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psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
February 24, 2011 - The rate of ADEs in this study approached 27 per 100 patients, a rate that quadruples those estimated
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psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature
October 06, 2021 - Based on 10 included studies, the rate of heart failure misdiagnosis ranged from 16.1% (in an inpatient … October 6, 2021
Rate of sepsis hospitalizations after misdiagnosis in adult emergency
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psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
September 19, 2012 - officer was implemented on a surgical unit at an academic medical center that had a persistently high rate … The fall rate among inpatients decreased markedly after the patient safety officer position was begun
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - approximately 20% experienced an adverse event.( 7 ) Outside of research settings, even this event rate … "( 8 ) In absolute terms, however, the rate of quality problems was only 9.8% among patients who died … While the researcher (and purist) in me wants to emphasize this high false-positive rate associated … Admittedly, and notwithstanding its low sensitivity and high false-positive rate, it is still difficult … Low false-positive rate The majority of cases identified by the detection strategy turn out to
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psnet.ahrq.gov/issue/opioid-related-critical-care-resource-use-us-childrens-hospitals
June 10, 2020 - Although the mortality rate for pediatric opioid ingestion was 1.6%, more than one-third of cases required … May 25, 2011
The host hospital 24-hour underreferral rate: an automated measure of call-center
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psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
January 12, 2022 - higher risk of mortality from conditions requiring emergency treatment and may experience a higher rate … This finding corroborates another recent study , which also found a lower rate of invasive procedure
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psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
February 07, 2018 - among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate … Among Operating Room Personnel From Survey Data Is Associated With All-cause 30-day Postoperative Death Rate … Among Operating Room Personnel From Survey Data Is Associated With All-cause 30-day Postoperative Death Rate
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psnet.ahrq.gov/issue/comparison-medication-administration-errors-original-medication-packaging-and-multi
July 24, 2024 - When medications were dispensed from original packaging, the medication administration error rate was … When multicompartment devices were used, the medication administration error rate was 3%.
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
December 23, 2008 - Results indicated an overall error rate of 3.13 errors per 1000 orders written, with the greatest rate
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psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure
July 31, 2013 - This study found that the rate of a trigger tool–based drug safety quality measure varied widely depending … on the specific data source used to calculate the rate.
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psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
November 04, 2014 - sample had at least one chronic medical condition, and among these patients, the overall medical error rate … was almost four times higher than the rate among children without chronic medical conditions.
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psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
September 13, 2023 - Investigators reviewed more than 1 million reports at a single institution and discovered a very low rate … December 14, 2016
Increasing rate of detection of wrong-patient radiographs: use of photographs
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psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine
February 15, 2023 - This article demonstrates that children who received cyclophosphamide clearly had a higher rate of treatment … 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/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
February 22, 2023 - The researchers estimated an overall rate of 51.5 per 100,000 imaging orders involving wrong-patient … June 13, 2015
Increasing rate of detection of wrong-patient radiographs: use of photographs
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psnet.ahrq.gov/node/36692/psn-pdf
January 18, 2011 - objective-medical-emergency-team-activation-criteria-case-control-study
The authors found that respiratory rate … , heart rate, systolic blood pressure, and level of consciousness
identified potential for cardiac arrest
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psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - Examples of CDPI include projects that focused on reducing the rate of healthcare-associated infections … and the rate of adverse drug events.
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psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room
November 09, 2015 - gloves during intubations—with the outer pair removed immediately afterward—was associated with a lower rate … August 24, 2022
Decreased incidence of cesarean surgical site infection rate with hospital-wide
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psnet.ahrq.gov/issue/minimizing-electronic-health-record-patient-note-mismatches
December 27, 2014 - This study noted a 0.3% patient–note mismatch rate (i.e., finding a note in another patient’s record) … , and the authors suggest that the rate depends highly on the user interface design of the system.
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psnet.ahrq.gov/issue/objective-medical-emergency-team-activation-criteria-case-control-study
June 22, 2009 - The authors found that respiratory rate, heart rate, systolic blood pressure, and level of consciousness
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psnet.ahrq.gov/node/41682/psn-pdf
September 19, 2012 - officer was implemented on a surgical unit at an academic medical center
that had a persistently high rate … The fall rate among inpatients decreased markedly after the patient
safety officer position was begun