-
psnet.ahrq.gov/node/37346/psn-pdf
March 28, 2012 - inpatient CPOE did not prevent medication
administration discrepancies, and delays of nearly 30 minutes occurred
-
psnet.ahrq.gov/node/34795/psn-pdf
December 23, 2008 - The authors also present data on the stage at which an ADE
occurred, consequences of the preventable
-
psnet.ahrq.gov/node/46134/psn-pdf
September 24, 2017 - Many of these errors occurred during the transition home
after hospital discharge.
-
psnet.ahrq.gov/node/38515/psn-pdf
March 03, 2011 - Most errors occurred during drug administration.
-
psnet.ahrq.gov/node/34698/psn-pdf
January 04, 2017 - process can fail, prioritize those failure modes, and take corrective action before failures
have occurred
-
psnet.ahrq.gov/node/36409/psn-pdf
September 28, 2016 - Using a high-paced emergency department (ED) setting, investigators discovered that
interruptions occurred
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.jsp
August 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).
-
hcup-us.ahrq.gov/reports/statbriefs/sb135.pdf
March 01, 2012 - , while those not involving motor vehicles occurred
at a rate of 119.9 visits per 100,000 population … Bicycle-related ED visits involving motor vehicles occurred twice as often among persons living in urban … Bicycle-related inpatient stays involving motor vehicles occurred at a rate of 2.4 visits per 100,000 … population, while those not involving motor vehicles occurred at a rate of 6.7 visits per 100,000 … Hospital stays for bicycle-related injuries involving motor vehicles occurred over twice as often among
-
hcup-us.ahrq.gov/reports/statbriefs/sb131.jsp
May 01, 2012 - Among stays for vaginal delivery, the following common complicating conditions occurred at a rate of … Among C-sections, the following common complicating conditions occurred at a rate of 100 or more for … )
problems of the amniotic cavity (106 per 1,000 stays)
The following complicating conditions occurred … C-section stays
Among maternal stays with C-section, the following common complicating conditions occurred … Major postpartum infection occurred nearly five times more often among C-section deliveries—5.5 stays
-
hcup-us.ahrq.gov/reports/statbriefs/sb131.pdf
March 01, 2012 - ■ Among stays for vaginal delivery, the
following common complicating
conditions occurred at a rate … ■ Among C-sections, the following
common complicating conditions
occurred at a rate of 100 or more … )
problems of the amniotic cavity (106 per 1,000 stays)
The following complicating conditions occurred … C-section stays
Among maternal stays with C-section, the following common complicating conditions occurred … Major postpartum infection occurred nearly five times more often among C-section
deliveries—5.5 stays
-
psnet.ahrq.gov/node/38675/psn-pdf
February 15, 2011 - These inconsistencies had high potential for causing
adverse drug events, as many occurred in orders
-
psnet.ahrq.gov/node/34671/psn-pdf
June 15, 2011 - The study found that adverse events occurred in
2.6% of all admissions.
-
psnet.ahrq.gov/node/36346/psn-pdf
April 11, 2011 - harm (near misses), such as unanticipated need for bag-mask ventilation or reversal
of anesthesia, occurred
-
psnet.ahrq.gov/node/36291/psn-pdf
October 25, 2010 - hospital claims, and estimate the excess payments made for hospitalizations in which an adverse
event occurred
-
psnet.ahrq.gov/node/36975/psn-pdf
March 24, 2011 - Both underestimation and overestimation of the
severity of patients' illnesses occurred, although errors
-
psnet.ahrq.gov/node/41925/psn-pdf
November 26, 2014 - Both provider errors and patient
misunderstanding occurred more frequently for medications prescribed
-
psnet.ahrq.gov/node/47529/psn-pdf
January 21, 2019 - This post-hoc analysis of the intervention found that most
medication-related harm occurred in the community
-
psnet.ahrq.gov/node/36575/psn-pdf
August 17, 2011 - Although the overall error rate was similar to a previous study, half of the
potentially harmful errors occurred
-
psnet.ahrq.gov/node/36003/psn-pdf
March 28, 2011 - that, since publication of the landmark Institute of Medicine (IOM) report, substantial
growth has occurred
-
psnet.ahrq.gov/node/37992/psn-pdf
August 20, 2008 - Most reported errors occurred at the prescribing
stage (e.g., prescribing an incorrect dose), and nearly