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8801. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33779/psn-pdf
      March 01, 2015 - The implementation of I-PASS in nine pediatric residency programs required adoption of the tool and

8802. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49740/psn-pdf
      August 21, 2015 - Iatrogenic botulism due to therapeutic botulinum toxin A injection in a pediatric patient.

8803. Electrocardiogram Results: ***READ ME*** | PSNet
      psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
      May 01, 2019 - Improving Diagnostic Safety and Quality April 26, 2023 Optimizing Pediatric

8804. Medication Errors and Adverse Drug Events | PSNet
      psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
      December 15, 2024 - Pediatric patients  are also at heightened risk, especially when hospitalized, since many medications

8805. Strategies to Improve Organizational Health Literacy. | PSNet
      psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
      August 30, 2023 - September 30, 2015 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

8806. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49777/psn-pdf
      December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic December 1, 2016 Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic Case Objectives Recognize suicide as a major public health problem and the critical role of pri…

8807. In Conversation With… Amy J. Starmer, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
      May 31, 2023 - In Conversation With… Amy J. Starmer, MD, MPH April 1, 2016  Citation Text: In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation …

8808. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865296/psn-pdf
      March 27, 2024 - National Patient Safety Goals March 27, 2024 Shaikh U. National Patient Safety Goals. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/national-patient-safety-goals Background Despite the development and publication of effective and evidence-based strategies to enhance patient safety and reduce preventable h…

8809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867676/psn-pdf
      February 26, 2025 - Responding to Patient Safety Events February 26, 2025 Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/responding-patient-safety-events Background Patient safety events that occur in health care facilities require prompt action to ensure that further harm is mit…

8810. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
      psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
      February 01, 2014 - errors without negative unanticipated consequences.( 5 ) Certain clinical environments such as the pediatric … Examining a total of 5325 interruptions in a pediatric tertiary care setting, Hall and colleagues found … Interruptions and pediatric patient safety. J Pediatr Nurs. 2010;25:167-175. [go to PubMed] 7.

8811. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet
      psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
      September 01, 2006 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in … the pediatric cardiac operating room.

8812. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
      psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
      October 31, 2023 - December 18, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric

8813. Spotlight
      psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
      January 01, 2025 - between 1997 and 2016.3 Background – Imaging (4) There are circumstances, such as those involving pediatric

8814. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - Cases The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric

8815. Ebola: Are We Ready? | PSNet
      psnet.ahrq.gov/web-mm/ebola-are-we-ready
      July 01, 2012 - April 30, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

8816. The Dangerous Detour | PSNet
      psnet.ahrq.gov/web-mm/dangerous-detour
      November 28, 2018 - Same Author(s) Identifying electronic health record usability and safety challenges in pediatric

8817. Comanagement: Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/comanagement-whos-charge
      July 01, 2011 - Pediatric hospitalist comanagement of spinal fusion surgery patients. J Hosp Med. 2007;2:23-30.

8818. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
      September 27, 2017 - WebM&M Cases Hemolysis Holdup May 1, 2017 Optimizing Pediatric

8819. DNR in the OR and Afterwards | PSNet
      psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
      July 01, 2003 - February 1, 2017 A QI initiative: implementing a patient handoff checklist for pediatric

8820. Cups of Error | PSNet
      psnet.ahrq.gov/web-mm/cups-error
      January 12, 2011 - The relationship between nursing experience and education and the occurrence of reported pediatric