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psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors
May 29, 2019 - Implementation of this program led to rapid report correction, and the error rate by radiologists receiving … March 8, 2006
Error rate greatest in hospital radiology.
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psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
October 19, 2022 - improvement efforts, including standardization and minimizing interruptions , led to a decrease in the rate … of error types and frequency and development of a quality improvement initiative to lower the error rate
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psnet.ahrq.gov/issue/impact-resident-duty-hour-reform-hospital-readmission-rates-among-medicare-beneficiaries
November 26, 2014 - residency duty hour regulations were not associated with a change in the 30-day hospital readmission rate … July 12, 2010
Decreased bile duct injury rate during laparoscopic cholecystectomy in
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psnet.ahrq.gov/node/45216/psn-pdf
June 08, 2016 - The
introduction of computerized provider order entry (CPOE) has been shown to reduce the rate of medical … At baseline, the potential ADE rate was
more than seven-fold greater in Indianapolis compared to Boston … Following CPOE implementation, this
rate decreased by 56% in Indianapolis but increased by 104% in Boston
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psnet.ahrq.gov/issue/measuring-rate-manual-transcription-error-outpatient-point-care-testing
August 20, 2018 - Study
Measuring the rate of manual transcription error in outpatient point-of-care … Measuring the rate of manual transcription error in outpatient point-of-care testing. … Measuring the rate of manual transcription error in outpatient point-of-care testing.
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psnet.ahrq.gov/issue/reporting-perioperative-adverse-events-pediatric-anesthesiologists-tertiary-childrens
April 24, 2018 - pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate … Pediatric Anesthesiologists at a Tertiary Children's Hospital: Targeted Interventions to Increase the Rate … Pediatric Anesthesiologists at a Tertiary Children's Hospital: Targeted Interventions to Increase the Rate
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psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments
September 15, 2021 - The highest rate of falls was seen in rehabilitation and internal medicine, and the lowest rate in orthopedic
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psnet.ahrq.gov/issue/proficiency-based-virtual-reality-training-significantly-reduces-error-rate-residents-during
November 13, 2009 - Study
Proficiency-based virtual reality training significantly reduces the error rate … Proficiency-based virtual reality training significantly reduces the error rate for residents during … Proficiency-based virtual reality training significantly reduces the error rate for residents during
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psnet.ahrq.gov/issue/increasing-rate-detection-wrong-patient-radiographs-use-photographs-obtained-time-radiography
June 13, 2015 - Study
Increasing rate of detection of wrong-patient radiographs: use of photographs … Increasing Rate of Detection of Wrong-Patient Radiographs: Use of Photographs Obtained at Time of Radiography … Increasing Rate of Detection of Wrong-Patient Radiographs: Use of Photographs Obtained at Time of Radiography
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psnet.ahrq.gov/node/46986/psn-pdf
June 27, 2018 - Although both the
overall error rate and medication error rate per 100 medication administrations decreased … , the intervention
did not lead to a reduction in the rate of potentially harmful errors.
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psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
March 16, 2022 - Investigators discovered a 1.7% rate of events and 1.0% rate of hospitalization.
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psnet.ahrq.gov/node/44031/psn-pdf
November 03, 2015 - standard for diagnosis of cancer and other
diseases, but prior research has shown a small yet consistent rate … chosen to be relatively difficult to interpret, and this may have resulted in
overestimating the error rate … A related editorial notes that while the overall rate of diagnostic error in this
study was low, misdiagnosis
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psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
September 23, 2020 - observational cohort study found that patients with abnormal vital signs—temperature, blood pressure, heart rate … , respiratory rate, and oxygen saturation—upon hospital discharge were more likely to be readmitted to
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psnet.ahrq.gov/node/39730/psn-pdf
December 21, 2014 - Investigators found a 1.4% error
rate between the surgical listing and the performed procedure. … The error rate was
constant across specialties and most frequently associated with mistakes in laterality … After implementation
of an electronic and standardized surgical listing form, the error rate was significantly
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psnet.ahrq.gov/issue/role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization
November 16, 2022 - This study found a lower rate of preventable adverse drug events (ADEs) for patients who received medication … The overall rate of ADEs was similar in both groups.
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psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank
November 16, 2022 - The rate of mislabeled blood samples in hospital laboratories did not improve significantly between … September 28, 2016
Rate of occult specimen provenance complications in routine clinical
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - hospitals traditionally review all maternal deaths precisely for this reason—with
a maternal mortality rate … , approximately 20% experienced an adverse event.(7) Outside of research
settings, even this event rate … While the researcher (and purist) in me wants to emphasize this high false-positive rate associated with … Admittedly, and notwithstanding its low sensitivity and high false-positive rate, it is still difficult … This high rate of false positives makes deaths in low-mortality DRGs problematic as a publicly
reported
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psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold-computerized
December 07, 2016 - Study
Classic
Decrease in hospital-wide mortality rate … Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician … Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician
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psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
January 17, 2019 - In this study, researchers compared the RSI rate in Veterans Health (VA) surgery programs with (n=46) … The RSI rate was significantly higher in for the programs with surgical count technology compared to
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psnet.ahrq.gov/issue/hospital-finances-and-patient-safety-outcomes
April 27, 2010 - This AHRQ–funded study examined the relationship between hospital profit margins and the rate of patient … Findings illustrated an inverse relationship, with the highest event rate occurring in hospitals with