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psnet.ahrq.gov/node/41848/psn-pdf
November 28, 2016 - The heart of health care: parents' perspectives on patient
safety.
November 28, 2016
Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin
North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004.
https://psnet.ahrq.gov/issue/heart-health-care-parents-perspec…
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psnet.ahrq.gov/node/35775/psn-pdf
July 20, 2010 - Development and implementation of a hospital-based
patient safety program.
July 20, 2010
Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program.
Pediatr Radiol. 2006;36(4):291-8.
https://psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety…
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psnet.ahrq.gov/node/40493/psn-pdf
June 01, 2011 - Dealing with unforeseen complexity in the OR: the role of
heedful interrelating in medical teams.
June 1, 2011
Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical
teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536x.2011.564481.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/42596/psn-pdf
October 23, 2013 - Diagnostic Errors and Strategies to Minimize Them.
October 23, 2013
Cutrer WB, Sullivan WM, Fleming AE, et al. Curr Probl Pediatr Adolesc Health Care. 2013;43:225-257.
https://psnet.ahrq.gov/issue/diagnostic-errors-and-strategies-minimize-them
Articles in this special issue cover diagnostic errors, includin…
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psnet.ahrq.gov/node/35141/psn-pdf
April 12, 2011 - How to avoid paediatric medication errors: a user's guide
to the literature.
April 12, 2011
Walsh KE, Kaushal R, Chessare JB. How to avoid paediatric medication errors: a user's guide to the
literature. Arch Dis Child. 2005;90(7):698-702.
https://psnet.ahrq.gov/issue/how-avoid-paediatric-medication-errors-users-gu…
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psnet.ahrq.gov/node/36600/psn-pdf
January 14, 2011 - Diagnostic pitfalls in paediatric ischaemic stroke.
January 14, 2011
Braun KPJ, Kappelle J, Kirkham FJ, et al. Diagnostic pitfalls in paediatric ischaemic stroke. Dev Med Child
Neurol. 2006;48(12):985-90.
https://psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
The researchers analyzed case his…
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psnet.ahrq.gov/node/35891/psn-pdf
May 03, 2006 - Costs and Benefits of Health Information Technology.
May 3, 2006
Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April
2006. AHRQ Publication No. 06-E006.
https://psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
The authors reviewed the literature …
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psnet.ahrq.gov/node/36639/psn-pdf
January 14, 2011 - Creating a safety culture at the Children's and Women's
Health Centre of British Columbia.
January 14, 2011
Verschoor KN, Taylor A, Northway TL, et al. Creating a safety culture at the Children's and Women's
Health Centre of British Columbia. J Pediatr Nurs. 2007;22(1):81-6.
https://psnet.ahrq.gov/issue/creating-s…
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psnet.ahrq.gov/node/37736/psn-pdf
April 30, 2008 - Causes of near misses in critical care of neonates and
children.
April 30, 2008
Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and
children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x.
https://psnet.ahrq.gov/issue/causes-near-misses-critical-…
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psnet.ahrq.gov/node/40196/psn-pdf
March 03, 2011 - Association between license status and medication
errors.
March 3, 2011
Conroy S. Association between licence status and medication errors. Arch Dis Child. 2011;96(3):305-6.
doi:10.1136/adc.2010.191940.
https://psnet.ahrq.gov/issue/association-between-license-status-and-medication-errors
This study found that unl…
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II
Frameworks
December 14, 2022
Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
Resilient healthca…
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psnet.ahrq.gov/node/38755/psn-pdf
July 01, 2009 - Review of Patient Safety for Children and Young People.
July 1, 2009
London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071.
https://psnet.ahrq.gov/issue/review-patient-safety-children-and-young-people
Analyzing research and more than 900,000 incident reports submitted to the National Patient Safety
…
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psnet.ahrq.gov/node/38159/psn-pdf
October 22, 2008 - Missed diagnosis of critical congenital heart disease.
October 22, 2008
Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Arch Pediatr
Adolesc Med. 2008;162(10):969-74. doi:10.1001/archpedi.162.10.969.
https://psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-d…
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psnet.ahrq.gov/node/37727/psn-pdf
April 30, 2008 - Ambiguous abbreviations: an audit of abbreviations in
paediatric note keeping.
April 30, 2008
Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in
paediatric note keeping. Arch Dis Child. 2008;93(3):204-6.
https://psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbrevi…
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psnet.ahrq.gov/node/39969/psn-pdf
October 27, 2010 - The Preventable Harm Index: an effective motivator to
facilitate the drive to zero.
October 27, 2010
Brilli RJ, McClead RE, Davis T, et al. The Preventable Harm Index: an effective motivator to facilitate the
drive to zero. J Pediatr. 2010;157(4):681-3. doi:10.1016/j.jpeds.2010.05.046.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/37704/psn-pdf
April 23, 2008 - Decreasing paediatric prescribing errors in a district
general hospital.
April 23, 2008
Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital.
Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212.
https://psnet.ahrq.gov/issue/decreasing-paediatric-…
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psnet.ahrq.gov/node/37064/psn-pdf
October 03, 2011 - Crisis resource management: evaluating outcomes of a
multidisciplinary team.
October 3, 2011
Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a
multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d.
https://psnet.ahrq.gov/issue/crisis-re…
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psnet.ahrq.gov/node/43405/psn-pdf
August 14, 2014 - Characteristics associated with postdischarge medication
errors.
August 14, 2014
Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo
Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023.
https://psnet.ahrq.gov/issue/characteristics-associated-postdisc…
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psnet.ahrq.gov/node/50648/psn-pdf
November 06, 2019 - Faced with a drug shortfall, doctors scramble to treat
children with cancer.
November 6, 2019
Rabin RC. New York Times. October 14, 2019.
https://psnet.ahrq.gov/issue/faced-drug-shortfall-doctors-scramble-treat-children-cancer
Drug shortages create potential complexities in drug therapy that can result in unsafe m…
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psnet.ahrq.gov/node/50455/psn-pdf
October 09, 2019 - Advancing a More Health-Literate Approach to Patient
Safety
October 9, 2019
Sanders LM. Advancing a More Health-Literate Approach to Patient Safety. J Pediatr. 2019;214:10-11.
doi:10.1016/j.jpeds.2019.07.003.
https://psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
Health literacy is th…