-
psnet.ahrq.gov/node/43662/psn-pdf
November 05, 2014 - lessons learned from
one hospital that implemented best practices including robust education, bar-code
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psnet.ahrq.gov/node/37026/psn-pdf
September 15, 2011 - residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams-
teaching-hospitals
Housestaff traditionally lead cardiac arrest resuscitation ("code
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psnet.ahrq.gov/node/40093/psn-pdf
May 25, 2011 - rapid-response-systems
https://psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens
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psnet.ahrq.gov/node/41571/psn-pdf
October 29, 2012 - adverse-drug-events-caused-serious-medication-administration-errors
https://psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
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psnet.ahrq.gov/node/39199/psn-pdf
January 28, 2010 - factors influencing nurses' decisions to obtain assistance from the
rapid response team or call a "code
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psnet.ahrq.gov/node/37646/psn-pdf
April 11, 2011 - incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
https://psnet.ahrq.gov/web-mm/deciphering-code
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - than 0.5%, based on 1997 data from the National Inpatient Sample Excludes patients with any code … secondary diagnosis field per 100 surgical discharges Excludes patients with any diagnosis code … ulcer Pressure sores in patients hospitalized for 4 days or longer Discharges with ICD-9-CM code … 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/38654/psn-pdf
November 25, 2009 - Color coded medication safety system reduces
community pediatric emergency nursing medication
errors.
November 25, 2009
Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community
pediatric emergency nursing medication errors. J Patient Saf. 2009;5(2):79-85.
doi:10.1097/PTS.0b…
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psnet.ahrq.gov/node/35583/psn-pdf
June 17, 2010 - Using a bar-coded medication administration system to
prevent medication errors in a community hospital
network.
June 17, 2010
Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent
medication errors in a community hospital network. American Journal of Health-System …
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psnet.ahrq.gov/node/47343/psn-pdf
April 16, 2019 - Using medicolegal data to support safe medical care: a
contributing factor coding framework.
April 16, 2019
McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A
contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-18. doi:10.1002/jhrm.21348.
https://ps…
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psnet.ahrq.gov/node/40182/psn-pdf
September 25, 2011 - Using a data-matrix–coded sponge counting system
across a surgical practice: impact after 18 months.
September 25, 2011
Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a
surgical practice: impact after 18 months. Jt Comm J Qual Patient Saf. 2011;37(2):51-58.
https://p…
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psnet.ahrq.gov/node/39330/psn-pdf
March 03, 2010 - Consistency between coded poison center data and
fatality abstract narratives for therapeutic error deaths in
older adults.
March 3, 2010
Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract
narratives for therapeutic error deaths in older adults. Clin Toxicol (Phila). 201…
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psnet.ahrq.gov/node/43963/psn-pdf
September 09, 2015 - Color-coded prefilled medication syringes decrease time
to delivery and dosing error in simulated emergency
department pediatric resuscitations.
September 9, 2015
Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to
Delivery and Dosing Error in Simulated Emergency …
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psnet.ahrq.gov/node/35307/psn-pdf
July 14, 2009 - Color coding to reduce errors.
July 14, 2009
Deboer S, Seaver M, Broselow J. Color coding to reduce errors. Am J Nurs. 2005;105(8):68-71.
https://psnet.ahrq.gov/issue/color-coding-reduce-errors
The authors present a color-coding system that helps estimate the weight of a child in a critical situation so
practition…
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psnet.ahrq.gov/node/35694/psn-pdf
July 13, 2010 - Measurement of adverse events using "incidence
flagged" diagnosis codes.
July 13, 2010
Jackson T, Duckett S, Shepheard J, et al. Measurement of adverse events using "incidence flagged"
diagnosis codes. J Health Serv Res Policy. 2006;11(1):21-6.
https://psnet.ahrq.gov/issue/measurement-adverse-events-using-incidenc…
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psnet.ahrq.gov/issue/interpreting-and-coding-causal-relationships-quality-and-safety-using-icd-11
November 15, 2017 - Commentary
Interpreting and coding causal relationships for quality and safety using ICD-11.
Citation Text:
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/s12…
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psnet.ahrq.gov/node/860389/psn-pdf
January 10, 2024 - Error codes at autopsy to study potential biases in
diagnostic error.
January 10, 2024
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.
https://psnet.ahrq.gov/issue/error-codes-autopsy-stu…
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psnet.ahrq.gov/node/40979/psn-pdf
June 01, 2012 - The sensitivity of adverse event cost estimates to
diagnostic coding error.
June 1, 2012
Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic
coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.01340.x.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/42563/psn-pdf
October 09, 2013 - Quick Response codes for surgical safety: a prospective
pilot study.
October 9, 2013
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.
https://psnet.ahrq.gov/issue/quick-response-code…
-
psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
September 14, 2016 - Review
ICD-10 codes used to identify adverse drug events in administrative data: a systematic review.
Citation Text:
Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547…