871/psn-pdf
January 06, 2017 - implementation of an RRT at an academic
medical center did not improve clinical outcomes over a 6-month
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psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
October 19, 2022 - Over a 20-month period, 601 out of 1519 patient cases were accepted by the UDN for evaluation.
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psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool
August 24, 2022 - Results show approximately 23% of ED visits during the 13-month study period included a near-miss incident
-
psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube
November 17, 2021 - analysis (RCA) reports of select gastrointestinal procedures, researchers identified 27 adverse events 30-month
-
psnet.ahrq.gov/issue/changes-made-orders-placed-overnight-admitting-residents-teaching-rounds-next-day
July 07, 2021 - used the hospital’s data warehouse and retrospective chart review to examine 5927 orders over a 12-month
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psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective
April 06, 2022 - Over a 16-month period, this study purposefully and randomly introduced errors during preoperative timeouts
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psnet.ahrq.gov/issue/medication-administration-errors-older-people-long-term-residential-care
June 26, 2019 - Data from a barcode medication administration (BCMA) system revealed that over a 3-month period, half
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psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
September 23, 2020 - According to a 3-month follow-up survey, the majority of patients had implemented the pharmacist's recommendations
-
psnet.ahrq.gov/issue/discrepancies-written-versus-calculated-durations-opioid-prescriptions-pre-post-study
October 19, 2022 - Over a 22-month period, nearly 17% of opioid prescriptions were for a duration greater than what was
-
psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed
September 02, 2020 - This study characterized patient safety event report submissions over a six-month period at one university
-
psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
February 01, 2023 - Engagement (SCORE) staff survey to general practice staff in the UK to assess safety culture over 9-12 month
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psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
October 19, 2022 - The authors report a 70% decline in adverse drug events in the course of the 18-month study period.
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psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic-medication
May 18, 2022 - During the twenty-nine-month study period, 190 medication administration errors were reported.