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psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - materials management departments, bar coding is finding new applications in patient care.( Figure 1 ) A bar code … Could this error have occurred if the hospital had a bar code medication administration system? … Bar code label requirements for human drug products and blood.
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - less than
0.5%, based on 1997 data from the National Inpatient
Sample Excludes patients with any code … in any secondary diagnosis field per 100
surgical discharges Excludes patients with any diagnosis
code … Decubitus ulcer
Pressure sores in patients
hospitalized for 4 days or
longer
Discharges with ICD-9-CM code … lung") due to a procedure
such as insertion of a
central venous catheter
Discharges with ICD-9-CM code … fracture
Fractured hip from falls
among hospitalized
surgical patients
Discharges with ICD-9-CM code
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psnet.ahrq.gov/node/45910/psn-pdf
March 08, 2017 - https://psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
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psnet.ahrq.gov/node/43949/psn-pdf
November 17, 2016 - cardiopulmonary arrest or unplanned transfer to a higher level of care) and novel triggers (including change
in code
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psnet.ahrq.gov/node/35079/psn-pdf
November 04, 2015 - Experts in the
field provide unique perspectives on nursing, the “code of silence,” and mindfulness.
-
psnet.ahrq.gov/node/44485/psn-pdf
September 09, 2015 - resulted in more
frequent rapid response activation and a nonsignificant decrease in the number of code
-
psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - These included storage issues in the pharmacy, an omitted second manual check or
bar code scan before … administration;
heparin dosing protocols; and point-of-care technologies for nurses including bar code … pharmacist review, the heparin doses are prepared by the same clinician administering the drug, and bar
code … Use a manual double-check or bar code verification system for items being dispensed by pharmacy.
-
psnet.ahrq.gov/node/34806/psn-pdf
December 23, 2008 - Discussion includes full presentation of the findings for each diagnosis code as well as the estimated
-
psnet.ahrq.gov/node/36174/psn-pdf
September 29, 2010 - Performance of International Classification of Diseases,
9th Revision, Clinical Modification codes as an adverse
drug event surveillance system.
September 29, 2010
Hougland P, Xu W, Pickard S, et al. Performance of International Classification Of Diseases, 9th Revision,
Clinical Modification codes as an adverse dr…
-
psnet.ahrq.gov/node/47643/psn-pdf
February 20, 2019 - Pro/con debate: color-coded medication labels.
February 20, 2019
Janik LS, Vender JS, Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75.
https://psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
This pair of commentaries reviews the use of color-coded medications as an anesthesia safe…
-
psnet.ahrq.gov/node/45048/psn-pdf
April 13, 2016 - tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
https://psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
-
psnet.ahrq.gov/node/41390/psn-pdf
January 31, 2013 - systematic-review-patient-tracking-systems-use-pediatric-emergency-department
https://psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
-
psnet.ahrq.gov/node/44410/psn-pdf
August 12, 2015 - psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
https://psnet.ahrq.gov/issue/bar-code-medication-administration-technology-characterization-high-alert-medication-triggers
-
psnet.ahrq.gov/issue/patient-complaints-healthcare-systems-systematic-review-and-coding-taxonomy
November 29, 2023 - Review
Patient complaints in healthcare systems: a systematic review and coding taxonomy.
Citation Text:
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. …
-
psnet.ahrq.gov/node/863217/psn-pdf
February 28, 2024 - Interpreting and coding causal relationships for quality
and safety using ICD-11.
February 28, 2024
Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety
using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12911-023-02363-5.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative
December 29, 2014 - Study
Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data.
Citation Text:
Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative Hosp…
-
psnet.ahrq.gov/node/36163/psn-pdf
September 29, 2010 - Improving the bar-coded medication administration
system at the Department of Veterans Affairs.
September 29, 2010
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the
Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/46728/psn-pdf
March 27, 2018 - improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
https://psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
-
psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - chart, but the surgeon—having just completed major surgery on this patient—was furious, changing the code … status back to "full code." … The error of resuscitating a patient because health care providers were unaware of his code status reflects … July 21, 2021
Discrepant advanced directives and code status orders: a preventable medical … September 1, 2006
WebM&M Cases
Deciphering the Code
-
psnet.ahrq.gov/node/46410/psn-pdf
September 20, 2017 - https://psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration