-
psnet.ahrq.gov/node/41568/psn-pdf
April 05, 2013 - The majority of preventable
deaths occurred in patients whose life expectancy was considered to be less
-
psnet.ahrq.gov/node/39523/psn-pdf
September 26, 2016 - Interruptions occurred in more than 50% of administrations
with error severity increasing with interruption
-
psnet.ahrq.gov/node/45714/psn-pdf
December 20, 2017 - Investigators estimated that 4 emergency department visits for ADEs occurred per 1000
patients annually
-
psnet.ahrq.gov/node/37940/psn-pdf
June 16, 2010 - errors that were not identified in medical record review, as well as additional adverse events that occurred
-
psnet.ahrq.gov/node/46587/psn-pdf
January 23, 2019 - Workarounds occurred in about two-thirds of
medication administrations.
-
psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Most adverse events occurred in the inpatient setting.
-
psnet.ahrq.gov/node/44131/psn-pdf
May 13, 2015 - The longest
delays for diagnosis occurred after patients had been referred for consultation, indicating
-
psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - Investigators discovered that the majority of RFOs occurred in patients with reportedly correct
counts
-
psnet.ahrq.gov/node/44506/psn-pdf
October 21, 2015 - Overall hand hygiene compliance rates were quite low: recorded handwashing occurred in only about one
-
psnet.ahrq.gov/node/44208/psn-pdf
July 16, 2015 - prevented by the institution's health information technology (IT) system, and
many of the avoidable errors occurred
-
psnet.ahrq.gov/node/42711/psn-pdf
October 31, 2014 - provider order entry [CPOE] to prevent prescribing errors), this
study found that in many cases, errors occurred
-
psnet.ahrq.gov/node/38611/psn-pdf
February 15, 2011 - However, potential drug errors still occurred at a rate of one per patient even after
implementation
-
psnet.ahrq.gov/node/40562/psn-pdf
July 03, 2014 - This study
conducted a similar analysis of paid malpractice claims and found that 43% occurred in the
-
psnet.ahrq.gov/node/42423/psn-pdf
July 17, 2013 - at low-volume hospitals could be attributed
solely to failures in rescuing patients once an event occurred
-
psnet.ahrq.gov/node/44635/psn-pdf
June 21, 2016 - At least one medication error or adverse drug event
occurred in nearly half of the 277 operations observed
-
hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5_4.pdf
January 01, 2008 - Discharges AMA occurred 11 times more
frequently for SA stays than for all the other non-MHSA discharges
-
psnet.ahrq.gov/node/40965/psn-pdf
December 15, 2011 - analyzed
medication errors reported by North Carolina nursing homes to describe specific errors that occurred
-
psnet.ahrq.gov/node/38900/psn-pdf
January 03, 2017 - This occurred despite the existence of a structured system for
communication between the ED and primary
-
psnet.ahrq.gov/node/46507/psn-pdf
October 11, 2017 - Lawsuits
occurred in 5% of cases.
-
psnet.ahrq.gov/node/45231/psn-pdf
February 14, 2017 - Despite successful implementation of the fall prevention bundle, falls occurred just as
frequently on