-
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-…
-
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…
-
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:…
-
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.
Copy Citation
F…
-
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.
Copy Citation
Save
Save to your library
Pr…
-
psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - conditions because some of these conditions have lifelong impacts that cannot be measured with an ICD-
10 code
-
psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - have
people connecting the frontline docs, nurses, pharmacists, and the people who understand the code
-
psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - In Conversation With…David C. Classen, MD, MS
May 1, 2012
In Conversation With…David C. Classen, MD, MS. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
Editor's note: David C. Classen, MD, MS, is Chief Medical Information Officer for Pascal Metrics and an
Associa…
-
psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - In the 46 administrative penalty
retained sponge cases there were two cases of retained bar-code/device
-
psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery
Citation Text:
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
-
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…
-
psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - Officially termed Ambulance Patient Offload Time (APOT) by the California Health and Safety Code, wall … State of California Health and Safety Code Division 2.5. 2009. [ Free full text (PDF) ]
Guss B, Mishkin
-
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
-
psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - March 29, 2023
WebM&M Cases
Code Blue—Where To?
-
psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - : Clarifying Code Status
December 18, 2019
Missing the near miss: recognizing
-
psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - An acronym for key expressions containing code words
signaling a potential urgent safety problem, the
-
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
-
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.
…
-
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…
-
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…