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psnet.ahrq.gov/issue/veterans-affairs-shift-change-physician-physician-handoff-project
April 30, 2014 - August 3, 2016
Electronic health record adoption and rates of in-hospital adverse events … April 5, 2016
Trends in adverse event rates in hospitalized patients, 2010-2019. … July 27, 2022
Analysis of hospital-level readmission rates and variation in adverse events
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - missed care.(5) Missed care has consequences.(6) Our analysis of
data from England found that higher rates … missed care were associated with lower patient safety grades
reported by nurses.(4) Where missed care rates … In many countries, hospital mortality rates are used to assess hospital performance. … In England, high
mortality rates led to the detection of serious care failings at the Mid Staffordshire … care.(14) By
the time there was sufficient data and analysis to identify persistently high mortality rates
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psnet.ahrq.gov/node/43716/psn-pdf
November 17, 2015 - In this study, hand hygiene rates were about threefold higher when an auditor was
present compared with … Since many publicly
reported hand hygiene rates are based on direct auditor observations, this study
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psnet.ahrq.gov/node/34795/psn-pdf
December 23, 2008 - Investigators
report the rate of preventable and potential ADEs, the combined event rates by unit type … suggest that, after adjustment for the number of drugs administered, ICUs and non-ICUs
share comparable rates
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psnet.ahrq.gov/node/37468/psn-pdf
April 11, 2011 - the adult population found delays in treatment of in-hospital
cardiac arrests, with lower survival rates … in patients with slower response rates.
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psnet.ahrq.gov/node/46532/psn-pdf
July 30, 2018 - burnout-among-health-professionals-and-its-effect-patient-safety
https://psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation … https://psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation
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psnet.ahrq.gov/node/35403/psn-pdf
February 18, 2011 - consecutive hospital admissions in Ontario, Canada, over a 10-year
period to determine whether mortality rates … Investigators discovered higher rates of in-hospital mortality for patients admitted with ruptured aortic
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psnet.ahrq.gov/node/37701/psn-pdf
February 22, 2011 - inpatient-nurses-and
Incident reporting systems are ubiquitous, but are limited by low clinician reporting rates … use-handheld-computer-application-voluntary-medication-event-reporting-inpatient-nurses-and
https://psnet.ahrq.gov//#incidentreporting
https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - Decreasing hemolysis rates is challenging. … facility location to appropriate hospital and/or clinic personnel, identify locations with elevated rates … Although various factors have been correlated with increased hemolysis rates (as described earlier), … Targeting hemolysis rates in the emergency department is logical, as hemolyzed specimens are more common … Evidence-based Practices for Reducing Specimen Hemolysis Rates.
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psnet.ahrq.gov/node/37510/psn-pdf
March 04, 2011 - rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-
safety
This study assessed the value of AHRQ Patient Safety Indicator (PSI) rates … evaluating-patient-safety-indicators-how-well-do-they-perform-veterans-health-administration
https://psnet.ahrq.gov/issue/tracking-rates-patient-safety-indicators-over-time-lessons-veterans-administration
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psnet.ahrq.gov/node/42087/psn-pdf
March 06, 2013 - attempted to replicate the Keystone study in 223 ICUs in England, yielded a surprising result: infection
rates … significantly in both control and intervention hospitals, likely reflecting secular trends in
infection rates
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psnet.ahrq.gov/node/35889/psn-pdf
March 10, 2011 - study determined that an automated adverse drug event (ADE) surveillance system captured higher
event rates … Not only did the system detect ADEs at higher rates
in the community setting, but the specific events
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psnet.ahrq.gov/node/47283/psn-pdf
January 27, 2019 - No impact
was found on overall opioid prescribing rates. … recent state-level analysis found that states who
implemented a PDMP had lower opioid prescribing rates
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psnet.ahrq.gov/node/33928/psn-pdf
June 23, 2015 - This study examines those claims by conducting a literature review of anesthesia-
related mortality rates … Results from aggregate data, as well as mortality rates
determined by peer review, suggest that, contrary
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psnet.ahrq.gov/node/39233/psn-pdf
August 02, 2013 - Although RRS usage was associated with decreased cardiac arrest
rates on general wards, overall mortality … rates did not improve, and the review noted significant problems
with the methodological quality of
-
psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - Implementation of prescription drug monitoring programs
associated with reductions in opioid-related death rates … Implementation of prescription drug monitoring programs associated
with reductions in opioid-related death rates
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psnet.ahrq.gov/node/42509/psn-pdf
August 21, 2013 - However, Matching Michigan was unsuccessful in that infection rates declined at similar rates in both
-
psnet.ahrq.gov/node/46283/psn-pdf
April 24, 2018 - Although there was no statistically significant difference in overall
error rates, errors for continuous … This study demonstrates that precalculated medication doses may
decrease rates of certain high-priority
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psnet.ahrq.gov/node/39931/psn-pdf
April 24, 2011 - research
in this area has linked burnout in nurses, resident physicians, and surgeons to increased error rates … hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction
https://psnet.ahrq.gov/issue/rates-medication-errors-among-depressed-and-burnt-out-residents-prospective-cohort-study
-
psnet.ahrq.gov/node/37042/psn-pdf
March 04, 2011 - mortality-among-patients-admitted-hospitals-weekends-compared-weekdays
https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals … https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
https://psnet.ahrq.gov