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psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department
for rate … In one large study, the investigators reported an overall
error rate of 49% for intravenous medications … First, the drug can be infused too quickly or too slowly, unlike oral agents, which have only one rate … Second, IV pumps used to control the rate of administration can fail to operate properly or
can be set
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - For the general population, the mortality rate
following appendectomy is less than 1%; however, in elderly … reported for patients older than 65
compared to 7% to 10% for those younger than 65.(5) The higher rate … Although the use of CT scanning has decreased this rate, a
recent multi-institutional study suggests … that the negative appendectomy rate (i.e., surgery is performed for
presumed appendicitis, but the … Intraabdominal abscess rate after laparoscopic
appendectomy. Am J Surg. 2000;180:456-459.
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psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
June 18, 2008 - Resources
Proficiency-based virtual reality training significantly reduces the error rate … May 20, 2009
Decreased bile duct injury rate during laparoscopic cholecystectomy in the
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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - In a 10-nation study of more than 690,000 blood samples from 62 hospitals, the median rate of sample … samples—samples with labels not meeting locally accepted standards—had an even higher but more variable rate … study of tested samples rejected because of mislabeling showed that these samples had a 40-fold higher rate … of these mistransfusions result in an hemolytic transfusion reaction, are obscured by a low fatality rate … The relatively low fatality rate may contribute to a lack of mindfulness in blood sample collection.
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psnet.ahrq.gov/node/49490/psn-pdf
September 01, 2005 - Following placement of epidural anesthesia, a fetal heart rate
deceleration occurred due to maternal … The
nurse increased the pump rate to 500 mL/hour, but within 20 minutes, the patient reported feeling … While checking the pump, the nurse realized that she had inadvertently increased the magnesium sulfate
rate … The article cites 37 “rate deviation” errors but did not
specifically mention any infusion pump channel … street—which IV medication is coming from which IV bag, through which infusion pump
channel, at what rate
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - including a Best Practice Alert in the
electronic health record (EHR), greatly increased the screening rate … to identify early AAA, and decreased
the rate of failure to recognize and follow up diagnosed AAA. … This and other system improvements reduced
the number and rate of AAA ruptures (average of 1.03/100,000 … outlined in the 2015 National Academy of
Medicine report,1 there is an urgent need to decrease the rate … After implementation of these system improvements, the number and
rate of AAA rupture has decreased
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - The patient’s blood
pressure was 174/101 mmHg, heart rate 126, respiratory rate 26, temperature 37.5o … were notable for
acute kidney injury and metabolic acidosis, with an estimated glomerular filtration rate … quasi-randomized controlled trials,4 use of two-dimensional ultrasound guidance reduced
the overall complication rate … ultrasound offering more expedient bedside availability.7 Although the reduction in the
complication rate
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psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
August 14, 2017 - December 21, 2014
Low rate of completion of recommended tests and referrals in an academic … January 31, 2024
Do patients who read visit notes on the patient portal have a higher rate
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psnet.ahrq.gov/issue/systematic-video-game-training-surgical-novices-improves-performance-virtual-reality
January 18, 2011 - 23, 2013
Proficiency-based virtual reality training significantly reduces the error rate … 21, 2014
Proficiency-based virtual reality training significantly reduces the error rate
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psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
December 20, 2017 - 9, 2020
Proficiency-based virtual reality training significantly reduces the error rate … September 30, 2011
A multifaceted risk management program to improve the reporting rate
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psnet.ahrq.gov/issue/controversies-diagnosis-contemporary-debates-diagnostic-safety-literature
December 21, 2018 - December 21, 2018
Rate of sepsis hospitalizations after misdiagnosis in adult emergency … July 17, 2019
Rate of diagnostic errors and serious misdiagnosis-related harms for major
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psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
July 13, 2022 - December 21, 2022
Low rate of completion of recommended tests and referrals in an academic … January 31, 2024
Do patients who read visit notes on the patient portal have a higher rate
-
psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - For the general population, the mortality rate following appendectomy is less than 1%; however, in elderly … reported for patients older than 65 compared to 7% to 10% for those younger than 65.( 5 ) The higher rate … Although the use of CT scanning has decreased this rate, a recent multi-institutional study suggests … that the negative appendectomy rate (i.e., surgery is performed for presumed appendicitis, but the appendix … Intraabdominal abscess rate after laparoscopic appendectomy. Am J Surg. 2000;180:456-459.
-
psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - Initial evaluation revealed low-grade fever, a heart rate of 170 beats per minute, and trace lower extremity … immediately discontinued intravenous fluids, started treatment with propranolol to control the heart rate … a tachycardia-induced cardiomyopathy (weakness of the heart muscle due to longstanding rapid heart rate … for thyroid storm range from 10%–75% of hospitalized patients.( 1 )
Myxedema coma has an incidence rate … Even with appropriate intensive care, the mortality rate for myxedema coma is 20% to 25%.( 1 )
The
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - Four
hours later, the patient suddenly became bradycardic to a heart rate of 20 beats per minute. … The
rate of parenteral fluid flow of the access device can vary depending on needle size, access site … Even though IO access devices have a low complication rate, they are substantially more costly (often … The complication rate associated with IO use is small and comparable to IV access.
-
psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - 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/node/866579/psn-pdf
August 28, 2024 - is
the most common technique with at least 18 variations of palmar incisions described.6 While the rate … largest national study of 855,832 carpal tunnel
decompression operations provided evidence that the rate … tunnel release operations by
6 surgeons from 5 Canadian training centers, a superficial infection rate … of 0.4% and a deep infection rate
of 0% were reported, confirming the low incidence of postoperative … Rate of infection after carpal tunnel release surgery and
effect of antibiotic prophylaxis.
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psnet.ahrq.gov/print/pdf/node/867658
January 26, 2022 - Using claims data, this analysis identified a high rate of opioid
prescriptions written for and filled … Disease Control (CDC) issued an opioid prescribing guideline intended to
reverse the increasing death rate
-
psnet.ahrq.gov/issue/optimizing-measurement-misdiagnosis-related-harms-using-symptom-disease-pair-analysis
July 21, 2021 - July 17, 2019
Rate of diagnostic errors and serious misdiagnosis-related harms for major … June 3, 2020
Rate of sepsis hospitalizations after misdiagnosis in adult emergency department
-
psnet.ahrq.gov/issue/urgent-referrals-primary-care-dermatology-lesions-suspicious-skin-cancer-patterns-outcomes
November 02, 2022 - March 9, 2022
Low rate of completion of recommended tests and referrals in an academic … January 31, 2024
Do patients who read visit notes on the patient portal have a higher rate