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psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
November 17, 2021 - Falls represented 1% of all safety reports between 2014 and 2020 and most commonly involved falls from
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psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-experiences
March 04, 2020 - Most "errors" represented misunderstanding by patients or communication problems.
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psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents
October 19, 2022 - Pharmacist intervention was required for 4.2% of orders, and about 67% of these represented either duplicate
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psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event
February 27, 2019 - While the sensitivity of capturing events was low, the positive predictive value that reported events represented
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psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set
November 04, 2020 - variability continued in almost all events, it was rarely explicitly mentioned in incident reports or represented
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psnet.ahrq.gov/node/45293/psn-pdf
February 01, 2017 - They
found that about one third of 2191 safety incidents represented cases of severe harm.
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psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature
November 16, 2022 - In addition, although malpractice represented the most common subject of patient safety published before
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psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispensing-errors-go-undetected
October 25, 2010 - Of the undetected errors observed, nearly a quarter represented potential adverse drug events (ADEs
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture-2015-user-comparative-database-report
November 30, 2016 - scored well for patient counseling and communication openness, while staffing, work pressure, and pace represented
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psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
October 15, 2014 - Incorrect dosage represented the most common type of error, with antibiotics most frequently involved
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psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors
November 29, 2023 - The prevalence of medication errors in mental health settings is not well-represented in research.
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psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
March 29, 2023 - Non-Hispanic Black individuals were over-represented in IRs, but there were no statistically significant
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psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
September 27, 2017 - For instance, drug administration route represented a significant risk factor for all ADEs.
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psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
December 22, 2021 - specimen handling process are subject to error, but specimen labeling , collection, and transport represented
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psnet.ahrq.gov/issue/smart-pumps-improve-medication-safety-increase-alert-burden-neonatal-care
September 09, 2020 - The study also identified 160 attempts to exceed the programmed dosing limit; while these represented
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psnet.ahrq.gov/issue/overdiagnosis-low-dose-computed-tomography-screening-lung-cancer
August 04, 2021 - Using these calculations, approximately 20% of cancers detected by LDCT screening represented overdiagnosis
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psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
October 17, 2018 - patient safety information from electronic health records is challenging due to variation in how data is represented
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psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical-malpractice-claims
September 27, 2017 - retrospective analysis of malpractice claims data from 2008 to 2017 found that oncology-related errors represented
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psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
April 24, 2018 - Interestingly, government hospitals represented the most likely adopters and for-profit organizations
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psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
June 21, 2017 - Fifty cases were identified and five represented completed suicides.