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5381. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
      December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005  View more articles from the same authors. Citation Text: Conway JB, Weingart SN. Organizational Change…

5382. A safety culture transformation: its effects at a children's hospital. | PSNet
      psnet.ahrq.gov/issue/safety-culture-transformation-its-effects-childrens-hospital
      November 04, 2014 - Related Resources Adverse events and patient outcomes among hospitalized children

5383. Privacy Gone Awry | PSNet
      psnet.ahrq.gov/web-mm/privacy-gone-awry
      February 24, 2011 - The Case A 3-year-old child underwent bilateral myringotomies and tube insertion with adenoidectomy … The anesthesiologist and otolaryngologist were called stat, and found the child in extremis. … The child was admitted overnight and was discharged the following morning after her respiratory status … Because this child developed an unexpected compromise in her oxygenation, the decision was made to monitor … 3-year-old truly care about her privacy or might the isolation of closed drapes have frightened the child

5384. Decreasing handoff-related care failures in children's hospitals. | PSNet
      psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals
      April 24, 2018 - Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children … 15, 2016 Rates of medical errors and preventable adverse events among hospitalized children … April 11, 2012 Hospital admission medication reconciliation in medically complex children

5385. In Conversation With… Reed V. Tuckson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
      September 01, 2016 - A mother should not have to unnecessarily bundle her three children at dinnertime into a car and drive … EDs) and pediatric critical care physicians in a large academic medical center to manage treatment of children

5386. Sloppy and Paste | PSNet
      psnet.ahrq.gov/web-mm/sloppy-and-paste
      February 02, 2011 - Care Unit December 1, 2012 Opioid prescribing for acute pain management in children

5387. Suicide Risk in the Hospital | PSNet
      psnet.ahrq.gov/web-mm/suicide-risk-hospital
      November 01, 2011 - abuse, chronic illness, pain, and psychosocial stressors (e.g., job loss, divorce, or separation from children

5388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49769/psn-pdf
      September 01, 2016 - Parent-reported errors and adverse events in hospitalized children.

5389. Air on the Side of Caution | PSNet
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      April 21, 2015 - Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children

5390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49538/psn-pdf
      June 01, 2007 - The return of research results to participants: pilot questionnaire of adolescents and parents of children

5391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50842/psn-pdf
      January 29, 2020 - The next day, the night shift RN discovered the child had another patient’s identification (ID) band … These errors are more likely in pediatric patients since small children and newborns are not able to

5392. Implementation and impact of a rapid response team in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital
      April 24, 2018 - Paediatric early warning systems for detecting and responding to clinical deterioration in children … Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children

5393. Lost in translation: impact of language barriers on children's healthcare. | PSNet
      psnet.ahrq.gov/issue/lost-translation-impact-language-barriers-childrens-healthcare
      January 06, 2018 - Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children

5394. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. | PSNet
      psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens
      December 02, 2014 - Physician attitudes toward family-activated medical emergency teams for hospitalized children

5395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44501/psn-pdf
      January 22, 2016 - achieve consensus among emergency medical service providers about perceived challenges of caring for children … and decision-making, appropriate medication and equipment, and skills and experience with caring for children

5396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47640/psn-pdf
      March 20, 2019 - Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. March 20, 2019 Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participants in the Children's Hospitals' S…

5397. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73583/psn-pdf
      August 11, 2021 - Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. August 11, 2021 Bartman T, Merandi J, Maa T, et al. Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. Jt Comm J Qual Patient Saf. 2021;47(8)…

5398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47208/psn-pdf
      July 19, 2018 - This represents almost $150 million in savings from harm avoided for an estimated 9000 children.

5399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35099/psn-pdf
      June 09, 2009 - McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release]. June 9, 2009 McNeil Consumer & Specialty Pharmaceuticals. June 3, 2005. https://psnet.ahrq.gov/issue/mcneil-cons…

5400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45072/psn-pdf
      May 04, 2016 - storage carts in patient rooms, and parent education—led to improvements in safe sleep, though most children