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psnet.ahrq.gov/node/39952/psn-pdf
October 27, 2010 - Specimen labeling errors, most frequently involving labeling specimens with the wrong patient's name,
occurred
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www.cpsi.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - patients over the 4 years (2011, 2012, 2013, and 2014) relative to the number of HACs that
would have occurred … precise causes of the decline in patient harm are not fully understood, the increase
in safety has occurred … the reduction in the rate of
HACs, we estimate that approximately 790,000 fewer incidents of harm occurred … in 2014 than
would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013,
and 2014
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - patients over the 4 years (2011, 2012, 2013, and 2014) relative to the number of HACs that
would have occurred … precise causes of the decline in patient harm are not fully understood, the increase
in safety has occurred … the reduction in the rate of
HACs, we estimate that approximately 790,000 fewer incidents of harm occurred … in 2014 than
would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013,
and 2014
-
psnet.ahrq.gov/node/838134/psn-pdf
September 21, 2022 - This study analyzed allergic adverse drug events that occurred because of overridden drug allergy
alerts
-
psnet.ahrq.gov/node/47237/psn-pdf
January 01, 2020 - laparoscopic procedures, auditory and
cognitive distractions were common, and multiple safety events occurred
-
digital.ahrq.gov/document-type/data-collection-form
January 01, 2023 - Description
This is a form to classify prescriptions based on type and what adverse events occurred
-
psnet.ahrq.gov/node/837803/psn-pdf
August 10, 2022 - This claims-based retrospective analysis found
that abortion-related morbidity or adverse events occurred
-
psnet.ahrq.gov/node/72678/psn-pdf
January 27, 2021 - Most errors occurred during ordering/prescribing
(42%).
-
psnet.ahrq.gov/node/838240/psn-pdf
October 05, 2022 - studies of potentially inappropriate prescribing (PIP) for
patients with diabetes, several types of PIPs occurred
-
psnet.ahrq.gov/node/47156/psn-pdf
November 28, 2018 - associated with the use of
antidepressant or antipsychotic medications outside of health facilities occurred
-
psnet.ahrq.gov/node/844042/psn-pdf
February 08, 2023 - of a safety culture assessment (SCA) of a helicopter squadron and
investigation of an accident that occurred
-
psnet.ahrq.gov/node/47758/psn-pdf
April 17, 2019 - Adverse events occurred in more than a quarter of patients who died in the hospital, a
significantly
-
psnet.ahrq.gov/node/47967/psn-pdf
May 01, 2019 - patients and found that the trigger tools flagged
many patient records in which no adverse event had occurred
-
psnet.ahrq.gov/node/72638/psn-pdf
January 13, 2021 - Manipulations most commonly
involved oral liquids and intravenous orders and occurred most often in
-
psnet.ahrq.gov/node/36344/psn-pdf
February 17, 2011 - psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
This case involves an iatrogenic reaction that occurred
-
psnet.ahrq.gov/node/42753/psn-pdf
November 20, 2013 - dealing-medical-mistake-should-physicians-apologize-patients
This article discusses how apologies address patients' needs when a medical mistake has occurred
-
psnet.ahrq.gov/node/38494/psn-pdf
January 31, 2011 - administration's efforts to computerize medical records, this news story
describes problems and errors that have occurred
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
January 01, 2017 - Total number of episodes of mechanical ventilation
How many episodes of mechanical ventilation have occurred … Total number of deaths
How many deaths have occurred in the patients who have been or were mechanically
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
January 01, 2017 - Total number of episodes of mechanical ventilation
How many episodes of mechanical ventilation have occurred … Total number of deaths
How many deaths have occurred in the patients who have been or were mechanically
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cmext.ahrq.gov/confluence/contactadministrators.action
reporting an error please be sure you include information on what you were doing and the time the problem occurred