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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40455/psn-pdf
    June 20, 2011 - minimizing-electronic-health-record-patient-note-mismatches 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
  2. psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
    August 01, 2012 - The early data show a decrease in the overall rate of CAUTI, with a more striking decrease in non-intensive … Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate
  3. psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
    June 12, 2024 - Over the three-year study period, the unadjusted CAUTI rate decreased slightly; unadjusted rates decreased … Over the three-year period, the unadjusted MRSA rate decreased slightly from 0.075 to 0.071 cases per
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35101/psn-pdf
    November 04, 2015 - hospital-finances-and-patient-safety-outcomes This AHRQ–funded study examined the relationship between hospital profit margins and the rate … Findings illustrated an inverse relationship, with the highest event rate occurring in hospitals with
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38791/psn-pdf
    September 08, 2010 - dispensing-errors-and-counseling-quality-100-pharmacies This study of community chain pharmacies directly observed a 22% dispensing error rate … However, the pharmacists' counseling rate of 27% was significantly lower in this study.
  6. psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
    February 18, 2011 - Investigators discovered an overall error rate of 3%, with the majority of errors deemed to have a potential … Of note, the reported error rate of 3% was lower than past studies in inpatient (5%) and outpatient
  7. psnet.ahrq.gov/issue/pediatric-anesthesiology-fellows-perception-quality-attending-supervision-and-medical-errors
    September 07, 2016 - This survey study of pediatric anesthesiology fellows found a high rate of self-reported medication … The rate of reported errors did not differ among respondents with varying levels of supervision .
  8. psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
    July 16, 2013 - Following redesign of workflows, the overall misidentification rate reduced by 62% and a 95% reduction … 2012 The impact of dedicated medication nurses on the medication administration error rate
  9. psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
    March 02, 2011 - Lower nurse-to-patient ratios on hospital wards have been associated with an increased rate of post-surgical … complications and an increased rate of overall complications of inpatient care. 
  10. psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
    September 30, 2010 - AHRQ-supported study analyzed information from nearly 3 million operations between 1985 and 2004, discovering a rate … authors suggest that the average large hospital may be involved in such an event every 5 to 10 years, a rate
  11. psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
    March 09, 2022 - Review of autopsy case series over the past half century demonstrates a persistently high rate of clinically … Of note, in this series, 30.3% of patients who died underwent autopsy, a rate that is much higher than
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36490/psn-pdf
    January 07, 2011 - controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate … controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate
  13. psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
    July 06, 2022 - Nearly one million operations in New York state were analyzed for the rate of RSI before and after the … The incidence of RF-detectable items was significantly reduced, but the rate of non-RF-detectable items
  14. psnet.ahrq.gov/issue/comparison-appendectomy-outcomes-between-senior-general-surgeons-and-general-surgery
    May 03, 2023 - As measured by a composite score, the complication rate did not differ between trainees and attending … There was no difference in the rate of follow-up imaging, length of stay, or duration of antibiotics
  15. psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children
    March 28, 2012 - This prospective observational study in a single pediatric intensive care unit found an overall error rate … Influence of observation on the error rate.
  16. psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory
    December 24, 2008 - failure mode and effect analysis, event review, and root cause analysis to successfully reduce the rate … Author(s) The impact of dedicated medication nurses on the medication administration error rate
  17. psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
    August 24, 2015 - French hospital analyzed hospital discharge orders (HDO) over a six-month period to evaluate the use rate … between CPOE-edited HDO, exit prescriptions transcribed in the discharge summary, and prescribing error rate
  18. psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
    May 25, 2016 - ChatGPT had an overall error rate of 83%. … Despite the error rate, authors still thought that large language models (LLMs) could be helpful to clinicians
  19. psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication
    August 26, 2020 - The rate of interruptions the intervention nurses experienced was compared to the rate in four control
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866596/psn-pdf
    August 28, 2024 - patient-perceptions-receiving-test-results-online-portals-mixed-methods-study https://psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic … https://psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic

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