-
psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - of those steps is done in some measure by a human being, which means that it has an intrinsic error rate … You can simply multiply out the intrinsic error rate for every step in the process to figure out the … will decrease the error rate, for example, from a success rate of 96% all the way up to a success rate … It will decrease the error rate from 4% down to 1%. It'll have improved it by 75%. … But in that 20-step process, I'm still at risk for a 1% error rate.
-
psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - of those steps is done in some measure by a human being, which means that it has an intrinsic error rate … You can simply multiply out the intrinsic error rate for every step in the process to figure out the … will decrease the error rate, for example, from a success rate of 96% all the way up to a success rate … It will decrease the error rate from 4% down to 1%. It'll have improved it by 75%. … But in that 20-step process, I'm still at risk for a 1% error rate.
-
psnet.ahrq.gov/node/42642/psn-pdf
October 09, 2013 - contribution-prescription-chart-design-and-familiarity-prescribing-error-
prospective
The discovery of a high medication prescribing error rate
-
psnet.ahrq.gov/node/42286/psn-pdf
May 22, 2013 - However, the overall rate of hand hygiene adherence remained
poor in both groups.
-
psnet.ahrq.gov/node/35254/psn-pdf
April 06, 2011 - includes detailed presentation of the frequency of events, their
location of occurrence, and the low rate
-
psnet.ahrq.gov/node/42101/psn-pdf
April 03, 2013 - factors engineering principles, resulting in a sustained decrease in the instrument
processing error rate
-
psnet.ahrq.gov/node/42645/psn-pdf
October 09, 2013 - The early data show a decrease in the overall rate of CAUTI, with a more striking decrease in
non-intensive
-
psnet.ahrq.gov/node/38659/psn-pdf
May 27, 2009 - Following redesign of workflows, the overall misidentification rate reduced by 62%
and a 95% reduction
-
psnet.ahrq.gov/node/41545/psn-pdf
December 29, 2014 - experience certain patient safety problems (as measured by
the AHRQ Patient Safety Indicators) at a higher rate
-
psnet.ahrq.gov/node/42965/psn-pdf
April 20, 2014 - A Web-based system
for booking elective surgical procedures improved the rate of obtaining and documenting
-
psnet.ahrq.gov/node/42468/psn-pdf
August 07, 2013 - included a voluntary error reporting system and structured
checklists significantly reduced the error rate
-
psnet.ahrq.gov/node/39460/psn-pdf
March 23, 2011 - used the findings to design a quality improvement intervention that significantly reduced the fall rate
-
psnet.ahrq.gov/node/43333/psn-pdf
January 15, 2017 - failure mode and effect
analysis, event review, and root cause analysis to successfully reduce the rate
-
psnet.ahrq.gov/node/38721/psn-pdf
June 25, 2009 - This reduction entirely reflected a higher rate of medications
administered at the right time.
-
psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - A
well-designed order set would support selection of proper bolus dosing, correct rate of maintenance … resident to select
a clinical indication (i.e., arterial thrombosis) instead of a heparin infusion rate … selection of the correct
clinical indication would then result in ordering the appropriate infusion rate … Without such guidance, the
resident was left to select a dose and an infusion rate based on his limited
-
psnet.ahrq.gov/node/35109/psn-pdf
November 03, 2015 - They found a high rate of compliance with suggested changes and conclude that the
alert was effective
-
psnet.ahrq.gov/node/34799/psn-pdf
December 23, 2008 - Based on classifying “definite” and “probable” drug events, the rate of drug-related hospitalizations
-
psnet.ahrq.gov/node/47611/psn-pdf
January 23, 2019 - The rate of overdose deaths continues to rise, with the largest increase due to synthetic opioids
such
-
psnet.ahrq.gov/node/43078/psn-pdf
June 03, 2014 - value-autopsies-era-high-tech-medicine-discrepant-findings-persist
Recent studies have suggested that the use of modern imaging may have decreased the rate
-
psnet.ahrq.gov/node/46410/psn-pdf
September 20, 2017 - Following the intervention, the error rate declined by 10%.