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psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature
June 15, 2011 - Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8. … Arch Dis Child Fetal Neonatal Ed . 2007; 92 (5) :F391-8 . … Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8. … 24, 2018
Association of diagnostic stewardship for blood cultures in critically ill children
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psnet.ahrq.gov/web-mm/confusion-acetaminophen
December 01, 2009 - of 20 mL (48 mg/mL solution equaling 960 mg per dose ) instead of the correct dose for their 20-kg child … include an intentional overdose with a single dose exceeding 140 mg/kg, unintentional overdose when a child … to limit liquid preparations to only a single concentration might prevent confusion regarding infant/child … use of cough/cold preparations containing acetaminophen if you plan to recommend acetaminophen for a child … Acetaminophen use in children: more is not better.
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psnet.ahrq.gov/node/44183/psn-pdf
November 03, 2015 - The absence of a drug–disease interaction alert leads to a
child's death.
November 3, 2015
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
The disabling of alerts due to alarm fatigue can hinder the abilit…
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psnet.ahrq.gov/issue/weight-based-medication-errors-children
March 16, 2022 - Book/Report
Weight-based Medication Errors in Children. … Citation Text:
Weight-based Medication Errors in Children. … This report examines factors contributing to a computation mistake that resulted in a child receiving … Cite
Citation
Citation Text:
Weight-based Medication Errors in Children … February 16, 2022
Fatal mistakes: why do ten-fold medication errors in children keep
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psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting
August 12, 2020 - May 30, 2018
When the misdiagnosis is child abuse. … : The Evolution of Patient Safety Teamwork Training
February 28, 2024
Her child
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - point-care-mixup-1-shot-turns-3
The Case
A 2-month-old boy was brought in for a routine 2-month well-child … under 1 year of age is dramatic in comparison
to that experienced by older children. … at virtually every well-child primary health care visit, from
infancy to school age. … Vaccines and Your Child: Separating Fact From Fiction. … Reducing immunization discomfort in 4- to 6- year old children: a
randomized clinical trial.
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psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake
September 02, 2020 - Citation
Related Resources From the Same Author(s)
When the misdiagnosis is child … July 31, 2013
Ethical challenges in child abuse: what is the harm of a misdiagnosis?
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - The child slept well and in the morning his vital signs were all normal. … His aunt assumed this was due to the viral infection, and the child was not evaluated by the nurse during … fluid intake requirements, and medication doses in pediatrics all vary with age and/or weight of the child … The Figure shows an example of a pediatric early warning score card; a child is felt to be at risk if … Child-specific risk factors and patient safety. J Patient Saf. 2005;1:17-22. [Available at]
3.
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - The wound was close to the eye, the child
squirmed during the application, and no eye protection was … After the procedure,
the physician realized that the child could no longer open his eye, which had been … An
ophthalmologist evaluated the child the next day, and fortunately, there was no permanent injury. … and Primary Care physicians
tasked with closing minor lacerations on frightened and non-compliant children … Tissue adhesives for traumatic lacerations in children and
adults.
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psnet.ahrq.gov/node/49592/psn-pdf
October 01, 2009 - One of these policies limited the number of IV sticks in children, so the nurse requested that anesthesiology … Upon her return, the nurse observed that
the child was apneic and again requested monitoring. … The child was apneic briefly but recovered without incident. … The Commentary
https://psnet.ahrq.gov/web-mm/danger-disruption
Unsafe care for a child. … These two colleagues are ultimately responsible in equal measure for safe care of all children on the
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
October 01, 2013 - patients are treated with respect and compassion
3
3
Case: Gender Variance (1)
An 8-year-old child … Health care for gender variant or gender non-conforming children. … 165:171-176. http://www.ncbi.nlm.nih.gov/pubmed/21300658
7
Case: Gender Variance (2)
The mother and child … acknowledged the error when it occurred, apologized for the harm done, and reassured both mother and child … was done well at that visit and what specific behaviors could be improved in the future care of her child
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psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
February 06, 2019 - Newspaper/Magazine Article
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages.
Citation Text:
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Noguchi Y. Health Shots and All Things Considered. National Public Ra…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - The surgeon then injected multiple boluses of saline and Hypaque dye and the child became tachycardic … Once pericardiocentesis was finally performed, the child immediately improved, and more than 200 ccs … Ultimately, the child required two pericardiocenteses and was intubated overnight in the PICU.
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psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution
May 13, 2020 - Prior research has shown that parents may help identify safety incidents affecting hospitalized children … The proportion of errors in medical prescriptions and their executions among hospitalized children … 30, 2016
Rates of medical errors and preventable adverse events among hospitalized children
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psnet.ahrq.gov/issue/are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners
July 22, 2013 - They found that parents who wanted to watch over their child were more likely to question providers … December 4, 2016
Parents' perspectives on "keeping their children safe" in the hospital
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psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
April 14, 2021 - 29, 2023
How should clinicians minimize bias when responding to suspicions about child … January 25, 2023
Racial disparities in child abuse medicine.
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psnet.ahrq.gov/issue/coproduced-family-reporting-intervention-improve-safety-surveillance-and-reduce-disparities
September 06, 2023 - Parents of children with medical complexity (CMC) are experts in their child's needs and can provide … July 20, 2022
Family safety reporting in medically complex children: parent, staff, and … August 9, 2023
Family safety reporting in hospitalized children with medical complexity … July 20, 2022
Family safety reporting in medically complex children: parent, staff, and … and facilitators to implementing a process to enable parent escalation of care for the deteriorating child
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psnet.ahrq.gov/issue/their-own-words-safety-and-quality-perspectives-families-hospitalized-children-medical
September 18, 2024 - In their own words: safety and quality perspectives from families of hospitalized children … In their own words: safety and quality perspectives from families of hospitalized children with medical … Parents of children with medical complexity can offer unique perspectives on hospital quality and safety … In their own words: safety and quality perspectives from families of hospitalized children with medical … October 4, 2023
Family safety reporting in medically complex children: parent, staff,
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psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - psnet.ahrq.gov//#references
The case presented offers an opportunity to first review whether the 6-year-old child … Reflections on the Case
Without all of the details presented, we will assume the child met criteria … Helpful questions may include whether the child is on daily bronchodilator or inhaled corticosteroid … therapy
and how frequently these medications are used; whether the child required treatment in the emergency … room setting for asthma; and whether the child was hospitalized or intubated for asthma in the past
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psnet.ahrq.gov/issue/abortion-bans-have-consequences-wanted-pregnancies-too
August 16, 2023 - February 22, 2023
Her child was stillborn at 39 weeks.