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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/49726/psn-pdf
March 01, 2015 - incorrect
level.(2) Wrong-site surgery has long been recognized as a sentinel event—an unexpected occurrence
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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/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - Those conditions include the unpredictable occurrence of emergencies, the inability to “pause” necessary … The goal is to understand the causes of errors to prevent the future occurrence of a similar event.
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - Those conditions include the unpredictable occurrence of emergencies, the inability to “pause” necessary … The goal is to understand the causes of errors to prevent the future occurrence of a similar event.
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - Natural language software uses statistical inference to look at the frequency, occurrence, and relationship … Is it trying to see which articles or which chapters in books have the most frequent occurrence of all
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - e.g.,
American Society of Anesthesiologists Physical Status 4 or 5), high-
risk operations, or the occurrence
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psnet.ahrq.gov/node/49823/psn-pdf
March 01, 2018 - symptoms of acetaminophen
overdose, but the nonspecific nature of these symptoms and their common occurrence
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - Innovator
Summary
Adverse events resulting from medications are a common occurrence
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - While the occurrence of an adverse drug event (ADE) is not always the result of medication error, it
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Hospital and patient characteristics associated with death
after surgery- a study of adverse occurrence
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psnet.ahrq.gov/web-mm/mid-summer-fog
September 29, 2017 - protocol designed to improve glycemic control may not only fail to do so, but may even contribute to the occurrence
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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/…