-
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/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Although we have these various numbers from research, it's absolutely true that we really don't know the rate
-
psnet.ahrq.gov/node/34989/psn-pdf
February 24, 2011 - laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
This AHRQ–funded study retrospectively examined the failure rate
-
psnet.ahrq.gov/node/36795/psn-pdf
August 26, 2011 - examined more than 21,000 surgical specimens and estimated a surgical specimen
identification error rate
-
psnet.ahrq.gov/node/41561/psn-pdf
August 01, 2012 - were
found in each hospital's incident reporting system, the investigators concluded that the low rate
-
psnet.ahrq.gov/node/35332/psn-pdf
September 21, 2005 - services, but a subgroup of Spanish-speaking patients requesting such services
experienced a higher event rate
-
psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - In the ED, he had a heart rate of 44 beats per minute, which
was felt to explain his symptoms. … The ED physician was concerned about the prospect of his heart rate slowing further. … is a
powerful anti-cholinergic medication that is given in emergent situations to raise the heart rate … ; it can cause
rapid heart rate and severe confusion if used inappropriately). … Fortunately, the patient's heart rate improved while he was in the ED, and the plan was to discharge
-
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/46536/psn-pdf
November 01, 2017 - Consistent with prior studies of outpatient adverse drug events, older individuals had the highest rate
-
psnet.ahrq.gov/node/43512/psn-pdf
September 29, 2017 - existing evidence on interruptions in health care, this commentary reveals that most studies
focus on the rate
-
psnet.ahrq.gov/node/34809/psn-pdf
February 18, 2011 - Results report an overall 36% rate of iatrogenesis, the frequency and type of events, and the associated
-
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%.
-
psnet.ahrq.gov/node/43047/psn-pdf
August 02, 2015 - As expected, patients who were predicted to have a high rate of
complications were also more likely
-
psnet.ahrq.gov/node/38301/psn-pdf
February 15, 2011 - Prior research has questioned the false negative rate of such systems, but that
problem was not noted
-
psnet.ahrq.gov/node/38781/psn-pdf
July 15, 2009 - cases with a structured case review tool
to highlight what the authors suggest is an underreported rate
-
psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety
Robert M. Wachter, MD | September 1, 2005
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Wachter R. Playing Well with Others: "Translocational Research" in…
-
psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - SPOTLIGHT CASE
A Stroke of Error
Citation Text:
Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…