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Slide Presentation from the AHRQ 2007 Annual Conference

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Median Event Rates over 9 Quarters
Critical Access and non Critical Access Hospitals
WV Patient Safety Project 2005-7

Text Description is below the image.

Event Category Median Rate/1,000 Bed Days
Critical Access
Hospitals (CAH)
non-Critical Access
Hospitals (Non CAH)
Unobserved falls 5 3.4
Observed falls 0.9 0.6
Elopement 1.9 1.0
Delay in test/treatment 1.3 0.5
Lab specimen-related 1.7 1.0
Staff injury/exposure 5.1 2.5
Omitted Med Dose 2.1 1.0
Wrong Drug 1.6 0.9
Wrong Dose 1.5 0.8
Adverse Drug Reaction 0.4 1.1
Patient Misidentification 0.6 0.5

Notes:

CAHS report more events than other facilities. May reflect .....
Greater attention to reporting?
Smaller, more intimate.


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