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psnet.ahrq.gov/node/39185/psn-pdf
January 06, 2010 - Use of colour-coded labels for intravenous high-risk
medications and lines to improve patient safety.
January 6, 2010
Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines
to improve patient safety. Qual Saf Health Care. 2009;18(6):505-9. doi:10.1136/qshc.2007.…
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psnet.ahrq.gov/node/46828/psn-pdf
August 08, 2018 - Implementation of a colour-coded universal protocol
safety initiative in Guatemala.
August 8, 2018
Taicher BM, Tew S, Figueroa L, et al. Implementation of a colour-coded universal protocol safety initiative
in Guatemala. BMJ Qual Saf. 2018;27(8). doi:10.1136/bmjqs-2017-007217.
https://psnet.ahrq.gov/issue/implemen…
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psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
June 07, 2016 - Study
Quick Response codes for surgical safety: a prospective pilot study.
Citation Text:
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
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psnet.ahrq.gov/issue/implementation-colour-coded-universal-protocol-safety-initiative-guatemala
October 31, 2017 - Study
Implementation of a colour-coded universal protocol safety initiative in Guatemala.
Citation Text:
Taicher BM, Tew S, Figueroa L, et al. Implementation of a colour-coded universal protocol safety initiative in Guatemala. BMJ Qual Saf. 2018;27(8). doi:10.1136/bmjqs-2017-007217.
Co…
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psnet.ahrq.gov/node/35850/psn-pdf
May 27, 2011 - Computerization can create safety hazards: a bar-coding
near miss.
May 27, 2011
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med.
2006;144(7):510-6.
https://psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
This case study shares the …
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psnet.ahrq.gov/node/43745/psn-pdf
December 17, 2014 - Identifying hospital-wide harm: a set of ICD-9–CM-coded
conditions associated with increased cost, length of stay,
and risk of mortality.
December 17, 2014
Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions
associated with increased cost, length of stay, and ri…
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psnet.ahrq.gov/node/46571/psn-pdf
October 25, 2017 - Incorporating nursing complexity in reimbursement
coding systems: the potential impact on missed care.
October 25, 2017
Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems:
the potential impact on missed care. BMJ Qual Saf. 2017;26(11):929-932. doi:10.1136/bmjqs-2017…
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psnet.ahrq.gov/node/38087/psn-pdf
July 28, 2013 - Bar-Coded Medication Administration (BCMA).
July 28, 2013
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma
This document summarizes the experience of numerous AHRQ-funded programs in implementing bar-
coded medication administration.
https://p…
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psnet.ahrq.gov/node/36757/psn-pdf
August 09, 2011 - Medication bar coding: to scan or not to scan?
August 9, 2011
Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs.
2007;25(2):86-92.
https://psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
The authors describe the implementation of a bedside medicati…
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psnet.ahrq.gov/node/36679/psn-pdf
December 21, 2009 - Manic for medication safety: bar codes and drug
information databases are helping to reduce medication
errors.
December 21, 2009
Rogoski RR. Manic for medication safety. Health management technology. 2007;28(2):14, 16-8.
https://psnet.ahrq.gov/issue/manic-medication-safety-bar-codes-and-drug-information-databases-…
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psnet.ahrq.gov/node/43263/psn-pdf
July 16, 2014 - Patient complaints in healthcare systems: a systematic
review and coding taxonomy.
July 16, 2014
Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and
coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437.
https://psnet.ahrq.gov/issue/patien…
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psnet.ahrq.gov/node/45190/psn-pdf
February 15, 2017 - Biases in detection of apparent "weekend effect" on
outcome with administrative coding data: population
based study of stroke.
February 15, 2017
Li L, Rothwell PM, Study OV. Biases in detection of apparent "weekend effect" on outcome with
administrative coding data: population based study of stroke. BMJ. 2016;353:…
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psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
November 30, 2012 - Study
Error codes at autopsy to study potential biases in diagnostic error.
Citation Text:
Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010.
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psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk
November 28, 2018 - Government Resource
Use of color-coded patient wristbands creates unnecessary risk.
Citation Text:
Use of color-coded patient wristbands creates unnecessary risk. PA PSRS Patient Saf Advis 2005 Dec 2;(Suppl. 2):1-4.
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psnet.ahrq.gov/node/41203/psn-pdf
December 18, 2014 - A multicenter collaborative approach to reducing
pediatric codes outside the ICU.
December 18, 2014
Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes
outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227.
https://psnet.ahrq.gov/issue/mu…
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - However, only 25% of the last 16 reported patients had an ICD-9-CM secondary diagnosis code of a pressure … points out, an unintended consequence is that tying penalties in payment to the presence of a diagnosis code
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - However, only 25% of the last 16 reported patients had an ICD-9-CM secondary diagnosis code of a pressure … points out, an unintended consequence is that tying penalties in payment to the presence of a diagnosis code … August 8, 2012
Implementation of bar-code medication administration to reduce patient
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psnet.ahrq.gov/node/40243/psn-pdf
June 10, 2018 - Preventing medication errors during codes.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. February 9, 2011;16:1-3.
https://psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
This piece discusses medication errors during emergency resuscitations and outlines risk-reduction
strategies.
…
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psnet.ahrq.gov/node/35603/psn-pdf
February 06, 2019 - Use of color-coded patient wristbands creates
unnecessary risk.
February 6, 2019
PA PSRS Patient Saf Advis 2005 Dec 2;(Suppl. 2):1-4.
https://psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk
This supplemental advisory recommends that a limited, standard set of colors and correspondi…
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psnet.ahrq.gov/node/36729/psn-pdf
June 17, 2014 - Coding for Success: Simple Technology for Safer Patient
Care.
June 17, 2014
Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007.
https://psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
This report discusses the impact that automated technologies, such as…