-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - 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 798,000 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
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - 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 798,000 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
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - 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 798,000 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
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - 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 798,000 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
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - 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 798,000 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/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - 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 798,000 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/wysiwyg/data/infographics/hac-scorecard-2014-16.pdf
January 01, 2014 - HAC National Scorecard
2014-16
Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs)
occurred
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - period the IOM report was
released), we examine potentially preventable adverse medical events that
occurred … The unit of observation was any major surgery admission (identified as the
“index” surgery) that occurred … The surgeries occurred at 1,725
hospitals nationwide. … potentially preventable adverse medical events only cases in which the evidence
that such an event occurred … Thus, there may have been many more preventable
safety events (as well as close calls) that 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
-
psnet.ahrq.gov/node/44402/psn-pdf
January 22, 2016 - communication-amc-va-end-shift
This qualitative analysis found that anticipatory management conversation occurred
-
psnet.ahrq.gov/node/35175/psn-pdf
June 23, 2009 - overnight-and-postcall-errors-medication-orders
This study examined the incidence of prescribing errors that occurred
-
psnet.ahrq.gov/node/40745/psn-pdf
September 07, 2011 - However, direct verbal communication
occurred in only a small minority of cases, and several preventable
-
psnet.ahrq.gov/node/43726/psn-pdf
September 01, 2016 - This qualitative study found
alert overrides occurred most frequently in the emergency department, and
-
psnet.ahrq.gov/node/44015/psn-pdf
September 09, 2015 - safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-
review
This narrative review of safety in telephone triage found that the lowest error rates occurred
-
psnet.ahrq.gov/node/37151/psn-pdf
January 02, 2017 - dissemination of the Joint Commission's “do not use”
abbreviation list, errors involving these abbreviations occurred
-
psnet.ahrq.gov/node/39303/psn-pdf
February 17, 2010 - Errors occurred in all three states of the test cycle.
-
psnet.ahrq.gov/node/41215/psn-pdf
September 04, 2013 - A case of an ultimately fatal adverse event that
occurred while a patient was being transported from
-
psnet.ahrq.gov/node/42781/psn-pdf
December 04, 2013 - simulator-based study observed trauma teams and found that proven
techniques, such as closed-loop communication, occurred
-
psnet.ahrq.gov/node/44559/psn-pdf
April 15, 2016 - Researchers determined that diagnostic errors occurred in 35 of 100 reviewed cases, with the
majority
-
psnet.ahrq.gov/node/46717/psn-pdf
April 16, 2018 - , the average number of opioid pills per
prescription declined, but no increase in refill requests occurred