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psnet.ahrq.gov/issue/learning-mistakes
March 28, 2018 - October 7, 2020
An Avoidable Death of a Three-year-old Child from Sepsis. … January 14, 2015
An Avoidable Death of a Three-year-old Child from Sepsis.
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psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - He responded by phone that the heart rate was too low even for an athletic child and she should get an … ... the natural anxiety and solicitude which [a physician] experiences at the sickness of a wife, a child … for minor acute illness.( 6 ) If the child had a fever, most called the child's actual pediatrician, … doctor–patient relationship is superimposed for too long on that of husband and wife or parent and child … Physicians treating their own children. Am J Dis Child. 1993;147:146-149. [go to PubMed] 7.
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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - The mother
expressed concern that the child might have a fracture and requested an x-ray. … Physical exam revealed a fussy child with normal vital signs and no evidence of ecchymosis, edema, or … The child was somewhat unsteady when placed on the floor to
stand and remained uncooperative with an … Patient-
and family-centered care and the role of the emergency physician providing care to a child … Patient- and Family-Centered Care and the Role of the Emergency Physician Providing Care to a Child
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - For example, there have been cases involving parents who have lost a child to a medical error who say … JM : Yes, I'd love to talk about children. … The other thing is children who are siblings of an injured child. … Particularly if the child is the injured patient. … Some children are very emotionally intelligent, and it should be based on maturity rather than just the
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psnet.ahrq.gov/issue/emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children
April 22, 2020 - Emergency hospitalizations for unsupervised prescription medication ingestions by young children … Emergency hospitalizations for unsupervised prescription medication ingestions by young children. … Accidental ingestions of prescription medications by children pose serious safety risks. … Prior efforts to mitigate this hazard include child-resistant packaging and public education about safe … Three-quarters of these events involved 1- or 2-year-old children.
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psnet.ahrq.gov/node/38107/psn-pdf
June 16, 2019 - medication administration records may cause
medication errors, and fatal misuse of a fentanyl patch on a child
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psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
September 27, 2023 - December 16, 2020
Impact of professional interpreters on outcomes for hospitalized children
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psnet.ahrq.gov/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients
August 31, 2016 - August 31, 2016
An Avoidable Death of a Three-year-old Child from Sepsis. … March 18, 2015
An Avoidable Death of a Three-year-old Child from Sepsis.
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psnet.ahrq.gov/node/72558/psn-pdf
December 09, 2020 - decision-making skills by testing participants as they work through a time-
delimited scenario with a sick child
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psnet.ahrq.gov/node/60216/psn-pdf
April 08, 2020 - Missed or delayed diagnosis in maternal care can result in serious harm to both the mother and the child
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psnet.ahrq.gov/node/74846/psn-pdf
February 16, 2022 - Weight-based Medication Errors in Children. … https://psnet.ahrq.gov/issue/weight-based-medication-errors-children
Weight-calculation errors can result … This report examines factors contributing to a computation
mistake that resulted in a child receiving … https://psnet.ahrq.gov/issue/weight-based-medication-errors-children
https://psnet.ahrq.gov/issue/interventions-reduce-pediatric-prescribing-errors-professional-healthcare-settings-systematic … https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
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psnet.ahrq.gov/node/837422/psn-pdf
June 15, 2022 - Reported clinical incidents of children with intellectual
disability: a qualitative analysis. … Reported clinical incidents of children with intellectual disability: a
qualitative analysis. … Dev Med Child Neurol. 2022;64(11):1359-1365. doi:10.1111/dmcn.15262. … https://psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis … https://psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
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psnet.ahrq.gov/node/49613/psn-pdf
November 01, 2010 - Approximately 5 minutes later, after giving the child 15 mL of the breast milk, the mother
noticed that … milk
might, in fact, be hers—despite the fact that the initials on the bottle were not those of her child … Human immunodeficiency virus (HIV) can pass from mother to child
via breast milk. … John-Stewart G, Mbori-Ngacha D, Ekpini R, et al; Ghent IAS Working Group on HIV in Women Children. … Paediatr Child Health. 2006;11:489-491. [Available at]
11.
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psnet.ahrq.gov/issue/factors-affect-opioid-quality-improvement-initiatives-primary-care-insights-ten-health
November 03, 2021 - View More
Related Resources
Opioid prescribing for acute pain management in children … August 25, 2021
Children and the opioid epidemic: age-stratified exposures and harms.
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psnet.ahrq.gov/node/838020/psn-pdf
September 07, 2022 - Families’ experiences of central-line infection in children:
a qualitative study. … Families’ experiences of central-line infection in children: a qualitative
study. … Arch Dis Child. 2022;107(11):1038-1042. doi:10.1136/archdischild-2022-324186. … Children with complex medical needs are vulnerable to patient safety threats. … ://psnet.ahrq.gov/issue/family-safety-reporting-hospitalized-children-medical-complexity
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psnet.ahrq.gov/node/842431/psn-pdf
January 11, 2023 - latent systemic racism influences decision making to affect a Black mother’s ability to care for her child … anti-black-racism-chronic-condition
https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children … https://psnet.ahrq.gov/issue/racial-disparities-pain-management-children-appendicitis-emergency-departments
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psnet.ahrq.gov/node/843092/psn-pdf
January 25, 2023 - Better off at home--how we fail children with complex
medical conditions. … Better off at home--how we fail children with complex medical conditions. … https://psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medical-conditions
Children with … physician-parent’s perspective on weaknesses in the care system that decreased
medication safety for her child … https://psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medical-conditions
https://psnet.ahrq.gov
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - At the second ED, an LP was done after another physician evaluation, and the child was diagnosed with … Despite the several-hour delay, the child was treated with 10 days of medication and recovered fully. … Current recommendations are that all febrile children younger than 1 month of age should have samples … Management of the young febrile child: a commentary on recent practice guidelines. … Management of the young febrile child. Commentary on Practice Guidelines.
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psnet.ahrq.gov/node/48132/psn-pdf
March 18, 2025 - The 2025 theme is "Safe care for every newborn and every child"
with the slogan “Patient safety from
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psnet.ahrq.gov/issue/development-huddle-observation-tool-structured-case-management-discussions-improve-situation
March 06, 2013 - Study
Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards.
Citation Text:
Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured case management …