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9001. What Have We Learned About Safe Inpatient Handovers? | PSNet
      psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
      March 01, 2011 - That's very different from, for example, a medicine resident or a pediatric resident who is on an extended … development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric

9002. In Conversation with...James P. Bagian, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
      September 01, 2006 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in … the pediatric cardiac operating room.

9003. Nursing and Patient Safety | PSNet
      psnet.ahrq.gov/primer/nursing-and-patient-safety
      September 15, 2024 - View More Related Resources Identifying missed care in pediatric

9004. May I Have Another?—Medication Error | PSNet
      psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
      March 01, 2009 - December 21, 2014 The prevalence of second victim syndrome and emotional distress in pediatric

9005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866995/psn-pdf
      October 30, 2024 - Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency

9006. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
      psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
      February 26, 2025 - In 2013 , the Society of Hospital Medicine released Pedi-BOOST, which incorporated unique pediatric-specific

9007. Dangerous Shift | PSNet
      psnet.ahrq.gov/web-mm/dangerous-shift
      July 24, 2013 - Case A 3-month-old infant was admitted with a respiratory syncytial virus (RSV) infection to a pediatric

9008. The Unfamiliar Catheter | PSNet
      psnet.ahrq.gov/web-mm/unfamiliar-catheter
      November 01, 2006 - Care November 30, 2021 Human factors analysis of latent safety threats in a pediatric

9009. E-cigarette Explosion in a Patient Room | PSNet
      psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
      March 15, 2023 - July 2, 2019 Reducing pediatric emergency department prescription errors.

9010. Elopement | PSNet
      psnet.ahrq.gov/web-mm/elopement
      July 14, 2010 - Primers Nursing and Patient Safety April 21, 2021 Optimizing Pediatric

9011. A "Reflexive" Diagnosis in Primary Care | PSNet
      psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
      April 01, 2008 - November 21, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

9012. In Conversation With... James P. Bagian, MD, PE | PSNet
      psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
      February 26, 2025 - For example, if you have pediatric patient die, and that makes the front page of the local paper, it

9013. Errors in Sepsis Management | PSNet
      psnet.ahrq.gov/web-mm/errors-sepsis-management
      November 03, 2015 - Dellinger RP, Levy MM, Rhodes A, et al; Surviving Sepsis Campaign Guidelines Committee including the Pediatric

9014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49834/psn-pdf
      July 01, 2018 - Reston, VA: American College of Radiology and the Society for Pediatric Radiology; 2017.

9015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33875/psn-pdf
      March 01, 2019 - They would try to consolidate the bariatric surgery, geriatric service, or obstetrics, or open a pediatric

9016. Organizational Learning | PSNet
      psnet.ahrq.gov/curated-library/organizational-learning
      July 21, 2025 - While the networks described focus on pediatric care, they suggest that the same principles and processes

9017. Communication During Transitions of Care | PSNet
      psnet.ahrq.gov/perspective/communication-during-transitions-care
      July 10, 2024 - One study published in 2023 found that after implementing a modified I-PASS tool, pediatric emergency

9018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33754/psn-pdf
      September 01, 2013 - She gave a calcium chloride overdose to one of her pediatric patients.

9019. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet
      psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
      April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps Citation Text: Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy …

9020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50389/psn-pdf
      September 25, 2019 - Getting the Diagnosis Both Right and Wrong September 25, 2019 Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong The Case A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department…