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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - Healthcare Research and Quality's (AHRQ) Patient Safety Indicators (PSIs) (based on ICD-9-CM diagnosis codes … its 2008 survey.( 10 ) AHRQ now offers a version of PSIs that incorporates the new POA administrative codes … Even with the new POA codes, a number of issues must still be considered:
Variation in POA Coding … across hospitals was attributed to variations in the collection, coding, and reporting of diagnosis codes … 25% of the last 16 reported patients had an ICD-9-CM secondary diagnosis code of a pressure ulcer (codes
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psnet.ahrq.gov/node/43539/psn-pdf
March 26, 2015 - validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
https://psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - Complications of
anesthesia
Complications attributable
to anesthesia
Discharges with ICD-9-CM diagnosis codes … while in
hospital
All discharges with disposition of "deceased" per 100
patients with discharge codes … instrument,
sponge, or other device
left inside patient after a
procedure
Discharges with ICD-9-CM codes … secondary diagnosis among all surgical discharges
Excludes patients who have principal diagnosis codes
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psnet.ahrq.gov/issue/medication-errors-2018-year-review
October 23, 2019 - January 2, 2011
Manic for medication safety: bar codes and drug information databases
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psnet.ahrq.gov/issue/oral-solid-medication-appearance-should-play-greater-role-medication-error-prevention
February 20, 2019 - June 10, 2018
Preventing medication errors during codes.
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
March 14, 2023 - February 22, 2023
Preventing medication errors during codes.
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psnet.ahrq.gov/issue/ismp-2007-survey-high-alert-medications-differences-between-nursing-and-pharmacy-perspectives
February 13, 2019 - January 12, 2011
Manic for medication safety: bar codes and drug information databases
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psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
January 20, 2021 - View More
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Preventing medication errors during codes
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - SPOTLIGHT CASE
"Do You Want Everything Done?": Clarifying Code Status
Citation Text:
Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
…
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psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
February 23, 2022 - February 22, 2023
Preventing medication errors during codes.
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psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
June 01, 2022 - Survey results from pharmacists provide support to enhance the organizational response to codes
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psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
July 01, 2020 - Book/Report
Coding for Success: Simple Technology for Safer Patient Care.
Citation Text:
Coding for Success: Simple Technology for Safer Patient Care. Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007.
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psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
August 17, 2016 - May 22, 2019
Preventing medication errors during codes.
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psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
March 14, 2023 - February 22, 2023
Preventing medication errors during codes.
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psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
March 14, 2023 - October 31, 2012
Preventing medication errors during codes.
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psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
March 14, 2023 - June 10, 2018
Preventing medication errors during codes.
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psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
May 20, 2020 - March 18, 2010
Manic for medication safety: bar codes and drug information databases
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psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
June 01, 2022 - Survey results from pharmacists provide support to enhance the organizational response to codes
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psnet.ahrq.gov/issue/generic-drug-names-fertile-ground-errors
August 11, 2021 - March 22, 2010
Manic for medication safety: bar codes and drug information databases
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psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
February 03, 2021 - February 24, 2016
Deriving ICD-10 codes for patient safety indicators for large-scale