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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/37659/psn-pdf
March 02, 2011 - In
contrast, this study found significant reductions in both colonization rates and rates of hospital-acquired
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psnet.ahrq.gov/node/43098/psn-pdf
August 25, 2015 - A social network analysis and
examination of prescribing error rates. … A
Social Network Analysis and Examination of Prescribing Error Rates.
-
psnet.ahrq.gov/node/35028/psn-pdf
May 27, 2011 - prospective cohort study aimed to describe the epidemiology of medication errors by determining
prevalence rates … , comparing them to existing rates in adult hospitals, and analyzing the major error types
captured.
-
psnet.ahrq.gov/node/45004/psn-pdf
April 06, 2016 - implementation of the web-based Targeted Solutions Tool in a 12-hospital health system, hand
hygiene rates … Over the same period, rates of central
line–associated bloodstream infections and ventilator-associated
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psnet.ahrq.gov/node/44756/psn-pdf
September 12, 2016 - Failure-to-rescue is considered a potential contributing factor in the wide variations in surgical mortality
rates … the surgical mortality of older patients and found system
factors that affected failure-to-rescue 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
-
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.
-
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
-
psnet.ahrq.gov/node/33782/psn-pdf
March 01, 2015 - with elevated HSMRs, no differences were seen compared to hospitals
with lower HSMRs in adherence rates … Unfavorable
rates arising from erroneous data or analyses can trigger external inquiries that stigmatize … Comparison of hospital risk-standardized mortality rates
calculated by using in-hospital and 30-day … Variability in the measurement of hospital-wide
mortality rates. N Engl J Med. 2010;363:2530-2539. … What is the empirical evidence that hospitals with higher risk-
adjusted mortality rates provide poor
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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
-
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
-
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
-
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/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
-
psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals
April 24, 2018 - August 4, 2021
Temporal trends in rates of patient harm resulting from medical care. … April 26, 2023
Effect of Patient and Family Centered I-PASS on adverse event rates … August 15, 2016
Rates of medical errors and preventable adverse events among hospitalized