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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/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/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/49439/psn-pdf
March 01, 2004 - https://psnet.ahrq.gov/web-mm/lethal-cap
The Case
A 9-month-old child was seen by her pediatrician … He gave the dose to the child
who suddenly had difficulty breathing and collapsed. … When emergency medical services (EMS) arrived, the
child was intubated and transported to a children's
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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.
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psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - relying on automation,
would she have realized that this weight was incongruent with the 17-month-old child … #references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
safeguard the child … during my pediatric residency training
working in an ill-equipped ED and asking parents to hold their child … infant or pediatric scale, pediatric weights are documented
based on parental history: "What did your child … Joint
Policy Statement—Guidelines for Care of Children in the Emergency Department.
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psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke
April 24, 2018 - This study explored diagnostic delays for children with strokes and found significant delays at each … advocate for obtaining an MRI expeditiously in any suspected case of arterial ischemic stroke in a child … September 23, 2020
Health and social care-associated harm amongst vulnerable children … April 24, 2019
Finding diagnostic errors in children admitted to the PICU.
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psnet.ahrq.gov/node/39457/psn-pdf
April 12, 2011 - Arch Dis Child. 2009.
doi:10.1136/adc.2009.163097. … This survey of parents of children seen in
inpatient and ambulatory settings confirmed prior studies … in finding that parents desire full disclosure of
errors and near misses affecting their children, … and most parents also wanted their children informed. … Interestingly, parents born in Asia had a lower threshold for disclosing errors to their children, implying
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psnet.ahrq.gov/node/44823/psn-pdf
February 15, 2017 - Pediatricians commonly advise parents to keep medications and chemicals inaccessible to their young
children … access potentially harmful substances, providers typically begin these conversations with parents when
children … exploratory exposures and other scenarios leading to access,
such as a sibling providing a substance to the child … psnet.ahrq.gov/issue/emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children … year-analysis-national-poison-data-system
https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
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psnet.ahrq.gov/issue/color-coding-reduce-errors
June 22, 2009 - The authors present a color-coding system that helps estimate the weight of a child in a critical situation … Related Resources From the Same Author(s)
Reducing pediatric medication errors: children
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psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call
May 07, 2018 - The child suffered a cardiac arrest and died.
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psnet.ahrq.gov/node/41732/psn-pdf
October 03, 2012 - Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093.
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psnet.ahrq.gov/issue/iatrogenesis-pediatrics
April 24, 2024 - July 28, 2021
How should clinicians minimize bias when responding to suspicions about child … Improving Diagnostic Safety and Quality
April 26, 2023
Protecting children … The proportion of errors in medical prescriptions and their executions among hospitalized children
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - Before the child could be transfused,
she suddenly collapsed and developed cardiac arrest accompanied … A “code blue” was called and the child was successfully resuscitated after about 20 minutes,
https:/ … In small children, it is best
to avoid J-tipped wires as the radius of the curve is often larger than … was not used in this case, attempting bilateral
subclavian vein cannulation is not appropriate in children … Hickman central venous catheters in children: open versus percutaneous
technique.
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psnet.ahrq.gov/issue/just-bag-it
November 04, 2020 - July 11, 2018
Child Health Patient Safety Organization.
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psnet.ahrq.gov/issue/soaring-numbers-111-callers-forced-wait-call-back
September 21, 2016 - infant who died from sepsis after a call handler from the NHS 111 service failed to recognize that the child
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - 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 cc of
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - The postpartum period (the 12 weeks following the birth of a child) and the late
postpartum period ( … I talk to grandparents about how they struggled after they
had their own children. … parent may create an environment that may lead to separation and not being allowed to
parent that child … -
infant separation, or dyad care, and seeing spaces where safety can be maintained for the parent–child … We need the ability
to have more accessible and timely data on maternal child health broadly in the
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - high-strength preparations of botulinum toxin.( 3,4 ) Two separate cases of iatrogenic botulism in children … Like the child in this case, patients receiving botulinum neurotoxin for spasticity often have long-term … Children may be particularly vulnerable to adverse drug events due to the need for weight-based dosing … Organizations should take specific steps to improve medication safety for patients (especially children … Iatrogenic botulism in a child with spastic quadriparesis. J Child Neurol. 2007;22:1235-1237.
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psnet.ahrq.gov/issue/hear-her-concerns
April 01, 2024 - February 15, 2023
Her child was stillborn at 39 weeks.