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psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
October 31, 2018 - Study
Improving medication management through the redesign of the hospital code cart medication drawer.
Citation Text:
Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…
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psnet.ahrq.gov/node/35603/psn-pdf
February 06, 2019 - Use of color-coded patient wristbands creates
unnecessary risk.
February 6, 2019
PA PSRS Patient Saf Advis 2005 Dec 2;(Suppl. 2):1-4.
https://psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk
This supplemental advisory recommends that a limited, standard set of colors and correspondi…
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous
Delay
March 1, 2018
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
The Case
A 35-year-old woman with no prior cardiac history calle…
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psnet.ahrq.gov/node/36729/psn-pdf
June 17, 2014 - Coding for Success: Simple Technology for Safer Patient
Care.
June 17, 2014
Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007.
https://psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
This report discusses the impact that automated technologies, such as…
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - Mother's Milk, but Whose Mother?
Citation Text:
Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/843329/psn-pdf
February 01, 2023 - Improving administration and documentation of enteral
nutrition support therapy in a Veteran Affairs health care
system: use of medication administration record and bar
code scanning technology.
February 1, 2023
Chew MM, Rivas S, Chesser M, et al. Improving administration and documentation of enteral nutrition
su…
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Transitional care management (TCM) codes and the newly approved chronic care coordination codes, also
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2008
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration--2008. Am J Health Syst Pha…
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psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic
June 11, 2008 - Study
Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.
Citation Text:
Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in old…
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psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18
January 02, 2017 - Study
Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.
Citation Text:
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 S…
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psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication
May 21, 2009 - Study
Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.
Citation Text:
Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-cod…
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - Study
A new method to guard inpatient medication safety by the implementation of RFID.
Citation Text:
Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32.
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psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH
September 1, 2008
In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
Editor's note: Eric G. Poon, MD, MPH, is Director of Clinical Informatics at Brigham and Women's
Hospital and Assi…
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psnet.ahrq.gov/issue/impact-barcode-medication-administration-technology-how-nurses-spend-their-time-providing
January 09, 2008 - Study
Impact of barcode medication administration technology on how nurses spend their time providing patient care.
Citation Text:
Poon EG, Keohane CA, Bane A, et al. Impact of Barcode Medication Administration Technology on How Nurses Spend Their Time Providing Patient Care. JONA: The…
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Debriefing for Clinical Learning
Citation Text:
Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/node/37551/psn-pdf
February 20, 2008 - The uptake of technologies designed to influence
medication safety in Canadian hospitals.
February 20, 2008
Saginur M, Graham ID, Forster AJ, et al. The uptake of technologies designed to influence medication
safety in Canadian hospitals. J Eval Clin Pract. 2008;14(1):27-35. doi:10.1111/j.1365-2753.2007.00780.x.
h…
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Debriefing for Clinical Learning
November 18, 2021
Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/debriefing-clinical-learning
Updated in September 2021. Originally published in December 2011 by researchers at the University of
California, S…
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psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispensing-errors-go-undetected
October 25, 2010 - Study
How many hospital pharmacy medication dispensing errors go undetected?
Citation Text:
Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80.
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G…
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psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospital-environments
March 24, 2021 - Commentary
Radio frequency identification applications in hospital environments.
Citation Text:
Wicks AM, Visich JK, Li S. Radio frequency identification applications in hospital environments. Hosp Top. 2007;84(3):3-9. doi:10.3200/htps.84.3.3-9.
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DOI …
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psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH
September 1, 2008
Also Read an Essay
Citation Text:
In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…