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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38069/psn-pdf
    March 10, 2011 - Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department … Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department … psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check- override-rates … This study discovered that override rates of potentially critical adverse drug events remain problematic … psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42333/psn-pdf
    June 05, 2013 - has-improved-hand-hygiene-compliance-reduced-risk-hospital-acquired- infections-among Hand hygiene rates … This report, which used data for all hospitals in Ontario, demonstrates that overall hand hygiene rates … At baseline, rates of the two HAIs were quite low, and hand hygiene rates were relatively high, meaning … that additional improvement in HAI rates may have been difficult to achieve. … decreased over time as hand hygiene rates increased.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35950/psn-pdf
    August 10, 2010 - Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic … Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic … https://psnet.ahrq.gov/issue/correlation-workload-disagreement-and-amendment-rates-surgical-pathology … - and-nongynecologic The investigators explored the effect of workload on error rates in diagnostic … https://psnet.ahrq.gov/issue/correlation-workload-disagreement-and-amendment-rates-surgical-pathology-and-nongynecologic
  4. psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
    April 11, 2011 - Fourteen participating hospitals adopted a series of recommended interventions while tracking ADE rates … Investigators discovered a 67% reduction in narcotic-related ADE rates, and also noted decreased rates … Association of diagnostic stewardship for blood cultures in critically ill children with culture rates
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40185/psn-pdf
    December 29, 2014 - Variation in the rates of adverse events between hospitals and hospital departments. … Variation in the rates of adverse events between hospitals and hospital departments. … https://psnet.ahrq.gov/issue/variation-rates-adverse-events-between-hospitals-and-hospital-departments … This study discovered significant differences in adverse event rates between hospitals and hospital … https://psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40325/psn-pdf
    December 18, 2014 - Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists … Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists … https://psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline … However, wide variation in infection rates remained between individual NICUs, and hospitals with higher … CRBSI rates used the checklists inconsistently.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42414/psn-pdf
    July 31, 2013 - Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. … Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. … https://psnet.ahrq.gov/issue/reducing-cardiopulmonary-arrest-rates-three-year-regional-rapid-response … response team utilization over 3 years was associated with decreases in non–intensive care unit code rates … https://psnet.ahrq.gov/issue/reducing-cardiopulmonary-arrest-rates-three-year-regional-rapid-response-system-collaborative
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40791/psn-pdf
    February 09, 2012 - Adverse event rates as measures of hospital performance. … Adverse event rates as measures of hospital performance. … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance This study concluded … that adverse event rates in themselves are a poor marker of hospital performance, largely because of … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance https://psnet.ahrq.gov
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38433/psn-pdf
    February 25, 2009 - The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled … The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled … https://psnet.ahrq.gov/issue/impact-trained-assistance-error-rates-anaesthesia-simulation-based- randomised-controlled … This study used simulation-based training of anesthetists to demonstrate a reduction in error rates … https://psnet.ahrq.gov/issue/impact-trained-assistance-error-rates-anaesthesia-simulation-based-randomised-controlled
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42036/psn-pdf
    March 18, 2013 - Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review … Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective … - patient-record A random sampling of hospitals in the Netherlands found that adverse event rates increased … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41751/psn-pdf
    October 24, 2012 - Diet order entry by registered dietitians results in a reduction in error rates and time delays compared … Diet order entry by registered dietitians results in a reduction in error rates and time delays compared … https://psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time … enter physician cosigned diet orders for patients significantly decreased nutrition-related error rates … https://psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38288/psn-pdf
    February 03, 2011 - Hospital-wide code rates and mortality before and after implementation of a rapid response team. … Hospital-wide code rates and mortality before and after implementation of a rapid response team. … https://psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid- … respiratory therapists with physician backup failed to affect mortality or cardiopulmonary arrest rates … https://psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team
  13. psnet.ahrq.gov/issue/12-h-shifts-and-rates-error-among-nurses-systematic-review
    October 20, 2021 - Review 12 h shifts and rates of error among nurses: a systematic review. … Citation Text: Clendon J, Gibbons V. 12 h shifts and rates of error among nurses: a systematic review … Cite Citation Citation Text: Clendon J, Gibbons V. 12 h shifts and rates … , 2022 How effective are electronic medication systems in reducing medication error rates
  14. psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons
    May 18, 2022 - Study Effect of lawsuits on professional well-being and medical error rates among … Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. … Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. … Association of diagnostic stewardship for blood cultures in critically ill children with culture rates
  15. psnet.ahrq.gov/issue/rates-serious-surgical-errors-california-and-plans-prevent-recurrence
    March 09, 2022 - Study Rates of serious surgical errors in California and plans to prevent recurrence … Rates of serious surgical errors in California and plans to prevent recurrence. … Rates of serious surgical errors in California and plans to prevent recurrence. … May 4, 2022 Analysis of hospital-level readmission rates and variation in adverse events
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44079/psn-pdf
    May 28, 2015 - Differences in the rates of patient safety events by payer: implications for providers and policymakers … Differences in the rates of patient safety events by payer: implications for providers and policymakers … https://psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and … Risk-adjusted rates of 13 AHRQ Patient Safety Indicators (PSIs) were measured. … However, these findings were not consistent across event types—Medicaid patients had lower event rates
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42052/psn-pdf
    December 21, 2014 - Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized … Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized … https://psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory- … mandatory computerized clinical decision support tool improved deep vein thrombosis (DVT) prophylaxis rates … https://psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46926/psn-pdf
    March 07, 2018 - A comprehensive program to reduce rates of hospital- acquired pressure ulcers in a system of community … A Comprehensive Program to Reduce Rates of Hospital- Acquired Pressure Ulcers in a System of Community … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers- system-community … Rates of severe (stages III and IV) ulcers declined in participating facilities, demonstrating that a … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community
  19. psnet.ahrq.gov/issue/are-interventions-reduce-interruptions-and-errors-during-medication-administration-effective
    August 28, 2024 - Although some interventions did reduce interruption rates, medication error rates were largely unaffected … , 2020 How effective are electronic medication systems in reducing medication error rates
  20. psnet.ahrq.gov/issue/tiering-drug-drug-interaction-alerts-severity-increases-compliance-rates
    February 18, 2011 - Study Tiering drug–drug interaction alerts by severity increases compliance rates … Tiering drug-drug interaction alerts by severity increases compliance rates. … Tiering drug-drug interaction alerts by severity increases compliance rates. … Evaluating clinical decision support systems: monitoring CPOE order check override rates

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