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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - likely to give rise to human error and change the underlying systems of care in order to reduce the
occurrence
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - As with the more general
term adverse event, the occurrence of an ADE does not necessarily indicate
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psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
June 15, 2024 - October 7, 2015
The effect of a transitional pharmaceutical care program on the occurrence of ADEs
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psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - These factors have been shown to increase the occurrence of preventable medication errors.( 1 ) Many
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - reassured by a clinical response.( 6 ) Thus, the clinician is challenged by the relatively infrequent occurrence
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psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - While an unfortunate occurrence after this procedure, I believe that it was coincidental, and that the
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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - The New York patient occurrence reporting and tracking system annual report 2000/2001.
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - April 19, 2017
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/node/838243/psn-pdf
October 05, 2022 - Evaluation of medication incidents in a long-term care
facility using electronic medication administration
records and barcode technology.
October 5, 2022
Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility
using electronic medication administration records …
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psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
March 11, 2019 - September 9, 2015
The occurrence of adverse events potentially attributable to nursing
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psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection
November 16, 2016 - October 18, 2023
Design of a retrospective patient record study on the occurrence of
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psnet.ahrq.gov/issue/factors-associated-workarounds-barcode-assisted-medication-administration-hospitals
January 23, 2019 - July 22, 2020
The effect of a transitional pharmaceutical care program on the occurrence
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psnet.ahrq.gov/node/38721/psn-pdf
June 25, 2009 - Effect of bar-code–assisted medication administration on
medication error rates in an adult medical intensive care
unit.
June 25, 2009
DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on
medication error rates in an adult medical intensive care unit. Am J Health Syst Ph…
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psnet.ahrq.gov/node/46101/psn-pdf
January 01, 2018 - Factors associated with barcode medication
administration technology that contribute to patient
safety: an integrative review.
December 19, 2017
Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration
Technology That Contribute to Patient Safety: An Integrative Review…
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psnet.ahrq.gov/node/47044/psn-pdf
April 18, 2018 - Bedside computer vision—moving artificial intelligence
from driver assistance to patient safety.
April 18, 2018
Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver
Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891.
…
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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/node/37776/psn-pdf
January 31, 2011 - Barcoded medication administration: a last line of
defense.
January 31, 2011
Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA.
2008;299(18):2200-2. doi:10.1001/jama.299.18.2200.
https://psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
Barcoding techn…
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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/46587/psn-pdf
January 23, 2019 - Association between workarounds and medication
administration errors in bar-code-assisted medication
administration in hospitals.
January 23, 2019
van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication
administration errors in bar-code-assisted medication administration…
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psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - Incidence and characteristics of potential and actual
retained foreign object events in surgical patients.
June 10, 2010
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained
foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7.
doi:10.1016/…