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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - July 17, 2024
Standardizing medication reconciliation in a pediatric emergency department
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - December 22, 2009
Color coded medication safety system reduces community pediatric emergency
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - October 3, 2013
Work system barriers and facilitators in inpatient care transitions of pediatric
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - recently performed site visits and a qualitative analysis of 23 family medicine, internal medicine, and pediatric
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - WebM&M Cases
Mitigating the Risk of Intrahospital Transport for Pediatric
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - https://psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - October 1, 2011
Optimizing Pediatric Patient Safety in the Emergency Care Setting
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - WebM&M Cases
Inflicting Confusion
June 1, 2015
Pediatric
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - WebM&M Cases
Intraosseous Line Extravasation in a Pediatric
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - Specific examples highlight the use of AI in pediatric diseases .
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - Give special consideration to pediatric use of heparin since most drugs stocked in anesthesia are intended
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Reduction of nosocomial infection during pediatric intensive care by protective isolation.
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - Other instruments have not been validated in children, so pediatric settings should avoid using them. … Specialized settings, such as pediatric settings and OBGYN offices, use screening tools to meet the
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - Specialized settings, such as pediatric settings and OBGYN offices, use screening tools to meet the … Other instruments have not been validated in children, so pediatric settings should avoid using them.
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psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - real-time videoconferencing consultations between physicians in rural emergency departments (EDs) and pediatric
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - October 31, 2014
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - experienced adverse events, and that harm was more likely to be severe. [11] These findings extend to pediatric
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psnet.ahrq.gov/node/60653/psn-pdf
April 25, 2020 - Health Care Delivery and Pharmacists During the COVID-
19 Pandemic
June 29, 2020
Dopp AL, Fitall E, Hall KK, et al. Health Care Delivery and Pharmacists During the COVID-19 Pandemic.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
Medication…
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psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - Moved Too Soon
October 1, 2004
Lindenauer PK. Moved Too Soon. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/moved-too-soon
The Case
A 67-year-old man was admitted to a general hospital ward after undergoing a laminectomy. Two hours
after arriving, while the patient was still groggy from anesthesia, a nurs…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
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Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…