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

| 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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