-
psnet.ahrq.gov/node/37132/psn-pdf
June 14, 2011 - Most errors occurred at the transcription stage, and a substantial proportion were attributed to
poor
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hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
July 01, 2011 - following total knee or hip replacement comprised only 8 percent of the ten CMS HACs
examined, it occurred … CMS Hospital-acquired conditions by payer
Across all of the ten CMS HACs combined, 62 percent occurred … Hospital-acquired conditions by age group
Across all of the ten CMS-defined HACs combined, 13 percent occurred … in 18-44 year olds, 32
percent occurred in 45-64 year olds, 44 percent occurred in 65-84 year olds, … and 12 percent
occurred in those 85 years and older (data not shown).
-
psnet.ahrq.gov/node/863747/psn-pdf
March 06, 2024 - These near-miss events generally occurred in five
clinical scenarios – high-risk social situations (
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - Fortunately, no long-term sequelae occurred as a consequence of the errors in care suffered by this patient … Four distinct errors occurred in this case. … The errors in execution made by the original provider likely would not have occurred in less hectic working … laboratory could have been more proactive about clarifying information, but had errors one and two not occurred
-
psnet.ahrq.gov/node/37224/psn-pdf
December 15, 2011 - Unintentional medication errors, including taking the prescribed medication at the wrong dose or time,
occurred
-
psnet.ahrq.gov/node/34668/psn-pdf
June 06, 2018 - from the Institute for Safe Medication Practices informing readers of a fatal medication error
that occurred
-
psnet.ahrq.gov/node/36027/psn-pdf
March 28, 2011 - medical-injuries-among-hospitalized-children
This AHRQ–funded study applied new screening criteria to capture health care injuries that occurred
-
psnet.ahrq.gov/node/43813/psn-pdf
January 20, 2015 - An adverse event was present in 12% of
return visits that occurred within 72 hours of the initial visit
-
psnet.ahrq.gov/node/46648/psn-pdf
March 14, 2018 - The majority of errors occurred during the
compounding or dispensing and administration stages.
-
psnet.ahrq.gov/node/46366/psn-pdf
September 27, 2017 - medical records of patients diagnosed with spinal epidural abscess and found
that a delay in diagnosis occurred
-
psnet.ahrq.gov/node/41000/psn-pdf
December 14, 2011 - study found that the medication errors identified by an emergency department pharmacist primarily
occurred
-
psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - events so they can review the medical record to determine if an actual or potential
adverse event has occurred … Study and other classic studies used fairly blunt triggers, general indications
that harm may have occurred
-
psnet.ahrq.gov/node/836774/psn-pdf
March 23, 2022 - Out-of-hours discharges often occurred
prematurely, without adequate handovers, and involved patients
-
psnet.ahrq.gov/node/44915/psn-pdf
January 01, 2020 - Although research suggests that EHRs have had an overall positive effect, unexpected
consequences have occurred
-
psnet.ahrq.gov/node/852746/psn-pdf
August 23, 2023 - Diagnostic errors occurred most often in the testing, assessment, and follow-up phases, with
human factors
-
psnet.ahrq.gov/node/850161/psn-pdf
June 07, 2023 - Overall, most incidents occurred at
the prescribing stage, but varied by patient age group.
-
psnet.ahrq.gov/node/764396/psn-pdf
March 02, 2022 - a mobile health tool, pediatric patients and families were encouraged to report safety events that occurred
-
psnet.ahrq.gov/node/47502/psn-pdf
June 02, 2019 - retrospective study of critical events in inpatient anesthesiology practice found
that debriefing occurred
-
hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit5_3.jsp
January 01, 2007 - For stays with Medicare as the primary payer, in-hospital deaths occurred in 4 percent of stays. … Three percent of uninsured discharges occurred against medical advice, compared to less than 1 percent
-
hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5_8.pdf
January 01, 2008 - Three of the top 15 principal conditions that occurred with a secondary MH diagnosis in 2008 were … A secondary MH diagnosis also occurred often with many of the top 15 most frequent medical conditions