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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60680/psn-pdf
     July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. … Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. … https://psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project … https://psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde … https://psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47867/psn-pdf
     June 19, 2019 - Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized … Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized … https://psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia … and effects analysis to identify process weaknesses in perioperative acetaminophen administration in pediatric … https://psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73137/psn-pdf
     April 14, 2021 - Adverse drug event-related admissions to a pediatric emergency unit. … Adverse drug event-related admissions to a pediatric emergency unit. … https://psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit This study … sought to determine the rate of pediatric emergency department (ED) visits due to adverse drug events … Of 1,708 pediatric patients, 12.3% were admitted to the ED due to ADEs, with the highest rates of admission

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850933/psn-pdf
     June 21, 2023 - The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers … The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers … https://psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric- intensive-care-providers … Preventable harm continues to occur in high-risk care environments such as the pediatric intensive … In this survey of 266 clinicians within a large pediatric healthcare system, 42% reported experiencing

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867231/psn-pdf
     December 04, 2024 - Inequities in inpatient pediatric patient safety events by category. … Inequities in inpatient pediatric patient safety events by category. … https://psnet.ahrq.gov/issue/inequities-inpatient-pediatric-patient-safety-events-category Previous … adverse events (AEs) and other patient safety events (PSEs), such as near misses or no-harm events, in pediatric … https://psnet.ahrq.gov/issue/inequities-inpatient-pediatric-patient-safety-events-category https://psnet.ahrq.gov

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837506/psn-pdf
     June 22, 2022 - Reducing pediatric emergency department prescription errors. … Reducing pediatric emergency department prescription errors. … https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors Several factors … This quality improvement project in one pediatric emergency department identified four key drivers and … https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors https://psnet.ahrq.gov

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837701/psn-pdf
     July 20, 2022 - Pediatric surgical errors: a systematic scoping review. … Pediatric surgical errors: a systematic scoping review. … https://psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review Patient safety improvement … This scoping review explored how medical errors are defined and measured in studies of pediatric surgery … https://psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review https://psnet.ahrq.gov

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862613/psn-pdf
     February 14, 2024 - Standardizing medication reconciliation in a pediatric emergency department. … Standardizing medication reconciliation in a pediatric emergency department. … https://psnet.ahrq.gov/issue/standardizing-medication-reconciliation-pediatric-emergency-department … record-based interventions to increase completed medication reconciliation in one health systems’ pediatric … https://psnet.ahrq.gov/issue/standardizing-medication-reconciliation-pediatric-emergency-department https

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72702/psn-pdf
     February 03, 2021 - Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … https://psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative … The Wake Up Safe initiative includes a registry of serious adverse events occurring in pediatric anesthesia … https://psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative https

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852455/psn-pdf
     August 16, 2023 - A quality improvement initiative to improve pediatric discharge medication safety and efficiency. … A quality improvement initiative to improve pediatric discharge medication safety and efficiency. … https://psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety … record (EHR) system was associated with improved inpatient discharge medication reconciliation in pediatric … https://psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60876/psn-pdf
     September 02, 2020 - Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation … Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation … https://psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after- implementation-pre-sedation … pre-sedation checklist on serious adverse events among children treated with ketamine and propofol in a pediatric … https://psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863210/psn-pdf
     February 28, 2024 - Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. … Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. … https://psnet.ahrq.gov/issue/disparities-racial-ethnic-and-payer-groups-pediatric-safety-events-us-hospitals … This population-based retrospective study examined disparities in the AHRQ pediatric safety indicators … The findings indicate that Black and Hispanic pediatric patients have a higher risk of safety events

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47859/psn-pdf
     May 15, 2019 - The design and conduct of Project RedDE: a cluster- randomized trial to reduce diagnostic errors in pediatric … The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric … psnet.ahrq.gov/issue/design-and-conduct-project-redde-cluster-randomized-trial-reduce-diagnostic- errors-pediatric … Diagnostic errors in pediatric primary care are common and represent an ongoing patient safety challenge … psnet.ahrq.gov/issue/design-and-conduct-project-redde-cluster-randomized-trial-reduce-diagnostic-errors-pediatric

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853236/psn-pdf
     September 06, 2023 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed … Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed … https://psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety … By analyzing video recordings of pediatric cardiac arrest simulations, researchers were able to identify … https://psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety-threats-mixed

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837071/psn-pdf
     May 11, 2022 - Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral … Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral … https://psnet.ahrq.gov/issue/communication-patterns-during-routine-patient-care-pediatric-intensive-care … This study found that participation in a one-day simulation team training for pediatric intensive care … https://psnet.ahrq.gov/issue/communication-patterns-during-routine-patient-care-pediatric-intensive-care-unit-behavioral

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60160/psn-pdf
     March 25, 2020 - Retrospective review for medication dose errors in pediatric emergency department medication orders … Retrospective review for medication dose errors in pediatric emergency department medication orders … https://psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department … medication-orders This study characterized dose errors on medication orders bypassing pharmacist review in a pediatric … https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47729/psn-pdf
     April 10, 2019 - This commentary summarizes the current state of pediatric patient safety improvement efforts in the … The authors highlight huddles and pediatric early warning systems as two tactics that improve the reliability … of communication to address the complex needs of pediatric patients. … psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability https://psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients … https://psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73888/psn-pdf
     September 29, 2021 - Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional … Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional … psnet.ahrq.gov/issue/interventions-reduce-medication-dispensing-administration-and-monitoring- errors-pediatric … psnet.ahrq.gov/issue/interventions-reduce-medication-dispensing-administration-and-monitoring-errors-pediatric … psnet.ahrq.gov/issue/interventions-reduce-medication-dispensing-administration-and-monitoring-errors-pediatric

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73345/psn-pdf
     June 02, 2021 - An estimate of missed pediatric sepsis in the emergency department. … An estimate of missed pediatric sepsis in the emergency department. … https://psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-emergency-department Missed sepsis diagnosis … Using administrative data, this retrospective study estimated the risk of potentially missed pediatric … https://psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-emergency-department https://psnet.ahrq.gov

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50408/psn-pdf
     October 02, 2019 - Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency … Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency … https://psnet.ahrq.gov/issue/delayed-admissions-pediatric-intensive-care-unit-progression-disease-or- … This study evaluated the impact of errors in the emergency department management of pediatric patients … who were admitted and then transferred to the pediatric ICU (PICU) within 12 hours of admission.