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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38599/psn-pdf
     May 06, 2009 - Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. … Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. … https://psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few- … adverse-events Retrospective chart review identified many errors (primarily in documentation) among pediatric … https://psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-adverse-events

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38654/psn-pdf
     November 25, 2009 - Color coded medication safety system reduces community pediatric emergency nursing medication errors … Color coded medication safety system reduces community pediatric emergency nursing medication errors … https://psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric- emergency-nursing-medication … Use of color-coded medications resulted in a reduction in medication errors in simulated pediatric … https://psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40489/psn-pdf
     June 01, 2011 - Handover after pediatric heart surgery: a simple tool improves information exchange. … Handover after pediatric heart surgery: a simple tool improves information exchange. … https://psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information- … exchange Use of a structured tool improved the quality of handoffs for postoperative pediatric cardiac … https://psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40765/psn-pdf
     September 14, 2011 - Medication errors reported in a pediatric intensive care unit for oncologic patients. … Medication errors reported in a pediatric intensive care unit for oncologic patients. … https://psnet.ahrq.gov/issue/medication-errors-reported-pediatric-intensive-care-unit-oncologic-patients … found that omission and administration errors were the most common types of medication errors in a pediatric … https://psnet.ahrq.gov/issue/medication-errors-reported-pediatric-intensive-care-unit-oncologic-patients

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35894/psn-pdf
     June 18, 2013 - Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care … Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care … https://psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric … - intensive-care The authors analyzed the organizational development of a new pediatric intensive care … https://psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45431/psn-pdf
     November 22, 2017 - Pediatric chest radiographs: common and less common errors. … Pediatric Chest Radiographs: Common and Less Common Errors. … https://psnet.ahrq.gov/issue/pediatric-chest-radiographs-common-and-less-common-errors This commentary … https://psnet.ahrq.gov/issue/pediatric-chest-radiographs-common-and-less-common-errors https://psnet.ahrq.gov … /issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites https

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39065/psn-pdf
     January 03, 2017 - Family alert: implementing direct family activation of a pediatric rapid response team. … Family alert: implementing direct family activation of a pediatric rapid response team. … https://psnet.ahrq.gov/issue/family-alert-implementing-direct-family-activation-pediatric-rapid-response … - team This study reports on a pediatric hospital's experience with allowing family members to activate … https://psnet.ahrq.gov/issue/family-alert-implementing-direct-family-activation-pediatric-rapid-response-team

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35482/psn-pdf
     May 27, 2011 - The introduction of computerized physician order entry and change management in a tertiary pediatric … The introduction of computerized physician order entry and change management in a tertiary pediatric … psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management- tertiary-pediatric … report on the successful implementation of computerized physician order entry (CPOE) in a tertiary pediatric … psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44617/psn-pdf
     January 22, 2016 - Pediatric prehospital medication dosing errors: a mixed- methods study. … Pediatric prehospital medication dosing errors: a mixed-methods study. … https://psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study Medication … errors are common in pediatric patients who require care from emergency medical services. … https://psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study https

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39958/psn-pdf
     October 27, 2010 - A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. … A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. … https://psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric- … otolaryngology A novel trigger tool intended to detect errors in pediatric otolaryngology patients … https://psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37393/psn-pdf
     June 13, 2011 - Clinical information transfer and medication reconciliation in patients transferred from the pediatric … Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric … psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred- pediatric … psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric … psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43102/psn-pdf
     December 14, 2016 - Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. … Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. … https://psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs- … common-injury-sites This study found that diagnostic errors in interpretation of pediatric musculoskeletal … https://psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40621/psn-pdf
     July 20, 2011 - Comparison of Broselow tape measurements versus physician estimations of pediatric weights. … Comparison of Broselow tape measurements versus physician estimations of pediatric weights. … https://psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations- pediatric-weights … This study compares common tools to estimate pediatric weight, a key factor in safely determining … https://psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36771/psn-pdf
     January 22, 2017 - A pediatric medical emergency team manages a complex child with hypoxia and a worried parent. … A pediatric medical emergency team manages a complex child with hypoxia and worried parent. … https://psnet.ahrq.gov/issue/pediatric-medical-emergency-team-manages-complex-child-hypoxia-and- worried-parent … The authors provide a case report that illustrates the effective use of a rapid response team for a pediatric … https://psnet.ahrq.gov/issue/pediatric-medical-emergency-team-manages-complex-child-hypoxia-and-worried-parent

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41597/psn-pdf
     December 02, 2014 - Medical errors in US pediatric inpatients with chronic conditions. … Medical errors in US pediatric inpatients with chronic conditions. … https://psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions Pediatric inpatients … Nearly half of the pediatric inpatients in this large national sample had at least one chronic medical … /issue/principles-pediatric-patient-safety-reducing-harm-due-medical-care https://psnet.ahrq.gov/issue

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36575/psn-pdf
     August 17, 2011 - Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized … Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized … https://psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential … This study was conducted at an academic pediatric hospital with pharmacists who reviewed all medication … https://psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35500/psn-pdf
     February 22, 2010 - Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator … Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator … https://psnet.ahrq.gov/issue/toward-new-paradigm-hospital-based-pediatric-education-development-onsite … - simulator-program The authors report on a simulator suite for multidisciplinary training in pediatric … https://psnet.ahrq.gov/issue/toward-new-paradigm-hospital-based-pediatric-education-development-onsite-simulator-program

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38868/psn-pdf
     July 13, 2010 - Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. … Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. … https://psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-departments-unit-characteristics-and-staff … - perceptions This survey of staff in 21 pediatric emergency departments found wide variations in perception … https://psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-departments-unit-characteristics-and-staff-perceptions

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33956/psn-pdf
     March 07, 2005 - The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg … March 7, 2005 Inquest, Manitoba Pediatric Cardiac Surgery. … https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths- … winnipeg-health A 3-year review investigating a series of deaths from a pediatric cardiac unit revealed … https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44752/psn-pdf
     April 20, 2016 - Nontechnical skills in pediatric surgery: factors influencing operative performance. … Nontechnical skills in pediatric surgery: Factors influencing operative performance. … https://psnet.ahrq.gov/issue/nontechnical-skills-pediatric-surgery-factors-influencing-operative-performance … identifying, training, and assessing surgeon competencies in a defined set of nontechnical skills during pediatric … https://psnet.ahrq.gov/issue/nontechnical-skills-pediatric-surgery-factors-influencing-operative-performance