AHRQ Patient Safety Network

The Collection > Bar Coding and Radiofrequency ID Tagging

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Safety Target

•Device-related Complications (11)

•Diagnostic Errors (2)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (9)

•Medication Safety (116)

•Medical Complications (5)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (19)

•Transfusion Complications (7)

•Psychological and Social Complications (1)

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•Asia (1)

•Australia and New Zealand (2)

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•Journal Article (99)

•Legislation/Regulation (3)

•Newspaper/Magazine Article (45)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

•Tools/Toolkit (5)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (31)

•Active Errors (45)

•Latent Errors (14)

•Near Miss (5)

Approach to Improving Safety
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Bar Coding and Radiofrequency ID Tagging

Clinical Areas

•Medicine (90)

•Nursing (28)

•Pharmacy (62)

Target Audience

•Health Care Providers (109)

•Health Care Executives and Administrators (124)

•Non-Health Care Professionals (80)

•Patients (27)

Setting of Care

•Hospitals (124)

•Residential Facilities (1)

•Ambulatory Care (5)

•Outpatient Surgery (1)

1 - 20 of 166

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

NEWSPAPER/MAGAZINE ARTICLE

Misprogramming PCA concentration leads to dosing errors.

ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

COMMENTARY

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:960-964.

STUDY

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.

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

NEWSPAPER/MAGAZINE ARTICLE

Experts offer smart tips for smart pumps.

Gebhart F. Drug Topics (Health-System Edition). July 23, 2007.

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.

NEWSPAPER/MAGAZINE ARTICLE

Drug shortages: a pharmacy informatics perspective.

Edillo PN. Pharm Purch Prod. April 2011;8:26.

ORGANIZATIONAL POLICY/GUIDELINES

ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications.

Am J Health Syst Pharm. 2011;68:442-445.

PRESS RELEASE/ANNOUNCEMENT

20 mEq potassium chloride in 5% dextrose and 0.45% sodium chloride injection.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 9, 2008.

COMMENTARY

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.

NEWSPAPER/MAGAZINE ARTICLE

Barcode technology flaws put some patients at risk.

US News & World Report. July 3, 2008.

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