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psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized
November 12, 2014 - an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child … an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child … an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child … Physician attitudes toward family-activated medical emergency teams for hospitalized children
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psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family
July 08, 2009 - Pediatric safety in the emergency department: identifying risks and preparing to care for child … Pediatric safety in the emergency department: identifying risks and preparing to care for child and family … Pediatric safety in the emergency department: identifying risks and preparing to care for child and family
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - 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 Unsafe care for a child. Emotional distress for health care providers. … These two colleagues are ultimately responsible in equal measure for safe care of all children on the
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psnet.ahrq.gov/node/73696/psn-pdf
September 15, 2021 - factors-related-serious-safety-events-childrens-hospital-patient-safety-
collaborative
Based on analysis of four years of data submitted to the Child … factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative
https://psnet.ahrq.gov/issue/child-health-patient-safety-organization
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psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
September 22, 2021 - standardized participants, trainees were presented with a case involving an 18-month-old African American child … As part of the simulation, an orthopedic resident on the care team was pushing for involving child welfare
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psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
December 07, 2022 - MCN Am J Matern Child Nurs. 2016;41(5):280-6. doi:10.1097/NMC.0000000000000261. … MCN Am J Matern Child Nurs . 2016; 41 (5) :280-6 . … MCN Am J Matern Child Nurs. 2016;41(5):280-6. doi:10.1097/NMC.0000000000000261. … Resources
Improving communication of diagnostic uncertainty to families of hospitalized children … June 5, 2024
Parents' understanding of medication at discharge and potential harm in children
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psnet.ahrq.gov/issue/iatrogenic-psychological-harm
February 28, 2024 - Arch Dis Child. 2012;97(5):440-6. doi:10.1136/archdischild-2011-300362. … Arch Dis Child . 2012; 97 (5) :440-6 .
View more articles from the same authors. … Arch Dis Child. 2012;97(5):440-6. doi:10.1136/archdischild-2011-300362. … October 12, 2016
Patient safety incidents involving sick children in primary care in
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psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
June 28, 2017 - Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175. … Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175. … July 10, 2019
Adverse events and patient outcomes among hospitalized children cared for … Paediatric early warning systems for detecting and responding to clinical deterioration in children … October 30, 2010
Child-specific risk factors and patient safety.
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psnet.ahrq.gov/issue/how-avoid-paediatric-medication-errors-users-guide-literature
May 26, 2011 - Arch Dis Child. 2005;90(7):698-702. … Arch Dis Child. 2005;90(7):698-702. … May 26, 2011
Medication errors related to computerized order entry for children. … October 10, 2012
Prescribing safely for children. … April 11, 2011
Child-specific risk factors and patient safety.
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - for Tonsillectomy 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/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
October 19, 2022 - MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9. … MCN Am J Matern Child Nurs . 2009; 34 (1) :18-23 . … MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9.
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psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review
October 02, 2019 - Arch Dis Child. 2005;90(7). doi:10.1136/adc.2004.066639. … Arch Dis Child . 2005; 90 (7) .
View more articles from the same authors. … Arch Dis Child. 2005;90(7). doi:10.1136/adc.2004.066639.
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psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
October 19, 2022 - Arch Dis Child. 2008;93(4):313-5. doi:10.1136/adc.2007.127761. … Arch Dis Child . 2008; 93 (4) :313-5 .
View more articles from the same authors. … Arch Dis Child. 2008;93(4):313-5. doi:10.1136/adc.2007.127761.
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psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
January 22, 2016 - Study
"Mr Smith's been our problem child today... … "Mr Smith's been our problem child today…": anticipatory management communication (AMC) in VA end-of-shift … "Mr Smith's been our problem child today…": anticipatory management communication (AMC) in VA end-of-shift … Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children
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psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors
June 26, 2019 - Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. … Arch Dis Child Educ Pract Ed . 2022; 108 (2) :115-119 . … Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. … June 26, 2019
For children admitted to hospital, what interventions improve medication … April 16, 2014
Oral outpatient chemotherapy medication errors in children with acute
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psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
April 03, 2019 - Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401. … Arch Dis Child . 2019; 104 (12) :1130-1133 .
View more articles from the same authors. … Children are vulnerable to delayed or missed diagnosis , infections, and medication errors. … Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401. … Improving Diagnostic Safety and Quality
April 26, 2023
Protecting children
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psnet.ahrq.gov/issue/circumstances-involved-unsupervised-solid-dose-medication-exposures-among-young-children
February 23, 2018 - Circumstances involved in unsupervised solid dose medication exposures among young children … Circumstances involved in unsupervised solid dose medication exposures among young children. … The majority of incidents (71.6%) involved children 2 years and younger. … divided among calls involving prescription-only medications, over-the-counter (OTC) projects requiring child-resistant … of adults removing medications from original packaging as the result of improper use or failure of child-resistant
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psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
December 14, 2016 - Dev Med Child Neurol. 2006;48(12):985-90. … Dev Med Child Neurol . 2006; 48 (12) :985-90 . … The researchers analyzed case histories of children affected by stroke and found the condition was frequently … Dev Med Child Neurol. 2006;48(12):985-90. … November 18, 2016
Impact of professional interpreters on outcomes for hospitalized children
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psnet.ahrq.gov/node/50817/psn-pdf
January 22, 2020 - Arch Dis Child. 2020;105(5):446-451. doi:10.1136/archdischild-2019-317965. … and Wales’ National Reporting and Learning
System sought to identify safety concerns experienced by children … The reports clearly stated harm to
the child in 41% of incidents, such as emergency tracheostomy change
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psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - Study
Health and social care-associated harm amongst vulnerable children in primary … Arch Dis Child. 2020;105(8):731-777. doi:10.1136/archdischild-2019-318406. … Arch Dis Child . 2020; 105 (8) :731-777 .
View more articles from the same authors. … children with social-, psychological, or physical vulnerabilities. … Arch Dis Child. 2020;105(8):731-777. doi:10.1136/archdischild-2019-318406.