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PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50.
This failure mode and effects analysis (FMEA) explores factors contributing to near miss and adverse events related to alarm response and provides strategies to prevent monitoring failures.
Journal Article > Study
Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system.
Hougland P, Xu W, Pickard S, Masheter C, Williams SD. Med Care. 2006;44:629-636.
This Agency for Healthcare Research and Quality (AHRQ)–supported study evaluated the effectiveness of using designated ICD-9 codes to detect adverse drug events (ADEs). Investigators convened an expert panel to identify codes representing ADEs and then performed retrospective chart reviews with a structured tool to determine the success of this methodology. Overall, flagged ADE codes detected just more than half of ADEs causing hospital admission, making it a readily available tool but not a comprehensive one. Past studies have evaluated the use of ICD-9 codes for similar purposes and for surveillance of device-related hazards.