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psnet.ahrq.gov/node/49608/psn-pdf
August 01, 2010 - Reliability and validity of the emergency severity index
for pediatric triage.
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - The Fluidity of Diagnostic "Wet Reads"
May 1, 2016
Optimizing Pediatric
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - emotional toll of the loss of family presence was rapidly apparent.5 Given the unique role of families in
pediatric
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - July 19, 2010
Medication errors involving pediatric patients.
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - January 18, 2012
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - WebM&M Cases
Mitigating the Risk of Intrahospital Transport for Pediatric
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - Cases
The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - Care
November 30, 2021
Human factors analysis of latent safety threats in a pediatric
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - September 4, 2013
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - September 20, 2011
Misuse of pediatric medications and parent–physician communication
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - January 26, 2011
Comparing errors in ED computer-assisted vs conventional pediatric drug
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - relationship between the patient and caregiver, length of professional relationships, cases that involved pediatric
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psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - Innovations in Promoting Hand Hygiene Compliance
May 1, 2014
Optimizing Pediatric
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - May 18, 2022
Misuse of pediatric medications and parent–physician communication: an interactive
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - Other instruments have not been validated in children, so pediatric settings should avoid using them.
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psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - One ACE Too Many
Citation Text:
Juurlink DN. One ACE Too Many. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - Moved Too Soon
Citation Text:
Lindenauer PK. Moved Too Soon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - The Next Step: Use of a Pre-Operative Checklist to
Prevent Missteps
January 7, 2022
Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet
[internet]. 2022.
https://psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
The Case
A 52-year-old woman w…
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psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - Flying Object Hits MRI
Citation Text:
Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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