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psnet.ahrq.gov/node/42836/psn-pdf
January 08, 2014 - Comparison of medication safety effectiveness among
nine critical access hospitals.
January 8, 2014
Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access
hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067.
https://psnet.ahrq.gov/issue/comparis…
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psnet.ahrq.gov/node/36243/psn-pdf
September 06, 2006 - The Food and Drug Administration's National Drug Code
Directory.
September 6, 2006
Levinson DR. Washington DC; Office of the Inspector General, US Department of Health and Human
Services: August 2006. Report no OEI-06-05-00060.
https://psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory…
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psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication
April 05, 2023 - Study
Color coded medication safety system reduces community pediatric emergency nursing medication errors.
Citation Text:
Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community pediatric emergency nursing medication errors. J Patient Saf. 2009…
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psnet.ahrq.gov/node/37757/psn-pdf
March 10, 2011 - Workarounds to barcode medication administration
systems: their occurrences, causes, and threats to patient
safety.
March 10, 2011
Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems:
their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/node/37649/psn-pdf
September 27, 2017 - Anesthesia machine as a cause of intraoperative "code
red" in the labor and delivery suite.
September 27, 2017
Kuczkowski KM. Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery
suite. Arch Gynecol Obstet. 2008;278(5):477-8. doi:10.1007/s00404-008-0610-y.
https://psnet.ahrq.gov/iss…
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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.
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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…
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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:…
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psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-error-simulated
September 16, 2015 - Study
Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations.
Citation Text:
Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing…
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psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-administration-system
June 17, 2010 - Study
Severity of medication administration errors detected by a bar-code medication administration system.
Citation Text:
Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health Syst Pharm. 2008…
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psnet.ahrq.gov/issue/comparison-medication-safety-effectiveness-among-nine-critical-access-hospitals
September 07, 2022 - Study
Comparison of medication safety effectiveness among nine critical access hospitals.
Citation Text:
Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067.
Co…
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psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats
November 30, 2011 - Study
Classic
Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety.
Citation Text:
Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurren…
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psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
July 02, 2019 - Study
Pediatric medication administration errors and workflow following implementation of a bar code medication administration system.
Citation Text:
Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code …
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psnet.ahrq.gov/node/46487/psn-pdf
May 16, 2018 - High Reliability for a Highly Unreliable World: Preparing
for Code Blue Through Daily Operations in Healthcare.
May 16, 2018
van Stralen D, Byrum SL, Inozu B. North Charleston, SC: CreateSpace Publishing; 2018. ISBN:
1974506371.
https://psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-b…
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psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
May 02, 2018 - Newspaper/Magazine Article
Administration of concentrated potassium chloride for injection during a code: still deadly!
Citation Text:
Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …
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psnet.ahrq.gov/issue/anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite
August 16, 2023 - Commentary
Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite.
Citation Text:
Kuczkowski KM. Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. Arch Gynecol Obstet. 2008;278(5):477-8. doi:10.1007/s00404-008-…
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psnet.ahrq.gov/issue/decreasing-mislabeled-laboratory-specimens-using-barcode-technology-and-bedside-printers
October 05, 2022 - Study
Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.
Citation Text:
Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b0…
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psnet.ahrq.gov/node/35566/psn-pdf
December 14, 2005 - Hospitals try to break a deadly 'code.'
December 14, 2005
Kowalczyk L.
https://psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
This article reports on the implementation of rapid response teams in Boston hospitals and the potential for
reducing patient mortality.
https://psnet.ahrq.gov/issue/hospitals-try-br…
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psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
October 19, 2022 - Study
Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.
Citation Text:
MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning…
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psnet.ahrq.gov/node/837966/psn-pdf
September 01, 2022 - Barcode medication administration software technology
use in the emergency department and medication error
rates.
September 1, 2022
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency
department and medication error rates. Comput Inform Nurs. 2022;40(6):382-388.
doi:10.1…