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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - The child was sent home with a prescription for amoxicillin. … On day 3 after the first ED visit, the child was brought back to the ED by ambulance with pulseless … Such imaging
may have aided in the diagnosis of the child described above, as earlier treatment of her … They often present like the child described in this case, which may
have led clinicians to anchor on … Arch Dis Child. 2007;92(5):394-398. [Free full text]
18. Li ST, Tancredi DJ.
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psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
June 14, 2023 - Study
Intravenous fluid prescribing errors in children: mixed methods analysis of … Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. … June 14, 2023
What causes prescribing errors in children? Scoping review. … February 1, 2017
An Avoidable Death of a Three-year-old Child from Sepsis. … July 16, 2014
Cardiovascular medication errors in children.
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psnet.ahrq.gov/node/44943/psn-pdf
April 15, 2016 - Arch Dis Child. 2016;101(4):359-64.
doi:10.1136/archdischild-2015-309426. … evaluation-frequency-paediatric-oral-liquid-medication-dosing-errors-caregivers-amoxicillin
https://psnet.ahrq.gov/issue/liquid-medication-dosing-errors-children-role-provider-counseling-strategies
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psnet.ahrq.gov/node/40878/psn-pdf
March 02, 2012 - Arch Dis
Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635.
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psnet.ahrq.gov/node/47420/psn-pdf
January 01, 2019 - reviews a high-
profile incident involving missed and untreated sepsis that resulted in the death of a child
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psnet.ahrq.gov/node/44729/psn-pdf
January 07, 2016 - Arch Dis Child. 2016;101(1):4-
8. doi:10.1136/archdischild-2015-309536.
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - • The child was sent home with a prescription for amoxicillin.
6
Case Details (3)
• On day 3 … after the first ED visit, the child was brought back to the ED by
ambulance with pulseless electrical … – Such imaging may have aided in the diagnosis of the child described above, as earlier
treatment … They often present like the
child described in this case, which may have led clinicians to anchor on … Arch Dis Child. 2007;92(5):394-8. [Free full
text]
18. Su-Ting T. Li, Daniel J.
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psnet.ahrq.gov/node/47488/psn-pdf
December 21, 2018 - This meta-analysis used global data to estimate that a
child experiences a medication error in 1 out … psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events-children-and
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psnet.ahrq.gov/node/38693/psn-pdf
June 15, 2011 - Arch Dis Child Fetal Neonatal Ed. 2009;94(3):F210-5.
doi:10.1136/adc.2007.135020.
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psnet.ahrq.gov/node/46145/psn-pdf
September 23, 2017 - Arch Dis Child. 2017;102(7):651-654.
doi:10.1136/archdischild-2016-311877.
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psnet.ahrq.gov/node/42972/psn-pdf
February 26, 2014 - Arch Dis Child. 2014;99(1):26-9. doi:10.1136/archdischild-
2012-302783.
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psnet.ahrq.gov/node/44036/psn-pdf
April 15, 2015 - students did not detect
that parents had inadvertently provided an acetaminophen overdose to their child
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psnet.ahrq.gov/node/43583/psn-pdf
October 08, 2014 - 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/47483/psn-pdf
March 04, 2019 - assigning criminality in either instance—one centered on human
error that contributed to the death of a child
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psnet.ahrq.gov/issue/eric-cropp-weighs-error-sent-him-prison
May 07, 2018 - and is serving a prison sentence for failing to detect a medical error, which led to the death of a child … June 25, 2013
Medication errors in the home: a multisite study of children with cancer … Drug Is Not Like Another
February 1, 2011
Medication errors among adults and children
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psnet.ahrq.gov/node/41610/psn-pdf
January 25, 2017 - Adverse events among children in Canadian hospitals:
the Canadian Paediatric Adverse Events Study. … Adverse events among children in Canadian hospitals: the Canadian
Paediatric Adverse Events Study. … Hospitalized children are particularly vulnerable to specific types of errors, such as medication errors … adverse events, which accounted for approximately half of all events, were particularly common in children … A preventable error in a critically ill 8-month-old child is discussed in an
AHRQ WebM&M commentary.
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psnet.ahrq.gov/issue/underdiagnosis-hypertension-children-and-adolescents
January 04, 2012 - Study
Underdiagnosis of hypertension in children and adolescents. … Underdiagnosis of hypertension in children and adolescents. JAMA. 2007;298(8):874-9. … In this study, only one-quarter of children with high blood pressure were correctly diagnosed with hypertension … Underdiagnosis of hypertension in children and adolescents. JAMA. 2007;298(8):874-9. … August 2, 2010
Child-specific risk factors and patient safety.
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psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
January 22, 2014 - This study discovered that child protection cases and prescribing errors were the most common reasons … September 27, 2017
Finding diagnostic errors in children admitted to the PICU. … Emergency hospitalizations for unsupervised prescription medication ingestions by young children … July 2, 2014
Report 6: Managing Risk and Minimising Mistakes in Services to Children
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psnet.ahrq.gov/issue/building-bridges-between-radiology-and-emergency-medicine-consensus-conference-imaging-safety
January 25, 2010 - Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children … Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children … Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children … January 25, 2010
Ethical challenges in child abuse: what is the harm of a misdiagnosis … March 29, 2023
Common and consequential fractures that should not be missed in children
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psnet.ahrq.gov/node/49842/psn-pdf
September 01, 2018 - no-risk setting that would enable the identification of latent patient
safety threats before they harm a child … Child Health USA 2014. Rockville, MD: U.S. … Department of Health and Human Services, Health
Resources and Services Administration, Maternal and Child … Survival after out-of-hospital cardiac arrest in children. J Am
Heart Assoc. 2015;4:e002122. … Joint
policy statement—guidelines for care of children in the emergency department.