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psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
August 26, 2020 - alarming finding was that administration without interruptions still generated a procedural failure rate … of nearly 70% and a clinical error rate of 25%.
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psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
August 20, 2018 - Study
Classic
Association of changing hospital readmission rates with mortality rates after hospital discharge.
Citation Text:
Dharmarajan K, Wang Y, Lin Z, et al. Association of Changing Hospital Readmission Rates With Mortality Rates After Hospital Discharge. …
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psnet.ahrq.gov/node/60246/psn-pdf
April 22, 2020 - 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/accuracy-harm-scores-entered-event-reporting-system
October 19, 2022 - The investigators found relatively poor interrater reliability between nurses when asked to rate the … Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate
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psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision
December 21, 2022 - In a sample of 2422 patients, the overall error rate decreased 20%. … At one hospital, the error rate did not change because an increase in a specific insulin prescribing
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - The rate of shoulder dystocia was relative stable. … dystocia, breach delivery, forceps delivery, multiple gestation, and interpretation of fetal heart rate … below ten percent), there had been no brachial plexus injuries in 3 years despite an unchanged rate … of shoulder dystocia, the rate of hypoxic ischemic encephalopathy in term infants was more than halved … Seton Family of Hospitals: Where the Birth Trauma Rate is Essentially Zero.
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psnet.ahrq.gov/issue/association-between-patient-outcomes-and-accreditation-us-hospitals-observational-study
May 19, 2021 - For medical conditions, accredited hospitals had a lower readmission rate but no statistically significant … difference in mortality rate.
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psnet.ahrq.gov/node/60029/psn-pdf
March 11, 2020 - Of over 18,000 scheduled medication doses, 2,700 omissions were identified (omission rate,
14.6%). … The omission rate among ‘time critical’
medications (those that carry risk of harm if a single dose
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psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients
April 24, 2018 - The overall mortality rate in the study was less than 0.2%. … The authors suggest that this unexpectedly low mortality rate may have made it difficult to detect differences
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psnet.ahrq.gov/issue/prevalence-nature-and-predictors-omitted-medication-doses-mental-health-hospitals-multi
August 11, 2021 - Of over 18,000 scheduled medication doses, 2,700 omissions were identified (omission rate, 14.6%). … The omission rate among ‘time critical’ medications (those that carry risk of harm if a single dose is
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psnet.ahrq.gov/node/60814/psn-pdf
August 19, 2020 - analysis
identifies symptoms associated with adverse events and identifies the symptom-specific harm rate … per
hospitalization and the ‘look forward’ analysis measures the disease-specific harm rate per symptomatic
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psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
March 28, 2012 - This AHRQ-funded study estimated a 12% error rate in cancer diagnosis based on discrepant evaluation … , this study builds on that literature by employing a method that is not limited by the overall low rate
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psnet.ahrq.gov/issue/community-healthcare-and-hospital-acquired-severe-sepsis-hospitalizations-university
October 10, 2012 - hospital-acquired sepsis, which together accounted for about one-third of cases, had a higher mortality rate … readmissions following severe sepsis and found substantial variation in readmission rates, with an overall rate
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psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm
September 23, 2020 - For example, the PSI for pressure ulcers demonstrated a high false-negative rate , meaning that ICD- … Other PSIs demonstrated the opposite problem—potential for over-reporting due to a high false-positive rate—and
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psnet.ahrq.gov/node/34801/psn-pdf
February 10, 2011 - 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/node/39373/psn-pdf
March 17, 2010 - 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/burden-serious-harms-diagnostic-error-usa
June 03, 2020 - RIS
Download Citation
Related Resources From the Same Author(s)
Rate … May 3, 2023
Rate of sepsis hospitalizations after misdiagnosis in adult emergency department … May 8, 2024
Low rate of completion of recommended tests and referrals in an academic
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psnet.ahrq.gov/node/45764/psn-pdf
April 11, 2018 - pediatric-anesthesiology-fellows-perception-quality-attending-supervision-and-
medical-errors
This survey study of pediatric anesthesiology fellows found a high rate … The rate of reported errors did not differ among respondents with varying levels of supervision.
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psnet.ahrq.gov/node/34062/psn-pdf
February 18, 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/node/37797/psn-pdf
February 03, 2010 - common adverse events following discharge from an intensive care unit and
discovered that a respiratory rate … of less than 10 breaths/minute or greater than 25 breaths/minute and a
heart rate of more than 110