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psnet.ahrq.gov/issue/diagnosis-team-sport-partnering-allied-health-professionals-reduce-diagnostic-errors-case
July 28, 2023 - July 17, 2019
Rate of diagnostic errors and serious misdiagnosis-related harms for major … August 5, 2020
Rate of sepsis hospitalizations after misdiagnosis in adult emergency
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - Electronic health record reviews likely have a lower rate of missing data than the paper chart reviews … In the original Harvard Medical Practice Study, adverse events were detected at a much lower rate, just … That rate is too high, and there are many things we could do to improve it. … In the Harvard Medical Practice Study, the harm rate was 3.7% in a random sample of hospitals from the … David Bates: When I see a rate of zero harm, I am suspicious.
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - That rate is too high, and there are many things we could do to improve it. … In the Harvard Medical Practice Study, the harm rate was 3.7% in a random sample of hospitals from the … David Bates: When I see a rate of zero harm, I am suspicious. … For example, if you know you have a high rate of pressure injuries resulting in substantial harm, you … Electronic health record reviews likely have a lower rate of missing data than the paper chart reviews
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psnet.ahrq.gov/node/50859/psn-pdf
January 31, 2020 - It is no wonder that the miss-rate for really good radiologists is still estimated at 3-5%. … There is a
mismatch between the amount of work we have to do and the rate and quality which we’re expected … On the other hand, if the miss rate among radiologists is 3-5% and the
computers’ miss-rate is half … Are we comparing the error rate of AI to
that of the subspecialty fellowship trained neuroradiologist
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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - Electronic health record reviews likely have a lower rate of missing data than the paper chart
reviews … In the original Harvard Medical Practice Study, adverse events
were detected at a much lower rate, just … The rate
of adverse events in outpatient settings was, therefore, lower than researchers found in inpatient
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - occurred when the nurse incorrectly selected the weight-based dosing strategy and maximum infusion rate … vast majority of norepinephrine orders in the ICU were for non-weight-based dosing with a starting rate … Review and Update Infusion Pump Safety Guardrails
The numeric value of the intended starting rate of … norepinephrine guardrail soft limits were reduced to 0.49 mcg/kg/min to avoid accidentally starting at a maximum rate … of 0.5 mcg/kg/min when an initial rate of 0.05 mcg/kg/min is intended.
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psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
December 02, 2020 - Prior to implementation, the fall rate was 4.9 per 1,000 admissions. … By December 2020, the fall rate was reduced to 0 falls per 1,000 admissions.
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psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
July 28, 2023 - July 28, 2023
Rate of diagnostic errors and serious misdiagnosis-related harms for major … October 13, 2021
Rate of sepsis hospitalizations after misdiagnosis in adult emergency
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Calling Criteria
Any staff member may call the team if one of the following criteria is met:
Heart rate … over 140/min or less than 40/min
Respiratory rate over 28/min or less than 8/min
Systolic blood pressure
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psnet.ahrq.gov/node/861296/psn-pdf
January 24, 2024 - medical-mistakes-are-more-likely-women-and-minorities
Diagnostic errors undermine patient safety at a substantial rate
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psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
May 12, 2021 - RIS
Download Citation
Related Resources From the Same Author(s)
Rate … April 27, 2022
Rate of sepsis hospitalizations after misdiagnosis in adult emergency
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psnet.ahrq.gov/node/866641/psn-pdf
September 04, 2024 - This report details how
members of the NEJM Catalyst Insights Council rate their organizations on quality
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psnet.ahrq.gov/node/852748/psn-pdf
August 23, 2023 - researchers found
that adherence to bundle guidelines was associated with a significant reduction in CLABSI rate
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psnet.ahrq.gov/node/864847/psn-pdf
March 20, 2024 - Results show an increased risk-adjusted rate for HAI in
transferred surgical patients compared with
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psnet.ahrq.gov/node/854632/psn-pdf
October 18, 2023 - While the overall mean error rate for all radiologists was low (0.5%), increasing age was associated
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psnet.ahrq.gov/node/60998/psn-pdf
October 07, 2020 - https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy
The rate of autopsies – the “gold standard
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psnet.ahrq.gov/node/864864/psn-pdf
March 20, 2024 - year-summary-us-malpractice-claims-diagnostic-errors-1986-2010-analysis-national
https://psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - syncope when exercising
– Vital signs were notable for systolic blood pressure in the 100s
and heart rate … 6
Case Details
7
• While awaiting the echocardiogram, the patient became
somnolent and heart rate … of survival rather than
mortality
— Example: a patient presented with a cancer treatment survival rate … of 95% compared to a mortality rate of 5% is more likely to choose
the treatment although both options
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - A systematic review of the literature from 1966 to 2002 was performed to determine the rate at which … autopsies detect important, clinically missed diagnoses and the extent to which this rate has changed … A systematic review of the literature from 1966 to 2002 was performed to determine the rate at which … autopsies detect important, clinically missed diagnoses and the extent to which this rate has changed
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psnet.ahrq.gov/node/866195/psn-pdf
June 26, 2024 - Respondents consistently overestimated the success rate following failure in each of the study scenarios