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Slide Presentation from the AHRQ 2007 Annual Conference

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Rates of Reported Events, By Type and Quarter WV Patient Safety Project, 2005-7

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A line chart presents data on rates per 1,000 patient days for 11 types of reported events over 9 quarters:

Rate for unobserved falls: 2005 Q1- 3.3, 2005 Q2-3.4, 2005 Q3-3.3, 2005 Q4- 3.6, 2006 Q1-3.8, 2006 Q2-3.9, 2006 Q3-3.6, 2006 Q4-3.9, 2007 Q1-3.9.
Rate for observed falls: 2005 Q1-1.0, 2005 Q2-0.55, 2005 Q3-0.8, 2005 Q4-0.7, 2006 Q1-0.6, 2006 Q2-0.6, 2006 Q3-0.7, 2006 Q4-0.6, 2007 Q1-0.6.
Rate for elopement: 2005 Q1-1.0, 2005 Q2-0.9, 2005 Q3-0.9, 2005 Q4-0.6, 2006 Q1-1.45, 2006 Q2-1.4, 2006 Q3-1.8, 2006 Q4-1.3, 2007 Q1-1.7.
Rate for delay in test/treatment: 2005 Q1-0.5, 2005 Q2-1.0, 2005 Q3-0.55, 2005 Q4-0.7, 2006 Q1-0.65, 2006 Q2-0.9, 2006 Q3- 1.25, 2006 Q4-1.0, 2007 Q1-0.8
Rate for lab specimen-related events: 2005 Q1-1.7, 2005 Q2-1.3, 2005 Q3-1.7, 2005 Q4-1.0, 2006 Q1-1.2, 2006 Q2-0.9, 2006 Q3-1.0, 2006 Q4-1.5, 2007 Q1-1.1.
Rate for staff injury exposure: 2005 Q1-2.5, 2005 Q2-2.9, 2005 Q3-0.6, 2005 Q4-3.1, 2006 Q1-3.2, 2006 Q2-2.55, 2006 Q3-3.4, 2006 Q4-3.2, 2007 Q1-3.3.
Rate for omitted med dose: 2005 Q1-2.2, 2005 Q2-1.0, 2005 Q3-1.4, 2005 Q4-1.2, 2006 Q1-1.1, 2006 Q2-1.2, 2006 Q3-1.0, 2006 Q4-1.4, 2007 Q1-0.8.
Rate for wrong drug: 2005 Q1-1.0, 2005 Q2-1.1, 2005 Q3-1.5, 2005 Q4-1.3, 2006 Q1-1.0, 2006 Q2-1.0, 2006 Q3-0.9, 2006 Q4-0.9 2007 Q1-0.9.
Rate for wrong dose: 2005 Q1-1.0, 2005 Q2-0.6, 2005 Q3-1.5, 2005 Q4-1.3, 2006 Q1-1.2, 2006 Q2-0.8, 2006 Q3-1.0, 2006 Q4-0.8 2007 Q1-0.7.
Rate for adverse drug reaction: 2005 Q1-1.2, 2005 Q2-0.9, 2005 Q3-1.1, 2005 Q4-1.1, 2006 Q1-1.3, 2006 Q2-1.4, 2006 Q3-1.0, 2006 Q4-0.9. 2007 Q1-0.7.
Rate for patient misidentification: 2005 Q1-0.5, 2005 Q2-1.3, 2005 Q3-0.9, 2005 Q4-0.5, 2006 Q1-0.55. 2006 Q2-0.55, 2006 Q3-0.5, 2006 Q4-0.7, 2007 Q1-1.0.

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