U.S. Department of Health & Human Services
Bar Coding and Radiofrequency ID Tagging
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (11)
Diagnostic Errors (2)
Identification Errors (30)
Discontinuities, Gaps, and Hand-Off Problems (9)
Medication Safety (123)
Medical Complications (4)
Nonsurgical Procedural Complications (2)
Surgical Complications (18)
Transfusion Complications (8)
Psychological and Social Complications (1)
Australia and New Zealand (2)
North America (148)
Journal Article (107)
Newspaper/Magazine Article (45)
Press Release/Announcement (1)
Special or Theme Issue (1)
Web Resource (1)
Epidemiology of Errors and Adverse Events (38)
Active Errors (46)
Latent Errors (14)
Near Miss (4)
Approach to Improving Safety
Bar Coding and Radiofrequency ID Tagging
Health Care Providers (118)
Health Care Executives and Administrators (131)
Non-Health Care Professionals (86)
Setting of Care
Residential Facilities (1)
Ambulatory Care (6)
Outpatient Surgery (1)
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Intravenous infusion safety technology: return on investment.
Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.
Misprogramming PCA concentration leads to dosing errors.
ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.
Effect of bar-code technology on the safety of medication administration.
Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.
Bar code technology and medication administration error.
Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.
Epidural-IV route mix-ups: reducing the risk of deadly errors.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
Shaping systems for better behavioral choices: lessons learned from a fatal medication error.
Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.
Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.
Pedersen CA, Schneider P, Scheckelhoff DJ. Am J Health Syst Pharm. 2009;66:926-946.
Bar-code technology for medication administration: medication errors and nurse satisfaction.
Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.
Bar-Coded Medication Administration (BCMA).
Decisionmaker Brief. AHRQ Publication No: 08-0085, August 2008. Agency for Healthcare Research and Quality, Rockville, MD.
A new method to guard inpatient medication safety by the implementation of RFID.
Sun PR, Wang BH, Wu F. J Med Syst. 2008;32:327-332.
An extra dose of safety.
Health Manage Techol. April 2007;28:30-32, 34.
The Role of Bar Coding and Smart Pumps in Safety
Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.
Design for reliability: barcoded medication administration.
Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.
Implementing a safe and reliable process for medication administration.
Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.
Bar-code verification: reducing but not eliminating medication errors.
Henneman PL, Marquard JL, Fisher DL, et al. J Nurs Adm. 2012;42:562-566.
Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."
Ching JM, Williams BL, Idemoto LM, Blackmore CC. Jt Comm J Qual Patient Saf. 2014;40:341-350.
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