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psnet.ahrq.gov/node/44746/psn-pdf
January 20, 2016 - Creating a culture of safety around bar-code medication
administration: an evidence-based evaluation framework.
January 20, 2016
Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication
Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7.
doi:10…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - PowerPoint Presentation
Spotlight Case July 2003
Code Status Confusion
webmm.ahrq.gov
Source and Credits
This presentation is based on the July 2003
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Bernard Lo, MD, Univers…
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psnet.ahrq.gov/node/39943/psn-pdf
October 27, 2010 - Development of a training program for bar-code–assisted
medication administration in inpatient pharmacy.
October 27, 2010
Dartt LR, Schneider R. Development of a training program for bar-code-assisted medication administration
in inpatient pharmacy. Am J Health Syst Pharm. 2010;67(19):1592-4. doi:10.2146/ajhp090189…
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - Spotlight
Spotlight
"Do You Want Everything Done?":
Clarifying Code Status
Source and Credits
• This presentation is based on the December 2019
AHRQ WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Karl Steinberg MD, CMD, HMDC & Thaddeus
M…
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psnet.ahrq.gov/node/40304/psn-pdf
March 23, 2011 - Bar code medication administration technology:
characterization of high-alert medication triggers and
clinician workarounds.
March 23, 2011
Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of
High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth…
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psnet.ahrq.gov/node/37671/psn-pdf
July 25, 2008 - Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking
system for detecting and preventing errors.
July 25, 2008
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking system for de…
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psnet.ahrq.gov/node/73452/psn-pdf
June 30, 2021 - Administration of concentrated potassium chloride for
injection during a code: still deadly!
June 30, 2021
ISMP Medication Safety Alert! Acute care edition. June 3, 2021; 26(11): 1-5.
https://psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-
deadly
Concentrated …
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psnet.ahrq.gov/issue/implementation-bar-code-medication-administration-reduce-patient-harm
September 23, 2020 - Study
Implementation of bar-code medication administration to reduce patient harm.
Citation Text:
Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…
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psnet.ahrq.gov/node/37707/psn-pdf
March 02, 2011 - Bar-coding surgical sponges to improve safety: a
randomized controlled trial.
March 2, 2011
Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann
Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.
https://psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safe…
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psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-errors-simulated
September 09, 2015 - Study
Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial.
Citation Text:
Stevens AD, Hernandez C, Jones S, et al. Color-coded prefilled medication syringes decrease time to …
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psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial
March 02, 2011 - Study
Classic
Bar-coding surgical sponges to improve safety: a randomized controlled trial.
Citation Text:
Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…
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psnet.ahrq.gov/node/35217/psn-pdf
February 17, 2011 - Bar coding for patient safety.
February 17, 2011
Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med. 2005;353(4):329-31.
https://psnet.ahrq.gov/issue/bar-coding-patient-safety
In this perspective, the authors present support for bar coding and report on the Partners HealthCare
system bar coding initia…
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psnet.ahrq.gov/node/50401/psn-pdf
October 02, 2019 - Discrepant advanced directives and code status orders: a
preventable medical error.
October 2, 2019
Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A
Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm.3244.
https://psnet.ahrq.gov/issue/discre…
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psnet.ahrq.gov/node/44439/psn-pdf
September 16, 2015 - Color-coded prefilled medication syringes decrease time
to delivery and dosing errors in simulated prehospital
pediatric resuscitations: a randomized crossover trial.
September 16, 2015
Stevens AD, Hernandez C, Jones S, et al. Color-coded prefilled medication syringes decrease time to
delivery and dosing errors in…
-
psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
December 29, 2014 - December 29, 2014
Deriving ICD-10 codes for patient safety indicators for large-scale
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psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient
December 29, 2014 - December 29, 2014
Deriving ICD-10 codes for patient safety indicators for large-scale
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psnet.ahrq.gov/node/60028/psn-pdf
March 11, 2020 - Cracking the code for quality: the interrelationships of
culture, nurse demographics, advocacy, and patient
outcomes.
March 11, 2020
DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-
158. doi:10.1097/nna.0000000000000859.
https://psnet.ahrq.gov/issue/cracking-…
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psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
November 15, 2017 - July 31, 2019
Deriving ICD-10 codes for patient safety indicators for large-scale surveillance
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psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
October 30, 2013 - readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes
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psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals
April 24, 2018 - April 24, 2018
A multicenter collaborative approach to reducing pediatric codes outside